Senior Manager, Health Homes Program

Company: Blue Shield of CA
Location: Lancaster
Posted on: September 11, 2020

Job Description:

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

The Senior Manager, Health Homes Program provides leadership, oversight, and direction to the Health Homes Program, which engages and supports members dealing with a confluence health conditions, behavioral health challenges, and social needs. With direction from leadership, they will facilitate the implementation and operation of the Health Homes Program, ensuring all elements are in compliance with health plan and regulatory requirements as well as improving towards optimal performance. The incumbent will also represent the Plan externally along with leadership regarding Health Homes at local and state forums. The incumbent will serve as a resource and educator for the Health Homes Program

ESSENTIAL FUNCTIONS AND KEY RESPONSIBILITIES:

Leadership

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Support, communicate, and reinforce the mission, vision, values, philosophy and culture of the organization
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Ensure best utilization of resources in obtaining organization goals, regulatory compliance, with corporate policies and to ensure the needs of the individuals served are met.
*

Establishes and maintains positive relationships with local and state government, community leaders, pastors, congregations, county social service personnel, professional associations and other service providers as necessary in the overall management of the program.
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Engages in other outside activities consistent with the organization's responsibilities in the community and the industry.
*

Anticipate and effectively deal with issues that could enhance the region's opportunities or adversely impact business results.
*

Demonstrate a passion for leading positive change, comfortable creating new processes or building on best practices.
*

Works with Healthcare Informatics and Quality to explore new technologies to deliver innovative, user friendly, integrative interface design solutions across multiple platforms to ensure that interventions and approaches are holistic and member-centered.

PROGRAM DEVELOPMENT AND IMPLEMENTATION

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Oversee the implementation of the Health Homes Program.
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Provide operational and performance oversight to Health Homes Program operations both internally and with contracted community partners
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Develop internal expertise and technical assistance to internal and external stakeholders - Ensure optimal operations and continuous improvement of the Health Homes Program.
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Monitor progress and performance of the program

DEPARTMENT MANAGEMENT

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Serve as resource for Health Home Program.
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Mentor, guide and coach direct reports in order to expand their capabilities and build management depth in the organization.
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Directly responsible for management level professionals with ultimate accountability of clerical and other non-management professional reports.
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Responsible for staffing, monitoring productivity, and performance of - staff.
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Ensures new employees are oriented to their department as well as trained for their jobs. - Organizes the department workload and establishes work standards to promote efficiency and productivity.
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Oversees prepares and conducts fair and objective performance appraisal and goal setting for staff in department.

REGULATORY COMPLIANCE

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Attend all mandatory management education and training courses.
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Serve as single point of contact for Health Homes Program reporting
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Understands and abides by all departmental policies and procedures as well as the organizations Standards of Conduct and Corporate Compliance Program.

EXPERIENCE:

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Experience working with Medi-Cal populations.
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Thorough knowledge of case management and social work principles, techniques and practices and their application to complex casework and community problems
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Skill in implementing operational aspects of programs and policies with ongoing process improvements
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Leadership skills that includes team building and conflict resolution
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Experience working with people who have complex health and social issues.
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Experience partnering with provider groups and community resources and agencies.
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Experience working with state and local government stakeholders.

The Senior Manager, Health Homes Program provides leadership, oversight, and direction to the Health Homes Program, which engages and supports members dealing with a confluence health conditions, behavioral health challenges, and social needs. With direction from leadership, they will facilitate the implementation and operation of the Health Homes Program, ensuring all elements are in compliance with health plan and regulatory requirements as well as improving towards optimal performance. The incumbent will also represent the Plan externally along with leadership regarding Health Homes at local and state forums. The incumbent will serve as a resource and educator for the Health Homes Program

ESSENTIAL FUNCTIONS AND KEY RESPONSIBILITIES:

Leadership

*

Support, communicate, and reinforce the mission, vision, values, philosophy and culture of the organization
*

Ensure best utilization of resources in obtaining organization goals, regulatory compliance, with corporate policies and to ensure the needs of the individuals served are met.
*

Establishes and maintains positive relationships with local and state government, community leaders, pastors, congregations, county social service personnel, professional associations and other service providers as necessary in the overall management of the program.
*

Engages in other outside activities consistent with the organization's responsibilities in the community and the industry.
*

Anticipate and effectively deal with issues that could enhance the region's opportunities or adversely impact business results.
*

Demonstrate a passion for leading positive change, comfortable creating new processes or building on best practices.
*

Works with Healthcare Informatics and Quality to explore new technologies to deliver innovative, user friendly, integrative interface design solutions across multiple platforms to ensure that interventions and approaches are holistic and member-centered.

PROGRAM DEVELOPMENT AND IMPLEMENTATION

*

Oversee the implementation of the Health Homes Program.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Keywords: Blue Shield of CA, Lancaster , Senior Manager, Health Homes Program, Healthcare , Lancaster, California