Access to Care Program Manager
PacificSource


Job Info


Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview: The Access to Care Program Manager will develop and implement access to care strategies as an integral part of the PacificSource Provider Network programs team. Responsibilities include development, management and oversight of access to care plans for each PacificSource Coordinated Care Organization (CCO) award region, developing and aligning access to care strategies across lines of business, and innovating to develop the internal structures and processes to ensure successful monitoring, implementation and reporting. Responsibilities also include engaging, informing, and responding to internal and community stakeholders.

Essential Responsibilities:


  • Development, implementation and management of access to care assessments and action plans for each PacificSource CCO award region.

  • Monitors contract requirements for adherence to components, tracks and manages deliverables, establishes improvement plans as needed.

  • Development, implementation and management of annual Access to Care work plans.

  • Leads the PacificSource access to care cross-departmental Oregon Access to Care Committee to develop comprehensive regional work plans and mitigation strategies based on regulatory requirements.

  • Leads the development of the annual OHA-required Delivery Service Network (DSN) Narrative report and annual Division of Financial Regulation (DFR) report. Collaborates closely with Provider Network Programs team, project managers, and cross-departmental subject matter experts.

  • Collaborates to develop and implement Provider Network-focused health equity initiatives aligned with provider workforce development, the health equity Quality Incentive Measure (QIM), and other internal priorities.

  • Manages access-related internal strategic initiatives.

  • Serves as an Access to Care expert across PacificSource states and lines of business.

  • Participates in additional workgroups to develop consensus on the successful development and implementation of access to care strategies including the Behavioral Health Advisory Committee, Enterprise Access to Care Committee, Traditional Health Worker Steering Committee, and others.

  • Engages and collaborates with PacificSource Provider Network, Health Services, Medical Directors, Community Strategy and other departments to advance comprehensive access to care strategies.

  • Aligns with the Community Health Excellence (CHE) grants program to advance strategic access to care initiatives.


Supporting Responsibilities:

  • Engage PacificSource departments in advancing comprehensive access to care strategies.

  • Meet department and company performance and attendance expectations.

  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.

  • Perform other duties as assigned.


SUCCESS PROFILE

Work Experience: Minimum of 5 years' experience in program development and implementation required. Experience advancing provider access to care programs highly preferred. At least 2 years' experience developing interventions that improve access to culturally and linguistically appropriate care highly preferred. Direct insurance or health plan experience a plus.

Education, Certificates, Licenses: Bachelor's degree or equivalent combination of work experience required. Masters in Public Health, Healthcare Administration, Business, clinical degree, or related field preferred. Cultural responsivity training preferred.

Knowledge: Training and experience in program development and implementation required. Strong analytical, problem solving skills, and technical writing skills required. Excellent public relations, presentation, and interpersonal skills required. Demonstrated successful communication skills, including public presentation, training, and meeting facilitation. Demonstrated knowledge of access to care, health disparities, and interventions that advance the delivery of timely services including culturally and linguistically appropriate care. Demonstrated experience in designing/implementing transformational initiatives to meet regulatory requirements, engaging internal and community stakeholders, conducting stakeholder/provider meetings, and leading and contributing to cross functional teams to initiate work, problem solve, develop and execute plans, and complete work requirements. Maintain high level of knowledge of regulatory requirements, company products, health reform trends at the Federal and State levels, and the insurance industry. Math skills required including percentages, ratios, graphing. Demonstrated skills with the following software: Microsoft Word, PowerPoint, Excel.

Competencies

  • Adaptability

  • Building Customer Loyalty

  • Building Strategic Work Relationships

  • Building Trust

  • Continuous Improvement

  • Contributing to Team Success

  • Planning and Organizing

  • Work Standards


Our Values

  • We are committed to doing the right thing.

  • We are one team working toward a common goal.

  • We are each responsible for our customers' experience.

  • We practice open communication at all levels of the company to foster individual, team and company growth.

  • We actively participate in efforts to improve our many communities-internally and externally.

  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

  • We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.


Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately up to 50% of the time.

Our Values
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.


Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.



More Utilities jobs


Badger Meter
Milwaukee, Wisconsin
Posted 1 day ago

PacificSource
Salem, Oregon
Posted 1 day ago

PacificSource
Bend, Oregon
Posted 1 day ago

Job Alerts

Provide an email, zip code for jobs, and/or job category to subscribe to job alerts. Learn more now.


*By subscribing, you agree to our Terms and Privacy Policy.


Share this job with the community

Click a community link below, and then social share the Access to Care Program Manager job.


African American Job Search Logo
Asian Job Search Logo
Disabled Job Seekers Logo
Hispanic Job Exchange Logo
LGBT Job Search Logo
Seniors to Work Logo
US Diversity Job Search Logo
Veteran Job Center Logo