Associate Vice President jobs at PLANNED PARENTHOOD OF NORTHERN CENTRAL

Compensation: $290k- $350k per year Job Type: Full-time, Monday-Friday A major New York City health system is seeking a Chief Operating Officer (COO) to partner with and support the Chief Executive Officer. This role provides broad operational oversight, exercises significant independent judgment, and serves as the CEO's primary delegate across areas such as Operations, Facilities, Ancillary Services, Clinical Operations, and Emergency Management. Key Responsibilities Leads the development, implementation, and evaluation of programs, policies, procedures, and organizational goals set by the CEO. Oversees operational functions, ensuring alignment between facility teams and the corporate office. Maintains full regulatory and accreditation compliance and drives readiness for all inspections. Recommends procurement of supplies, equipment, and capital needs within approved guidelines. Advises on construction, renovation, and equipment replacement plans. Participates in and facilitates interdepartmental and departmental meetings; may assign staff to hospital committees. Supports CEO in building and maintaining relationships with external agencies, regulatory bodies, and professional groups. Helps maintain management reporting systems that provide timely data for planning and decision-making. Promotes a culture of accountability by setting performance standards, evaluating staff, and addressing performance issues. Participates in developing annual operating, expense, and revenue budgets; ensures operations remain within financial parameters. Reviews budget requests and monitors costs across operational areas. Serves as Acting CEO in the CEO's absence. Benefits Health Insurance Plans Flexible Spending Account Programs Management Benefits Fund (MBF) Tuition Reimbursement Vacation and Sick Leave Family & Medical Leave Act (FMLA) Special Leave of Absence Coverage (SLOAC) Additional Leave Options Retirement Savings Plans (NYCERS, VDC, TDA 403B, 457, NYCE IRA) Additional Savings Plan Options Transit Benefits Municipal Credit Union (MCU) Membership Qualifications Six (6) years of senior-level experience in business administration, public administration, or hospital administration; or direct responsibility for major hospital operations with exposure to community healthcare needs. Extensive knowledge of hospital operations, administration, and regulatory requirements. Master's Degree in Hospital Administration, Business Administration, Public Health, Healthcare Management, Medical Administration, or a related field.

Job Description: Vice President of Revenue Cycle Management The Vice President of Revenue Cycle Management (RCM) provides executive leadership and strategic direction for all revenue cycle functions across the hospital or health system. This role is responsible for optimizing the end-to-end revenue cycle-patient access, clinical documentation integrity, coding, billing, claims management, reimbursement, and collections-to ensure financial sustainability while supporting high-quality patient care and an exceptional patient financial experience. Salary: 250k plus bonus. Contingent on experience. Key Responsibilities Strategic Leadership & Management Develop and execute the organization's revenue cycle strategy to support financial goals, regulatory compliance, and operational efficiency. Lead, mentor, and develop RCM leaders and teams across patient access, HIM/coding, CDI, billing, and collections. Drive continuous improvement initiatives, leveraging technology, automation, and best practices. Operations Oversight Oversee all revenue cycle operations to ensure accurate, compliant, and timely billing and reimbursement. Ensure effective processes for insurance verification, authorization, scheduling, registration, and financial counseling. Monitor and optimize key performance indicators (KPIs), such as DNFB, AR days, clean claim rate, denial rate, and cash collections. Financial Performance Partner with the CFO and finance teams to forecast revenue, analyze financial trends, and identify opportunities to improve cash flow. Develop and manage the revenue cycle budget. Lead initiatives to reduce denials, improve charge capture, and enhance payer performance. Compliance & Quality Ensure compliance with federal, state, and payer regulations, including CMS, HIPAA, and hospital accreditation standards. Oversee audit readiness, including documentation, coding accuracy, and internal controls. Drive quality and consistency in patient financial communications and processes. Technology & Systems Collaborate with IT to evaluate and optimize RCM systems, workflow tools, and automation solutions. Champion digital transformation to improve patient experience, staff efficiency, and revenue integrity. Cross-Functional Collaboration Work closely with clinical leaders, finance, legal, IT, and operational departments to ensure cohesive workflows and accurate revenue capture. Partner with managed care contracting teams to support payer negotiations and reimbursement strategies. Qualifications Education Bachelor's degree in Business, Finance, Healthcare Administration, or related field required. Master's degree (MBA, MHA, MPH, etc.) strongly preferred. Experience 10+ years of progressive leadership in healthcare revenue cycle management, including at least 5 years in a senior or executive role. Deep knowledge of hospital and physician billing, coding, compliance, and payer regulations. Demonstrated success leading large teams and improving financial performance in a complex healthcare environment. Skills & Competencies Strong strategic planning and organizational leadership skills. Expertise in revenue cycle KPIs, analytics, and benchmarking. Excellent communication and relationship-building skills. Ability to lead change, manage complexity, and leverage technology solutions. High integrity and commitment to patient-centered financial practices.

About the Company We're a mission-driven healthcare organization committed to making quality care accessible for everyone. About the Role As Vice President of Revenue Cycle, you'll lead financial strategy and operations across TrueCare's multi-site health system. Reporting to the CFO, you'll ensure billing and finance are aligned to support long-term sustainability, compliance, and growth. You'll advise executive leadership, mentor a high-performing team, and drive initiatives that improve cash flow and operational efficiency. Responsibilities Lead financial strategy that directly impacts community health Collaborate with visionary leaders and a supportive team Drive innovation and continuous improvement in revenue cycle operations Qualifications BA in business, accounting, or public administration 10-15 years of experience in financial operations in nonprofit healthcare including deep knowledge of FQHCs and payor contract management At least 5 years of leadership experience Expertise in Medicare/Medi-Cal cost reporting and California rate setting Proven success in change management and strategic planning Experience with EPIC or similar EHR systems Bonus: MBA, CPA, or CMA; passion for serving underserved communities Required Skills Expertise in financial operations Leadership experience Knowledge of Medicare/Medi-Cal cost reporting Experience with EHR systems Preferred Skills MBA, CPA, or CMA Passion for serving underserved communities Pay range and compensation package The pay range for this role is $175,561 to $280,898 on an annual basis. Equal Opportunity Statement Join us in building a healthier future for our communities!

