This position, under the guidance of the Executive Director, Clinical Services; is responsible for the day-to-day operations of the Proactive Health Solutions Program. This includes tracking and trending of outreach volume and outcomes. This role will be responsible for development of policies and procedures, staff, and internal and external program enhancements.
Accountable for the functions of the Proactive Health Solutions Program.
Development and oversight of proactive outreach process, assessments and corrective action plans to meet accreditation standards.
Responsible for integration of quality improvement activities within program.
Communicates regularly with employees through participation in regular staff meetings to share information appropriate to their job functions and development.
Serves as a resource to both lines of business in relation to Proactive Health Solutions.
Plays an active role in both internal and external committees along with contract delegated responsibilities.
Collaborate with both internal and external partners to improve the program and member outcomes.
CREDENTIALS/EXPERIENCE
MSM or MBA preferred
Experience in Managed Care
Previous experience in a supervisory role
KNOWLEDGE, SKILLS & ABILITIES
Ability to communicate, both orally and written, and manage complex working relationships.
Excellent organizational, leadership, problem-solving, and decision-making skills.
Knowledge of Microsoft software programs including Word, Excel, PowerPoint and Power BI
Knowledge of quality improvement and outcome driven solutions.
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