Community health planning director job description

Reporting to the Chief Executive Officer, Executive Management, this position is responsible to drive Physician engagement, recruitment and contracting of all Providers. The Director works with the Independent Physician Association (IPA), Saint Agnes Medical Foundation (SAMF), and other community-based physician networks. This position will work to onboard and develop providers (primary care, specialty care, and ancillary) in their participation and growth as strategic participants in the network. The Director Provider Relations & Development will maintain mutually developed "IPA to Provider" approaches and strategies as required to achieve provider and membership satisfaction driving revenue growth targets. Along with the Director CVHP Operations, this position will set goals for contracting target increases, specific service level improvements and manage the quantitative and qualitative measurement of Provider engagement and commitment to the IPA and Central Valley Health Plan (CVHP).
1. High School diploma or equivalent is required.

2. Bachelor's degree or an equivalent combination of education and experience is required.

3. Seven (7) years' experience managing care contracting and provider development is required.

4. Valid California Driver's License (CDL) and mode of transportation to visit physician offices through the network area is required. Out of state candidates have three (3) months from the date of hire to present valid CDL.

5. Extensive understanding of physician practice operations and associated performance metrics is required.

6. Thorough Understanding in business development and healthcare strategy is required.

7. Experience working with physicians and physician groups is required.

8. Ability to successfully negotiate, build consensus and bring complicated deals to closure is required.

9. Ability to interpret and convert contract language and identify areas impacting provider operation and implementation is required.

10. Strong computer skills with Microsoft Suite are required.

11. Excellent communication and interpersonal skills are required.

12. Strong quantitative/analytical skills are required.

**Our Commitment to Diversity and Inclusion**

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

At Community Dental Care (CDC) we believe that everyone deserves high quality, compassionate and culturally-sensitive oral health care, and that is what we provide our patients. We hire team members who are committed to our mission and want to make a difference in the lives of others. We value our employees and equip them with the tools and training needed to be successful.
Join Our Team!

CDC has a full-time opportunity for a Director of Community Oral Health Promotion to manage all aspects of CDC's health promotion programs for both in-clinic and outreach locations. This position leads and participates in delivering CDC's community programs, including PICOH (Program to Improve Community Oral Health), Medical Dental Integration, School Based Sealant Program and Community Outreach Education. This role manages all program staff, including health educators and hygienists, across all locations.

Key Functions:

* Provide leadership and manage all program staff, including health educators and hygienists, across all locations. Assist in hiring and training program staff.
* Serve as lead for on-site school-based sealant program, coordinating all aspects of planning and delivering events.
* Participate in grant reporting, including tracking and reporting of data, challenges and outcomes.
* Provide oral health education at community outreach events.

Preferred, but not required, Qualifications:

* Masters in Public Health (MPH), Hygienist or Dental Assistant
* Experience in managing staff
* Experience in dental/oral health care, community health promotion or preventive education
* Excellent oral and written communication skills

What We Offer:

* Collaborative, innovative and inclusive team environment
* Internal growth and development opportunities
* Comprehensive medical, dental and life insurance
* Paid time off and holiday pay
* 401k plus company match
* CE classes and license renewals

About Us:

At Community Dental Care everything we do is about providing the most caring, culturally respectful, quality dental care to people of all ages and abilities. We provide comprehensive oral health care, preventive education, professional training and advocate for access for all. Our team of 240 employees staff our full service dental clinics in St. Paul, Maplewood, Robbinsdale, Rochester and Buffalo.

At CDC we value our diversity and are stronger because of it. We celebrate the diverse cultural norms and traditions of our staff and patients, and strive to meet their needs in a culturally competent and compassionate manner.

COVID Protocols:

Community Dental Care is devoted to keeping patients and employees safe. In response to COVID-19, we are continually updating our already robust infection protocols to include the latest CDC, OSHA, and Board of Dentistry requirements and recommendations.