OUR CLIENT - OneEighty, Inc. Faith, focus, perseverance and singleness of purpose equip us to fearlessly face the front lines of trauma and addiction. As a dynamic, integrated health system, our network supports 6 major service programs. Now with approximately $9M in revenue and 110 employees in three locations, OneEighty celebrated 50 years of supporting substance use and mental health recovery, as well as providing dedicated support services for survivors of domestic violence and sexual assault. In 1974, STEPS at Liberty Center (formerly Wayne County Alcoholism Services) began as a one-person operation. Over the years, the agency has grown to offer a full continuum of substance use prevention, intervention and treatment services. In 2005, the agency was selected as one of thirteen providers to participate in the Network for the Improvement of Addiction Treatment (NIATx) -- a national program tasked with improving the treatment and outcomes of individuals facing substance use challenges. OneEighty remains actively involved in this important effort and since its inception, NIATx has grown to include over 1,000 treatment providers. Every Woman's House began in 1978, when a group of women in Wayne County, Ohio, began meeting informally to discuss the need to serve women who were victims of family violence-especially those trying to flee from an abusive partner. The women began using volunteer efforts to provide shelter and support to battered women and rape victims. In 1982, the donation of an eleven-room house allowed the agency to offer a short-term domestic violence shelter, while also expanding its services to include victim advocacy, counseling, support groups, and a 24-hour hotline. The same level of quality service which had been established for decades by Every Woman's House and STEPS at Liberty Center is still the standard at OneEighty. POSITION SUMMARY OneEighty, a thriving, mission-driven behavioral healthcare nonprofit with a $9 million annual budget, invites a visionary CEO to help shape its future. As CEO, you'll set strategy, guide operations, and fuel a culture of innovation while making a real impact on lives across our community. You will work closely with a dedicated Board, advance high-quality, evidence-based programs, and drive staff engagement as you lead fund development and champion OneEighty's story to the world. This role demands sharp business sense, deep clinical insight, and the charisma to foster relationships with donors, partners, and the public. If you're an inspiring communicator and systems thinker with proven results in nonprofit leadership, now's your chance to align purpose and performance; transforming lives while steering OneEighty toward even greater outcomes. ESSENTIAL FUNCTIONS OF THE POSITION Shape and execute strategic and operational plans Align personnel, facilities, and finances to organizational objectives Oversee program development, service delivery, and continuous quality improvement Champion staff engagement and a culture of innovation Direct all fiscal management, legal compliance, and policy application Serve as OneEighty's spokesperson and primary advocate with the public, funders, and key partners Cultivate relationships with the Board, donors, and community stakeholders Lead strategic fundraising and grant-seeking efforts Keep the organization responsive to evolving community needs QUALIFICATIONS Required: Bachelor's degree in a relevant field (Social Services, Public Health, Business Administration, or similar) Minimum of five years in senior management within a not-for-profit organization Proven ability in leadership, fiscal oversight, program development, and staff supervision Deep knowledge of behavioral healthcare, evidence-based practices, and relevant compliance standards Outstanding communication, strategic planning, and relationship-building skills Proficiency with Microsoft Office and collaboration technology Not a current OneEighty clinical client; individuals in recovery require two years of continuous sobriety Preferred: Master's degree in a relevant field (Social Services, Public Health, Business Administration, or similar) Experience partnering with Boards, funders, and government agencies Familiarity with Ohio Managed Care, Medicare/Medicaid billing, and value-based reimbursement Expertise in fundraising, PR, and community engagement strategies Skill in conflict resolution, change management, and organizational development Visionary leadership approach with proven track record of leading organizational growth, innovation and systems change Prefer candidates within a commutable distance to Wooster, OH Key Competencies/Characteristics Strategic & systemic thinker Innovative Diplomatic Transparent Ethical Decisive Communication and advocacy Collaborative Leader of People Financially savvy Relationship builder - both internally and externally Creative fundraiser Presentation and public speaking High emotional intelligence & empathy Results-oriented Maturity and self-awareness The successful candidate will be offered an attractive compensation and benefits package. If you are an exceptional leader who is deeply passionate about advocating for enhanced mental health and recovery services and supporting essential services for survivors of domestic violence and sexual assault, we are very interested in speaking with you.

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexible Paid Time Off (PTO) Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! The Vice President of Clinical Performance, under direction of the Chief Medical Officer, is responsible for providing physician clinical leadership to direct and advance enterprise-wide efforts to improve value (clinical quality, patient safety, patient experience, access, cost) of care provided to Somatus patients. The VP, Clinical Performance will work closely as the physician partner to the SVP, Clinical Operations and broader clinical operations teams to assess performance across payor-product partners and geographies and to reliably achieve market leading performance. Works closely with clinical data analytics and actuarial teams to develop, refine, and deploy clinical performance population health initiatives and interventions for management use across the enterprise. The VP, Clinical Performance will be a key member of the corporate clinical leadership team. In close partnership with the SVP, Clinical Operations, the VP will be expected to both develop and deploy a systematic approach to total cost of care (TCOC) improvement as part of routine market management as well as targeted, centrally-led strategic improvement efforts with Operations leaders across the enterprise. Responsibilities Provide physician leadership for all aspects of value-based care performance including (but not limited to): multi-payor total cost of care management, clinical quality outcome management, patient safety, NCQA HEDIS quality performance, etc. Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to systematically explore and identify opportunities to improve total cost of care and clinical quality outcomes. Serve as a physician clinical subject matter expert and resource for clinical program and training teams. Experienced clinical understanding of inpatient and outpatient care delivery to be able to assess appropriate utilization and reduce avoidable acute care utilization. Conducts and/or supports quality improvement and outcomes studies related to clinical quality outcomes, total cost of care management, and management of avoidable acute care utilization. Engages and interacts with physician leaders across payor and provider partners, seeking to identify and operationalize partner collaboration opportunities to improve outcomes for shared patient populations. Serve as physician leader for robust patient safety program across the enterprise. Monitors member satisfaction survey results and works with quality team to augment changes as needed to optimize patient experience and satisfaction. Assists, as appropriate, with the contracting process with providers and evaluates the medical aspects of provider contracts. Maintains up-to-date knowledge of new information, capabilities, and technologies in value based clinical performance as supported in health plans, ACOs, and value-based providers. Understands and supports patient stratification, continuous evaluation, and restratification of members for appropriate resource allocation. Experienced with providing written and verbal presentations to executive leadership. Represents Somatus at medical group meetings, conferences, etc. as appropriate. Lead and attract top talent; motivate, assess, and manage performance to achieve highest and best use of talent. Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Requirements: Graduate of an accredited medical school with M.D. degree. Three (3) to five (5) years' experience in clinical practice. Three (3) to five (5) years' experience in value-based care settings. Track record of driving process, quality, and cost outcomes while improving patient care, patient satisfaction, and patient outcomes. Leadership experience of people, programs, and resources. Preferred: MBA, or Masters-Degree is preferred in healthcare, or other related fields of study. Three (3) years of clinical performance and value-based care leadership experience. Board certified in internal medicine, nephrology or family medicine. Other Duties Knowledge, Skills, and Abilities: - Ability to combine leadership skills with clinical acumen to integrate best in class Clinical Performance. - Entrepreneurial spirit and ability to drive change that will stretch the organization and push the boundaries. - Ability to synthesize and interpret large amounts of disparate data. - Comfortable with ambiguity and uncertainty. - The ability to adapt nimbly and lead others through complex situations in a fast-paced environment. - Risk-taker who seeks data and input from others. - Thorough understanding of all aspects of Clinical Performance. - Excellent interpersonal, verbal, and written communications skills. - Consistently completes continuing education activities relevant to practice area and needed to maintain licensure. Physical Requirements: - This job operates in a professional setting. While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required. - Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform. - The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

