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Manager, New Programs Integration - Community Health Plan of Washington

Notice!This listing has expired and should not be applied for.
Location: Seattle , WA
Full-time position
Closing Date: February 9, 2018
Job #12162
Posted: January 9, 2018

Direct Reports: New Programs Integration Support Staff


Job Summary :

Responsible for providing leadership, project management, and direction to multiple highly visible, complex projects related to integrating physical health, mental health, substance use disorder treatment, or health care innovations, and other human services related to new and recently implemented programs. The position involves coordination with a range of stakeholders and community leaders from different community, business, and governmental sectors in health, behavioral health and human services.

Essential Functions

· Manage selected new program/service strategy development, program design work and implementation with internal & external subject matter experts. This includes engaging internal and external business owners when considering / developing new innovations, such as:

o Community Health Plan of Washington’s Product Management Workgroup, and Executive Leadership Team (or individual members), to evaluate potential strengths, weaknesses and barriers.

o Quality, Customer Experience and Sales to create a picture of the member needs and desires.

o Medical Management to determine capabilities and requirements.

o IS&T to determine Plan capabilities and requirements.

o Network Providers and Provider Relations to understand the Providers’ needs and desires.

o Community Health Centers (CHCs), to understand the CHC’s needs and desires.

o State/Federal/County agencies, to understand potential regulatory requirements.

· Monitor staff performance; develop, implement and maintain production/performance standards in line with company goals and objectives.

· Ensure the team meets its goals and objectives through effective hiring, performance management, coaching and career development.

· Prepare straw proposals, briefing documents, speaking points, presentations, reports, applications, budgets and/or other documents associated with moving work plans forward. Working with communications and administrative support team members, assure effective systems related to program/project work (e.g. SharePoint) and other communication tools and practices are in place.

· Manages all aspects of complex projects, including defining project scope and developing detailed project documentation (business requirements, project plans, project schedules, workflow solutions, project status reports/communications and maintain project budget)

· Serve as project manager for the implementation of new programs, delivering results within the authorized budget and on the approved time schedule.

· Provide ongoing monitoring and ongoing process improvement of implemented programs.

·Work with the Director of New Programs Integration & Network Development to clear barriers to team progress, promote the good of the company, resolve conflicts within and outside the team, and ensure that project goals, schedule and staff assignments are realistic and achievable.

Communicate regularly with project team members, department leadership, and other project stakeholders to apprise all regarding status of the project, issues and risks and risk mitigation.

· Responsible for development and management of complex contracts or grants, including:

o Works with internal departments to ensure contracts are managed in a way that is in compliance with various regulatory agencies, i.e., OIC, DSHS, HCA, CMS.

o Develops and monitors scope, schedule and budget of contract or project and report results.

o Reviews and understands contract requirements and changes.

· Monitor and research national and international trends to ensure currency of knowledge, and that advice, policy development, service delivery reforms or major initiatives are responsive to and reflective of current competitive practices and contextual factors.

· Identify and document gaps between existing Community Health Plan of Washington programs and future state or federal requirements.

· Consult with Director of New Programs Integration & Network Development to set agendas for relevant Steering Committees as well as meetings with delivery system and state partners.

· Document program designs and associated value propositions.

· Performs daily troubleshooting and ensures timely responses to agency inquiries and requests.

· Prepares and submits required status reports quarterly, annually and ad hoc to state, county and federal agencies.

· Monitors subcontractor performance on new program implementation.

· Ensures resolution of new product customer complaints forwarded to Community Health Plan of Washington by government agencies.

· Staffs strategic plan goals teams related to new integrated programs, ensuring that team meets reporting and goal achievement deadlines.

· Fosters strong professional working relationships within the organization, HCA, DSHS, CMS, and other external agencies to assist in the implementation and improvement of interdepartmental processes to meet new program development requirements.

· Develops training programs for providers/subcontractors, including contracting with training resources and providing direct training in-person and via webinar or phone conference.

· Organizes regular regional stakeholder meetings to build and maintain statewide delivery system and community relationships.

· Identifies and educates community partners on Community Health Plan of Washington’s programs.

· This position involves traveling on behalf of the Company. It is essential that a current driver’s license, an acceptable driving record, and proof of automobile insurance are maintained.

· Community partners, to understand best practices and opportunities for collaboration

· Exempt – Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.

· Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.



Qualifications :


· Bachelors’ degree in health administration, public health, or public policy, or related field; or an equivalent combination of education and highly relevant experience required.

· Master’s degree in public health, health administration, social work; or an equivalent combination of education and highly relevant experience strongly preferred.




· Minimum 5 years’ professional experience in a health care, public health or managed care setting working on population based management.

· Minimum 5 years’ performing in a lead role in new program development/project management.

  • Previous supervisory experience preferred

· Experience in program development, product development, process improvement and evaluation strongly preferred.

· Experience working with behavioral health organizations strongly preferred.

· Experience in working with mental illness, substance abuse, chronic health conditions and homelessness preferred.

· Experience working with community health centers/community behavioral health centers preferred.

· Knowledge of community organizing and stakeholder engagement preferred.

Employment Eligibility

· Complete and successfully pass a criminal background check

· Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency

Knowledge, Skills, and Abilities

· Advanced technical expertise in facilitating cross-sector planning in the health, behavioral health, and/or human services fields and managing groups with multiple perspectives and competing interests to reach a shared goal.

· Demonstrated track record having worked successfully with diverse stakeholders in a politically complex environment.

· Demonstrated knowledge of current health care reform agendas and integration strategies, particularly related to physical and behavioral health care integration.

· Demonstrated knowledge of Medicaid managed care and integrated care models.

· Demonstrated facilitation, negotiation, and consensus-building skills

· Demonstrated knowledge of process improvement methodologies

· Advanced project management skills including experience leading multiple projects and tracking activities and deliverables to move projects forward and achieve outcomes

· Broad knowledge of public policy and of the health/behavioral health and human service systems

  • Experience leading cross functional teams

· Experience taking a concept from development through implementation required.

· Experience with integrated system and policy development.

· Experience performing business analysis and development of business models highly desired.

· Experience working with Federally Qualified Community Health Centers

  • Advanced analytical and problem-solving skills

· Advanced oral and written communication skills, including presentation and public speaking; ability to present complicated issues in an accessible manner to diverse audiences.

· Ability to effectively manage time to work on multiple tasks in high pressure/short deadline environment, and to adapt to changes in work load dHow to Apply:

Apply on-line at:

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