vynca - Director, Enhanced Care Management
Requirements
• Bachelors Degree, highly preferred • 5+ years of people management experience • 3+ years of care management experience • Experience with Enhanced Care Management programs, highly preferred • Proven, results-driven business leader with P&L responsibility experience • Superior organizational skills to orchestrate internal and external meetings driving outcomes • Self-directed, entrepreneurial leader with the flexibility and tenacity to thrive in a fast-paced, high-growth, dynamic environment • Proficient with Microsoft and Google applications, plus general computer literacy • Strong adaptability to work collaboratively and cross-functionally in a remote environment • Must have access to reliable internet connection • Ability to work with complex and multifaceted tasks and systems. • Experience working with culturally, ethically, sexually, and socio-economically diverse populations with the ability to maintain sensitivity in all interactions • Experience working with multidisciplinary teams • This is a remote position with occasional travel required for training, meetings, and other business needs. At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah, and Washington.
Responsibilities
• Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff • Refine and implement program policies and procedures • Ensure that ECM contract goals and objectives are met • Ensure contract regulatory and data requirements are met • Ensure records (electronic and physical) and billing requirements are kept up to standards • Oversee assessments, intakes, care planning, crisis management, transition plans • Oversee and ensure staff training • Run EHR reports as needed • Oversees claims submission, denials, and receipt of payments • Attends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendors • Provides reports to management and managed care plans regarding ECM as needed • Responsible for CalAIM program performance and successful execution of all SLAs. • Oversee all aspects of running an efficient team, focusing on role definition and attainment of goals • Design and implement standard operating procedures and workflows for the department • Develop strategic messaging that conveys the company’s value proposition and overcomes patient objections • Manage quality assurance programs to enhance the client experience • Develop KPIs that align team member performance to business objectives • Manage P&L and report accurate business results in monthly operations reviews • Apply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when needed • Collaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boarding • Exemplify company culture by modeling core values of the organization and ensuring staff understands values and mission • Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. • Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
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