Physician Affiliate Group of New York (PAGNY) and the Office of Medical and Professional Affairs at NYC Health + Hospitals/Kings County is seeking an Associate Director, Patient Safety and Risk Management. Located in the heart of Brooklyn, Kings County Hospital accommodates more than 518,076 outpatient visits, more than 141,328 emergency room visits, 627 beds, and more than 25,000 inpatient admissions annually. The hospital maintains a strong academic affiliation with SUNY Downstate Health Sciences University to maintain its high standards of healthcare delivery. The Mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and have established the ICARE standards for all staff. NYC Health + Hospitals is the nation's largest municipal healthcare delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, regardless of immigration status or ability to pay. Opportunity Details: Senior level leadership position. Manage the provision of patient care to an ethnically and socially diverse patient base. Support the CMO in ensuring that standards, protocols, leadership, and direction exist to provide the highest quality of care possible to patients. Assess and upgrade existing medical care standards. Provide management, leadership, and coaching to all medical staff. Work with operating and executive team members to implement new operating processes and systems. Serve as executive sponsor to Root Cause Analysis (RCA) activities and execution of Corrective Action Plans (CAPs) and Risk Reduction Strategies (RRS). Oversee Hospital Ethics. Direct oversight of the Hospital Peer Review Committee. Qualifications: Board Certification in a medical specialty. Physician (MD or DO) with an active New York State Medical License. At least 5 - 10 years of experience providing medical direction and supervision to teams of medical staff. Must have experience developing and implementing standards of care, medical protocols, quality assurance standards and monitoring, and professional training and education. Must have experience implementing new clinic operating processes and systems aimed at improving efficiency. Strong leadership and change management skills. Understanding of regulatory and accreditation requirements, including but not limited to DOH, CMS, TJC, etc. Understanding of legal issues, medical malpractice, and patient safety issues related to the delivery of healthcare. Working knowledge of current hospital policies and procedures. Ability to identify areas that require further research based upon organizational trends and activities. Ability to nurture an environment that encourages teamwork and collaboration, both internally and externally. Wages and Benefits include: Annual Base Salary: $325,000* based on a 40-hour work week. The annual total value of compensation package is estimated at $357,500**, which includes the baseline salary, 401(k) contribution, and other factors as set forth below: 401(k) Company Contribution (subject to IRS contribution limits): Employees are immediately vested in a 3% company contribution of base earnings. No employee match is required. After one year of service, employees receive an additional 7% company contribution of base earnings. No employee match is required. Annual Continuing Medical Education (CME) Reimbursement. Generous Annual Paid Time Off (PTO): Vacation, Sick, Holiday, and CME days. Medical, Prescription, and Dental Coverage: Top-tier plans with employee contributions significantly below market rates. Life Insurance and Accidental Death and Dismemberment (AD&D) Coverage: Equal to 2x your salary (up to a maximum of $300,000) provided at no cost to you. Additional employee-paid Voluntary Life and AD&D coverage is available for you and your family. Medical Malpractice Coverage (equivalent to occurrence-based): Provided at no cost to the employee. Healthcare and Dependent Care Flexible Spending Accounts (FSAs). Pre-tax employee-paid contributions for commuting expenses. Physician Affiliate Group of New York, P.C. (PAGNY) mission is to provide accountable, responsive, quality care with the highest degree of sensitivity to the needs of the diverse population that lives in our New York community. PAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation serving more than a million New Yorkers annually. Our providers are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City. Physician Affiliate Group of New York, P.C. (PAGNY) is an equal opportunity employer committed to equitable hiring practices and a supportive workplace. All candidates are considered based on their individual qualifications, potential, and experience. To learn more about our culture and ongoing workplace practices, please visit our Workplace Culture | PAGNY page. *Salary Disclosure Information: The salary listed for this position complies with New York City's Salary Transparency Law for Job Advertisements. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, or benefits. Actual total compensation may vary based on factors such as experience, skills, qualifications, historical performance, and other relevant criteria. **The annual total value of the compensation package shown is provided as an illustration and is not guaranteed.