Community Dental Care is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Reporting to the COO of the Baylor Scott & White Health Plan (BSWHP), the Director PMO will direct and manage Health Plan strategic enterprise-wide projects from scoping, business analysis, resource allocation (staff and capital), developing ongoing milestones and identifying impediments to success through to project completion. Directs and supports project multi-disciplinary teams utilizing project delivery best practices. Will push these methodologies into the organization, teaching processes throughout to insure competencies within the organization. Oversees project initiation, planning, execution and closeout. Additionally, this position will support the organizations process improvement initiatives to achieve cost containment. The position manages the project portfolio for the HealthPlan and directly supports priority cross-functional projects that align with health plan strategic portfolio projects, those with costs upward of $350,000 and/or 1,000 hours. In summary, the position provides a single source of understanding of all initiatives and eliminates redundancies or conflicting strategies. Provides transparency and reporting of project health and status.
ESSENTIAL FUNCTIONS:
- Implement an enterprise-wide project management discipline on behalf of Baylor Scott and White Health Plan (BSWHP)
- Lead the Health Plan in implementing the Project Management/Process Improvement program discovering the advantages of a project management discipline
- Teach skills and techniques to staff through a didactic experience
- Serve as a resource to the organization of various processes to improve project development, scoping, planning, implementation and measurement
- Utilize accepted project management principles and industry certification programs such as SAS 70, Malcolm Baldridge Award, NCQA Certification, CAHPS and JD Powers and Associate awards and Project Management Institute (PMI)
- Direct all large-scale, multi-disciplinary programs and projects for the BSWHP
- Work with C-Suite Leadership team, prioritize projects and then evaluate, implement and communicate enterprise-wide project management strategies, utilizing a project, management discipline and work with executive leadership to accomplish
- Each project will include a scope of work that has been vetted and approved by an executive project sponsor, with a business analysis supported by the PMO. This project plan will include a thorough definition of the work to be completed, the resources required, inclusive of budget and staff resources, objectives, milestones and timing, resulting in a formal project plan.
- Develop and manage a budget for each project developed which exceeds $350,000 in cost to the organization for enterprise-wide initiatives
- Project securing project management support will be enterprise wide, requiring business and IT resources, and may span a life cycle exceeding a routine budget year. Typically one-eighth of the staff could be involved in these projects over its life cycle.
- Secure approval from the project sponsor for plan initiation
- Effectively communicate project expectations to team members and stake holders, promoting horizontal and vertical communications between project teams and rest of organization
- Set and continually manage project expectations with team members and other stakeholders
- Proactively manage changes in project scope, identifying potential crises and devising contingency plans
- Provide timely reporting to executive team on project status inclusive of accomplishments, deliverables, planned actions and barriers
- Define project success criteria and disseminated to affected parties throughout the project life cycle
- Establish project management policies and guidelines, deploying tools across the organization and ensure consistency with corporate strategies
- Provide project management leadership to support teams and team leaders and ensure that project tools can be replicated by all
- Direct team in setting up project objectives, milestones and completion
- Provide guidance in meeting preparedness insuring that everyone is informed of project status, approval points and needs
- Create and execute project work plans and revises as appropriate to meet changing needs and requirements
- Identify resources needed and assigns individual responsibilities
- Manage day to day operational aspects of a project scope and reviews deliverables prepared by team before passing to client
- Effectively apply methodology and enforces project standards
- Prepare for engagements reviews and quality assurance procedures
- Minimize exposure and risk on projects
- Resolve and/or escalate issues in a timely fashion
- Ensure project documents are complete, current and appropriate
- Coach, mentor, motivate and supervise project team members and influences them to take positive action and accountability for their assigned work
- Directly supervise a team of Sr Project Managers, Business Analysts and Vendor Managers
- Responsible for departmental budget as well as project budgets
- Provide project management support to teams and team leaders by providing project management tools and guidance to team leaders and business analysts within groups
- Assist teams in setting up project objectives, milestones and completion
- Assist teams in meeting preparedness, insuring that everyone is informed of project status, approval points, need, etc
- Develop policies and procedures for PMO functions and practices for used by the organization
- Provide training on methodologies and techniques for team members
- Provide a consistent structure for initiating, approving, implementing, training and measuring project completion
- Possess strong analytic skills and is proficient in Xcel, Visio, Project Manager, and Xcelcius
- Manage a variety of projects through all phases of the project life cycle, from scoping phase, through implementation
- Manage activities of Performance Management and Macess
- Perform other position appropriate duties as required in a competent, professional and courteous manner
KNOWLEDGE, SKILLS and ABILITIES:
- Experience in both IT and business with an ability to grasp the needs and communications within and among each
- Developed a PMO office or involved in an evolving program
- Teaching experience for project management or process improvement programs
- Experience within the healthcare industry, preferably with insurance expertise or banking industry
- Master’s degree
- 5 years of experience preferred
- Lean Six Sigma Green or Blue Belt preferred
- Project Management Professional (PMP) preferred
- Ability to manage both IT and business needs
- Able to manage all tasks of project from start to finish
- Experience in health care industry and/or managed care preferred
MINIMUM REQUIREMENTS:
- Bachelor’s Degree required, Master’s preferred
- 5 years of experience