About the Company Our client, a growing and mission-driven behavioral health organization with four treatment locations, is seeking a Vice President of Operations to provide executive-level leadership across clinical and administrative operations. About the Role Looking for specific experience in implementation and management of systems/processes for Multi-Site Health Service Companies. Implementation of SOPs will be a high priority: This will be a very hands-on role, in addition to managing. This role is critical to standardizing processes, driving operational excellence, and supporting high-quality care. Responsibilities Operational Leadership Provide strategic and day-to-day operational oversight for four behavioral health locations Ensure consistent implementation of operational standards across all sites Serve as a key member of the executive leadership team SOP Development & Execution Design, document, and continuously improve standard operating procedures (SOPs) Ensure SOPs are scalable, auditable, and aligned with regulatory requirements Train and hold leadership teams accountable to SOP compliance Program & Clinical Support Ensure operational systems support quality patient care and outcomes Regulatory & Compliance Oversight Ensure compliance with state, federal, and accreditation standards Oversee audits, inspections, and quality assurance processes People & Performance Management Lead and mentor site-level operational leaders Establish KPIs and performance dashboards Foster a culture of accountability and continuous improvement

A leading biotech company in San Diego is seeking a Director of Legal to manage all legal business matters. The position requires a law degree, a license to practice law, and strong experience in regulatory compliance and intellectual property. Responsibilities include advising on legal issues, directing counsel in litigation, and ensuring efficient operation of the legal function. This role offers a competitive salary range of $220,500 - $330,700 and the opportunity to work in an inclusive environment committed to health equity. #J-18808-Ljbffr

UT Southwestern invites applications for the Associate Director, Research, of the Clinical Informatics Center (CIC). This role offers an unparalleled opportunity to develop and lead a research program that operates at the intersection of clinical care, data science, and health system implementation. The CIC is embedded within one of the nation's top academic medical centers and tightly linked to operational informatics teams, giving investigators the ability to design, implement, and evaluate informatics interventions directly in clinical workflows. Distinct Advantages System-wide reach: Access data and implementation partners across four major health systems - UT Southwestern, Parkland Health, Children's Medical Center, and Texas Health Resources - covering millions of patient encounters annually. Applied informatics integration: The CIC is jointly funded by the academic and health service arms of the University and offers unparalleled access to move projects from analysis to clinical deployment. Collaborative ecosystem: Be an integral part of the CTSA-supported informatics core, work closely with clinical research and research development programs, and build collaborations with the O'Donnell School of Public Health. Institutional strength: UT Southwestern combines a robust informatics infrastructure (Epic, OMOP, data warehouses, registry tools) with deep scholarship in implementation science, learning health systems, and data-driven quality improvement. Training: A Clinical Informatics Fellowship and Master's of Science in Health Informatics with ambition to build a PhD program. Your Role As Associate Director with responsibility over research, you will: Co-lead strategic direction for applied informatics research and faculty recruitment. Develop and sustain your own research portfolio leveraging real-world clinical data, informatics methods, and system partnerships. Create collaborative informatics research programs for residents, fellows, clinicians, and researchers who seek to apply research methodologies to translate data into improved care. Foster collaborations across departments and disciplines to expand the reach of informatics innovation across the continuum of care-from hospital to home. Candidate Profile We seek an established or emerging PhD informatics investigator who: Has demonstrated experience and research funding in clinical informatics, implementation, or learning health systems research. Thrives in collaborative, data-rich, health system-embedded environments. Is ready to build a research enterprise with direct clinical impact. Why UT Southwestern? The CIC builds on a strong foundation of informatics excellence, supported by CTSA resources and partnerships across Dallas. Investigators benefit from a unique alignment between research, operations, and education, enabling rapid translation of insights to practice. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. Appointment rank will be commensurate with academic accomplishment and experience. Consideration may be given to applicants seeking less than a full-time schedule.

Elder Care Homecare is seeking a highly capable, hands-on Vice President of People Strategy and Talent to serve as the senior-most HR leader in the organization. As we continue scaling rapidly across multiple states, we are entering a period of accelerated growth supported by an active M&A strategy. To support our expanding workforce and evolving organizational needs, we require a seasoned leader to help the organization grow. We are a high-growth homecare agency with 2,000+ employees across New York, New Jersey, Connecticut, and Massachusetts. The ideal candidate has deep HR expertise, experience in leadership development, thrives in fast-paced environments, and is equally comfortable designing infrastructure and rolling up their sleeves to execute. This is a hybrid role, requiring on-site presence a few days per week, with the ability to travel between company locations as needed. What You'll Do This role blends hands-on execution with function-building leadership: Build competency models, career path frameworks, and development tools to support employee growth and succession planning. Lead organizational culture strategy, including values activation, communication frameworks, and initiatives that build a strong, unified culture across states. Develop and refine employee engagement and retention strategies, recognition programs, and mechanisms that strengthen employee experience and belonging. Create and scale training and development programs for caregivers, office staff, and administrative leaders, including leadership development and management capability building. Create and manage dashboards and workforce analytics that inform executive decision-making and operational planning. Design and implement the long-term HR strategy, ensuring alignment with organizational goals and growth plans. Build scalable HR infrastructure, processes, and governance systems that support multi-state operations and compliance. Contribute to due diligence during acquisitions as needed, then support integration activities for newly acquired agencies, including employee onboarding, systems integration, and policy alignment. What You Bring 15+ years of progressive HR experience, with at least 5 years in a senior leadership role. Strong background across HR functions, including learning and development, employee engagement, and building culture and recognition programs. Experience building and/or scaling HR infrastructure within a fast-growth, multi-location, and/or healthcare/homecare environment. Hands-on, operationally oriented approach with the ability to design, implement, and optimize systems. Experience supporting M&A integrations, including due diligence and post-acquisition onboarding. Exceptional communication skills and the ability to build trusted partnerships across executive and field teams. Ability to thrive in a dynamic, mission-driven, and high-velocity environment. Compensation Summary Salary: $140,000 - $170,000 Annual Discretionary Bonus Participation in Long Term Incentive Plan

A First Name Basis (AFNB) is one of the fastest-growing in-home care providers in the region, with 40+ offices across four states. We're reimagining what it means to serve seniors and individuals with disabilities-by building strong caregiver careers, implementing smart clinical and scheduling systems, and ensuring compliance and care quality are never compromised We are searching for an experienced VP of People Operations to join our corporate team headquartered out of our office in Plano, TX. Position Summary: The VP of People Operations will own benefits administration, multi-state compliance, policy standardization, and core HR operations. This is a high-impact role focused on building scalable processes, ensuring legal compliance, and improving employee experience across the organization. Responsibilities: Lead and manage enrollment for medical benefits and 401(k) Manage leave (FMLA, maternity, etc.) Standardize tracking and employee education Update employee handbooks and benefits policies Complete ACA reporting (1095-C forms) Own workers' compensation process and documentation Build and maintain multi-state employment law matrix (non-compete, payout rules, PTO/sick time, etc.) Respond to DOL inquiries and ensure consistent job descriptions/offer letters Standardize write-ups, performance documentation, and exit interviews in Paylocity Automate and maintain accurate org charts Lead compensation benchmarking and standardize comp change processes Design and pilot a performance review process with goal setting and tracking Launch employee satisfaction surveys and standardize the employee complaint/hotline process Centralize and standardize background checks across all states Develop consistent interview frameworks and onboarding/offboarding workflows Education, Skills, Experience: 10+ years of progressive HR experience with deep expertise in benefits and multi-state compliance Proven track record owning open enrollment, ACA reporting, FMLA administration, and workers' comp. Song knowledge of federal and state employment laws (U.S.) Experience with Paylocity or similar HRIS strongly preferred Exceptional project management skills Able to drive multiple 30/60/90-day initiatives to completion Experience building or scaling HR processes in a 200-1,000 employee organization Excellent written communication (policy writing, employee handbooks, guides) High attention to detail and commitment to audit-proof documentation Benefits: Competitive pay Yearly bonus Medical benefits 401(k) with company match PTO and sick time

Senior Director, Legal Counsel page is loaded## Senior Director, Legal Counsellocations: South San Francisco, Californiatime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R274Cytokinetics is a late-stage, specialty cardiovascular biopharmaceutical company focused on discovering, developing and commercializing first-in-class muscle activators and next-in-class muscle inhibitors as potential treatments for debilitating diseases in which cardiac muscle performance is compromised. As a leader in muscle biology and the mechanics of muscle performance, the company is developing small molecule drug candidates specifically engineered to impact myocardial muscle function and contractility.**Responsibilities*** This role is expected to have critical understanding of complex contracts and strong knowledge of key provisions of such agreements such as indemnities, limitations of liability, intellectual property, warranties and covenants, regulatory, termination and other critical contract negotiation issues.* Agreements will include indentures, lease agreements, clinical trial agreements, pharmaceutical license agreements, master service agreements, software license agreements and supply and wholesaler arrangements.* Lead certain general corporate contracts - drafting, negotiating and reviewing certain corporate contracts, as needed and knowledge of contract-related systems.* Independently provide leadership on cross-functional teams, identify legal issues, provide legal options and analysis of possible legal solutions, and give recommendations for addressing critical issues so that business and legal objectives are met.* May also provide support and advice to G&A departments and investor relations.* Manage outside counsel effectively and efficiently, and consistent with applicable budgets. Work creatively with outside counsel to minimize fees and costs.**Qualifications*** JD degree* Admitted to at least one state bar. Admitted to California bar or admitted as Registered In-House Counsel in California is a plus* Minimum of 10 years of experience as in-house counsel in a biotechnology, pharma or healthcare company or a combination of in-house at large public company and/or nationally recognized law firm specializing in the area of interest* Strong working knowledge of U.S. securities laws and NASDAQ requirements. Experience with securities filings of public companies in the life science industry or strong experience in completing public Merger and Acquisition activities* Detailed-oriented with a high level of intellectual, professional and interpersonal agility and flexibility, combined with strong analytical and problem-solving skills* A sophisticated existing understanding of financial regulations* An ability to operate independently* Excellent communication skills, both oral and written* Intellectual curiosity and a willingness to take responsibility for novel and emerging areas of regulation* Well-organized and hardworking, with the ability to manage numerous projects simultaneously under deadline pressure* Excellent analytical skills, with a strong ability to draft and review legal documents, analyze legal advice and apply legal advice to business needs* Ability to form strong working relationships with all levels of management, employees, and partners while maintaining firm adherence to proper legal standards* Team-oriented, sound judgment, self-motivation and willingness to take initiative#LI-HYBRID**Pay Range:**In the U.S., the hiring pay range for fully qualified candidates is $333,000 - $368,000 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's geographic region, job-related knowledge, skills, and experience among other factors.*Our employees come from different backgrounds, and we celebrate those differences. We are looking for the best candidates for our open roles, but do not expect applicants to meet every qualification in order to be considered. If you are excited about what you could accomplish at Cytokinetics and believe you can add value to our team, we would love to hear from you.***Please review our PRIOR to applying.**Our passion is anchored in robust scientific thinking, grounded in integrity and critical thinking. We keep the patient front and center in all we do - all actions and decisions are in service of the patient and their caregivers. We champion integrity, ethics, doing the right thing, and being our best selves.Recently, there have been fraudulent employment offers being sent to candidates on behalf of Cytokinetics. Please be advised that all legitimate offers from Cytokinetics will come directly from our official email domain (Cytokinetics.com) and will only be made after completing a formal interview process.Here are some ways to check for authenticity:* We do not conduct job interviews through non-standard text messaging applications* We will never request personal information such as banking details until after an official offer has been accepted and verified* We will never request that you purchase equipment or other items when interviewing or hiring* If you are unsure about the authenticity of an offer, or if you receive any suspicious communication, please contact us directly at ************************************Please visit our website at:****Cytokinetics is an Equal Opportunity Employer** #J-18808-Ljbffr

Senior Preconstruction Director - Commercial Construction San Jose, CA Are you an experienced leader in the construction industry with a passion for preconstruction and a proven track record of success? Do you thrive in a collaborative and team-oriented environment? Are you looking for an opportunity to make a significant impact and drive the growth of a dynamic company? If so, we have the perfect job for you! Our Company: We are a leading construction company specializing in commercial construction projects in the Bay Area. With a strong reputation for delivering high-quality projects on time and within budget, we are committed to excellence in every aspect of our work. Our company culture is rooted in teamwork, innovation, and a relentless pursuit of customer satisfaction. Market Segments: Healthcare, Office, Industrial, Multi Family, Hospitality, Tenant Improvement, Education, Labs, Retail and we love to look at unique one of a kind projects as well. Job Overview: As the Senior Preconstruction Director, you will play a critical role in leading our preconstruction team to success. You will oversee all aspects of preconstruction, including estimating, value engineering, design coordination, constructibility reviews, and early-phase budgeting. You will work closely with clients, architects, subcontractors, and internal teams to ensure projects are set up for success. You will drive a collaborative, high-performing team, mentor staff, and foster a culture of accountability, innovation, and results. Key Responsibilities: Lead and manage the preconstruction team, including estimators, preconstruction managers, and coordinators, and provide direction, guidance, and support to ensure their success. Collaborate with clients, architects, subcontractors, and internal stakeholders to develop and implement preconstruction strategies that meet project requirements and budget goals. Conduct thorough reviews of project plans and specifications, identify potential issues, and provide value engineering suggestions to optimize project costs and constructibility. Develop comprehensive and accurate cost estimates, including material, labor, and subcontractor pricing, and present detailed proposals to clients. Lead constructibility reviews, coordinate design changes, and provide technical expertise to ensure project feasibility and efficiency. Collaborate with the operations team to transfer project knowledge, ensure seamless handoff from preconstruction to construction phases, and support the successful execution of projects. Stay up-to-date with industry trends, best practices, and technology advancements, and provide recommendations for process improvements and innovation in preconstruction. Qualifications: Bachelor's degree in Construction Management or related field. 10+ years of experience in preconstruction, estimating, or related roles in the construction industry Strong leadership skills with a proven ability to build, mentor, and motivate high-performing teams. Excellent communication and negotiation skills, with the ability to establish and maintain positive relationships with clients, subcontractors, and internal stakeholders. Extensive knowledge of construction means and methods, materials, and pricing, with a keen eye for detail and accuracy in estimating. Ability to read and interpret construction plans, specifications, and contract documents. Proficiency in construction software and technology, including estimating software, project management tools, and BIM software. We offer a competitive salary and benefits package, including health insurance, retirement plans, and opportunities for career growth and advancement. Join our team and be part of an exciting and innovative company culture that values teamwork, collaboration, and excellence in everything we do. If you are a motivated and experienced construction professional with a passion for preconstruction and a desire to make a meaningful impact, we want to hear from you!

A leading biopharmaceutical company in South San Francisco is seeking a Senior Director, Legal Counsel to oversee complex contract negotiations and provide legal guidance for corporate activities. The ideal candidate will have over 10 years of experience, a JD degree, and strong knowledge of U.S. securities laws. This role requires excellent communication and analytical skills, alongside the ability to work independently in a fast-paced environment. #J-18808-Ljbffr

Established in 1926, Family Service League is a social services agency transforming lives and communities through mental health, addiction, housing, and essential human services with more than 60 social service programs in over 20 locations. SUMMARY: The Board of Directors is seeking an extraordinary leader to serve as the next President and CEO for Family Service League. Reporting to the Board of Directors, The President and CEO provides leadership for all aspects of organizational operations and administration; directs the implementation of Agency-wide policies; ensures quality improvement programs are implemented; directs executive staff; maintains a strong relationship with the Board of Directors; guides staff in the FSL mission; cultivates business, donor, and governmental relationships; and participates in community activities and organizations. RESPONSIBILITIES: Lead the agency with integrity and vision, ensuring all strategic decisions and operations uphold the Agency's mission, reflect its core values, and align with its collaborative, inclusive, and mission-driven work culture. Provides executive oversight of all key agency functions and leads a technically-proficient, high-performing executive team committed to providing high quality, timely, effective service to the client community. Provide strategic fiscal leadership, ensuring sound financial management and long-term financial sustainability of the organization. Mobilizes resources for the Agency to fulfill its mission to serve children, adults, families and seniors. Includes involvement in fundraising events, working with Development on solicitations, appearing publicly, speaking engagements, capital campaigns, and community involvement. Directs program development and maintenance through a broad understanding of client needs and resources of FSL programs; provides conceptual program frameworks for implementation; organizes a strategic advocacy response to programs in distress. Projects a positive public image of the Agency through branding, external communications, and provides leadership in developing the Agency's public profile and communication of its mission and services to the community. Maintains and develops relationships with the Board of Directors, corporations, funding sources, government officials, legislators, and donors to ensure adequate funding, vendors, and compliance with regulations. Serves as the primary staff liaison to key Board committees, advising on organizational issues, facilitating effective communication, supporting governance functions, and ensuring informed and engaged Board participation. QUALIFICATIONS: A Master's Degree in Social Work or a human service-related field is required. An LCSW is preferred. A minimum of fifteen years of executive experience in a family service or a direct service agency is required. A minimum of ten years of demonstrated successful leadership of major Agency functions is required. Thorough knowledge of Board relations, fund-raising, client service, and program development is also required. Proficient computer skills, including Microsoft Office, are required. Excellent interpersonal, presentation and communication skills, both verbal and written, are required. Demonstrated ethics and emotional intelligence to lead staff in adherence to ethical standards and align with Agency values is required. Ability to develop and maintain positive working relationships, both internally and externally, is required. Ability to foster teamwork and guide decisions that enhance organizational effectiveness is required. Strong risk management skills to determine the importance and urgency of risks and make effective and timely decisions are required. Strong strategic planning skills to move the Agency forward in a positive direction are required. Demonstrated analytical, judgement, and problem-solving skills to assess varied situations and determine effective outcomes are required.

Established in 1926, Family Service League is a social services agency transforming lives and communities through mental health, addiction, housing, and essential human services with more than 60 social service programs in over 20 locations. SUMMARY: The Board of Directors is seeking an extraordinary leader to serve as the next President and CEO for Family Service League. Reporting to the Board of Directors, The President and CEO provides leadership for all aspects of organizational operations and administration; directs the implementation of Agency-wide policies; ensures quality improvement programs are implemented; directs executive staff; maintains a strong relationship with the Board of Directors; guides staff in the FSL mission; cultivates business, donor, and governmental relationships; and participates in community activities and organizations. RESPONSIBILITIES: Lead the agency with integrity and vision, ensuring all strategic decisions and operations uphold the Agency's mission, reflect its core values, and align with its collaborative, inclusive, and mission-driven work culture. Provides executive oversight of all key agency functions and leads a technically-proficient, high-performing executive team committed to providing high quality, timely, effective service to the client community. Provide strategic fiscal leadership, ensuring sound financial management and long-term financial sustainability of the organization. Mobilizes resources for the Agency to fulfill its mission to serve children, adults, families and seniors. Includes involvement in fundraising events, working with Development on solicitations, appearing publicly, speaking engagements, capital campaigns, and community involvement. Directs program development and maintenance through a broad understanding of client needs and resources of FSL programs; provides conceptual program frameworks for implementation; organizes a strategic advocacy response to programs in distress. Projects a positive public image of the Agency through branding, external communications, and provides leadership in developing the Agency's public profile and communication of its mission and services to the community. Maintains and develops relationships with the Board of Directors, corporations, funding sources, government officials, legislators, and donors to ensure adequate funding, vendors, and compliance with regulations. Serves as the primary staff liaison to key Board committees, advising on organizational issues, facilitating effective communication, supporting governance functions, and ensuring informed and engaged Board participation. QUALIFICATIONS: A Master's Degree in Social Work or a human service-related field is required. An LCSW is preferred. A minimum of fifteen years of executive experience in a family service or a direct service agency is required. A minimum of ten years of demonstrated successful leadership of major Agency functions is required. Thorough knowledge of Board relations, fund-raising, client service, and program development is also required. Proficient computer skills, including Microsoft Office, are required. Excellent interpersonal, presentation and communication skills, both verbal and written, are required. Demonstrated ethics and emotional intelligence to lead staff in adherence to ethical standards and align with Agency values is required. Ability to develop and maintain positive working relationships, both internally and externally, is required. Ability to foster teamwork and guide decisions that enhance organizational effectiveness is required. Strong risk management skills to determine the importance and urgency of risks and make effective and timely decisions are required. Strong strategic planning skills to move the Agency forward in a positive direction are required. Demonstrated analytical, judgement, and problem-solving skills to assess varied situations and determine effective outcomes are required.

Full-time Description A Career with a Cause: Our mission and core values are brought to life by our culture. In the Y, we strive to live our cause of strengthening communities with purpose and intentionality every day. Our mission is to put Christian principles into practice through programs that build healthy spirit, mind, and body for all. The Y strengthens the foundations of communities and families through our key areas of focus; youth development, healthy living, and social responsibility and our core values of caring, honesty, respect, and responsibility. We are committed to this cause because a strong community is achieved when we invest in our children, health, neighbors, and values. We are welcoming we are open to all. We are a place where you can belong and grow. We are genuine: we value you and embrace your individuality. We are hopeful: we believe in you and your potential to become a catalyst in the world. We are nurturing: we support you in your journey to develop your full potential. We are determined: above all else, we are on a relentless quest to make our community stronger beginning with you. Position Summary: The Strategic Partner to the President & CEO serves as a trusted advisor, strategic liaison, and operational backbone to the President & CEO while supporting the broader Executive Leadership Team. This role blends executive-level support, strategic outreach, governance coordination, and community engagement to ensure the CEO's time and focus remain on high-impact priorities. In addition to managing scheduling, preparation, and communication, the Strategic Partner amplifies the CEO's external presence, opening doors for collaboration, visibility, and investment in the YMCA's mission. Acting as a trusted extension of the Executive Office, this individual ensures alignment across executive priorities, board relations, and community engagement. The Strategic Partner to the President & CEO is a polished relationship builder and proactive problem solver, equally comfortable navigating executive, philanthropic, and public settings. Through professionalism, discretion, and empathy, the Strategic Partner strengthens the CEO's ability to lead effectively, connect authentically, and advance the organization's strategic goals while upholding the YMCA's core values of caring, honesty, respect, and responsibility. Essential Functions: Executive Support & Strategic Readiness Manage the CEO's complex calendar with a focus on aligning time with leadership priorities, donor relations, and community visibility. Prepare agendas, briefing books, bios, talking points, and post-meeting follow-ups for all CEO meetings and events. Anticipate the CEO's needs, proactively resolving scheduling conflicts and sensitive issues with discretion. Draft and edit correspondence, presentations, and reports reflecting the CEO's leadership tone and organizational mission. Coordinate executive travel, expense reconciliation, and logistics to ensure seamless operations. Governance & Board Relations Serve as the administrative liaison to the Board of Directors and Board Committees, ensuring timely and accurate preparation of materials, minutes, and follow-ups. Maintain accurate corporate and governance records in accordance with YMCA and regulatory standards. Partner with the President and CEO to ensure alignment between Board priorities and organizational goals. Strategic Outreach & Community Engagement Represent the CEO in select meetings and community events to build goodwill and advance strategic relationships. Support donor cultivation, stewardship, and follow-up communications to deepen community partnerships. Track engagement across key external relationships, ensuring consistent communication and timely action. Collaborate with the Marketing and Development teams to amplify the CEO's external visibility and thought leadership. Champion and elevate key initiatives that advance the organization's mission and strategic priorities. Executive Communication & Relationship Management Serve as a trusted point of contact for internal and external stakeholders, exercising confidentiality, diplomacy, and sound judgment. Manage external correspondence to ensure alignment with the CEO's vision and the YMCA's values. Support the development of internal communications to ensure consistent messaging and transparency. Event & Initiative Support Coordinate logistics for high-visibility events involving donors, civic leaders, or community partners. Collaborate cross-departmentally on organizational events, fundraising campaigns, and CEO-led initiatives. Track and report progress on executive commitments and major projects. Requirements YMCA Leadership Competencies: Communication & Influence: Listens and expresses self effectively and in such a way that engages, inspires, and builds commitment to the Y's cause. Emotional Maturity: Demonstrates ability to understand and manage emotions effectively in all situations. Volunteerism: Engages volunteers and promotes social responsibility at all levels of the organization. Critical Thinking & Decision Making: Makes informed decisions based on logic, data, and sound judgment. Inclusion: Values all people for their unique talents and takes an active role in promoting practices that support diversity, inclusion, and global work, as well as cultural competence. Experience, Education, and Qualifications: Bachelor's degree in communications, business or equivalent preferred. Proficient in Microsoft Office 365. Knowledgeable about office processes and procedures. Ability to work with integrity, discretion, and a professional approach. Skilled in relationship management, diplomacy, and strategic follow-through. Preferred knowledge of, and previous experience with, diverse populations (language, culture, race, physical ability, sexual orientation, etc.). Strong written and verbal communication skills. Proven ability to manage a senior leader's office with confidentiality, discretion, order, and organization; prioritize conflicting needs; handle matters expeditiously and proactively; follow through on projects to successful completion, often with deadline pressures; initiate and complete tasks; provide leadership over the look, branding, and organization of the office. Excellent interpersonal skills are critical and essential to the success of this position. Demonstrates excellent planning, organizational, time management, and attention to detail skills, with the ability to multi- task with minimal direction. Possess and demonstrate excellent customer service, decision-making, problem solving, team oriented, and critical thinking skills. Salary Description $65,000 - $75,000

100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer-paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from managing admissions to ensuring clean claims, identifying trends, and optimizing resource utilization. This role supports patient care coordination, fosters physician collaboration, and aligns with organizational objectives while adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of treatments and procedures. Analyze data and generate reports on utilization trends, outcomes and quality indicators to support decision-making and process improvement initiatives. Reports to appropriate committees. Manage quality of performance criteria, policies and procedures, and service standards for the utilization management operations. Evaluate utilization reviews and determine program improvements. Develop and implement utilization review policies and procedures in accordance with industry standards and regulatory requirements. Direct and coordinate data gathering and record keeping legally required by federal and state agencies, the Joint Commission, and hospital policies; participates in the risk mitigation, process of implementing new or revised processes, and projects Foster effective communication and collaboration with internal departments, external agencies, and insurance providers to facilitate the utilization review process. Participate in interdisciplinary committees and meetings to contribute to the development and implementation of quality improvement initiatives. Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals. Maintains minimal denial rates by Medicare, MediCal, private and contracted payers through appropriate direction of utilization practices; assists physicians and hospital personnel in understanding UM matters. Perform all other duties as assigned. Prepares cost analysis reports and other data needed for the preparation of the departmental budget. Provides in-house educational programs as needed for both staff and physicians. Responsible for the recruitment, orientation, evaluation, counseling and disciplinary action of UM and administrative staff. Serves as a content expert to staff and internal departments and external partners; networks with other hospitals, nursing organizations, and professional organizations to keep abreast of changes within the profession. MINIMUM QUALIFICATIONS: Required Education: Bachelor's degree in Nursing Preferred Education: Master's degree in Nursing Required Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital, post-acute and psych; three years of InterQual and/or MCG. Strong clinical nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications: UM / CM certifications Highland General Hospital SYS Utilization Management Full Time Day Nursing FTE: 1

Are you looking for a career that offers both purpose and the opportunity for growth? At Parkland Community Health Plan (PCHP), we are united by a mission to provide high-quality, affordable care to those who need it most. Whether your expertise is in healthcare administration, support services, or direct care, everyone at PCHP plays a vital role in improving the health and well-being of individuals and families in our community. Since 1999, we've been dedicated to extending the Parkland Health mission by providing services to Texas STAR Medicaid and Children's Health Insurance Program (CHIP) recipients across Dallas and surrounding counties. With the support of local leaders, we've built a healthcare network where over 9,000 doctors and specialists make affordable, accessible care available to those in need. Our focus is not only on healthcare but on empowering members to live healthier lives by addressing social needs like transportation, housing, and food insecurity. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Disclaimer The following job description is designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this job. Primary Purpose Responsible for providing strategic leadership to ensure the development and execution of the clinical operations strategy for Parkland Community Health Plan (PCHP). Provides leadership oversight and directs the operations for State and commercial healthcare services, (clinical operations) including service coordination, discharge planning, pharmacy, and utilization review. Accountable for ensuring compliance with contractual as well as applicable federal, state, and regulatory requirements. Minimum Specifications Education Graduate of an accredited school of nursing required; BSN preferred. Master's degree in healthcare, business administration or related discipline preferred. Experience Five (5) years of leadership experience in clinical operations required. Three (3) years of experience with Texas Medicaid, Medicaid and/or a Medicaid managed care organization required. STAR/STAR Kids, CHIP and Medicare/Medicare Advantage experience required. Experience building programs to address medically complex needs including LTSS (long-term service and support) and waiver services required. ACA/Marketplace experience preferred. Equivalent Education and/or Experience Eight (8) years of clinical leadership experience in Medicaid may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Current and unrestricted licensure as a RN in the State of Texas required. Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Must be able to successfully articulate the clinical strategies to a wide range of audiences including the CEO, the Board of Directors, clinicians, employees, partners, regulators, and other stake holders. Demonstrated ability to coach and influence for results. Excellent people skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Must be able to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Strong time management skills with the ability to manage multiple demands and respond to rapidly changing priorities. Solid clinician skills with in-depth knowledge of all aspects of care coordination, long-term care, acute care, and pharmacy services. Knowledge of Texas Medicaid (STAR/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Ability to analyze data for purposeful improvements in health outcomes. Proficient Microsoft Office and computer skills. Responsibilities Strategy Responsible for developing the ongoing strategic, operational, and service design to achieve organizational goals. Works collaboratively with the Chief Medical Officer to develop and implement processes to effectively manage clinical policies to meet healthcare cost and quality targets. Develop integrated population health strategies in coordination with behavioral health. Identify and implement strategies and operational plans for optimal performance. Establish department goals, objectives, and standards of performance for assigned areas of responsibility. Clinical Operations Develops and implements effective and efficient standards, protocols, processes, decision support systems, reporting benchmarks that support ongoing improvements of clinical operations functions and promotes quality cost-effective healthcare for PCHP members. Manages implementation of analytical studies that quantify the benefits of Health services programs to ensure that resources are appropriately allocated, operational controls exists, and efficiencies are maximized. Responsible for building, developing, and supporting UM program descriptions, medical policies development, as well as system implementation to comply with policies and build/maintain prior authorization tools to reduce employee and provider burden. Facilitates integration of care coordination, long-term care, acute and pharmacy services. Works with members and providers to develop an interdisciplinary team to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum. Ensures effective inter-departmental collaboration and interaction between staff and other departments. Work collaboratively with Provider Relations, Health Equity, and Quality Management to build utilization trend reporting. Regulatory Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Periodically reviews processes and workflows for efficiency and to ensure compliance with contractual and regulatory requirements. Responsible for defining requirements and technical deliverables for complex regulatory reporting such as the HHSC 278 transactions and ACUR/TDI/OIG reports; monitoring submissions of data; monitoring pends/data rejections and correct submissions. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Responsible for achieving business unit financial targets and requirements based on service level, state, compliance, and contractual agreements. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promote and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensure employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. Required licensure, certification, and/or registry are current and in good standing for all employees. Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, work flows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of PCHP. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding. Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department. Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of PCHP. Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge. #L1-NB1 Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.