COPE Health Solutions Careers

Description

• Execute comprehensive program strategies, roadmaps, and detailed project plans to achieve business goals.
• Develop and execute initiatives to improve enrollment, engagement, and retention.

• Leads teams across various locations, managing resources, and ensuring collaborative execution.

• Proactively identifies risks, develops mitigation plans, and maintains quality standards.
•  Identify growth opportunities and support program expansion efforts.

• Oversee program budgets, financial forecasting, and resource allocation to ensure profitability and efficiency.
• Monitor enrollment trends, billing, and revenue cycle performance.
• Ensure program sustainability through performance monitoring and financial oversight.

• Reports on development progress, providing updates to executive leadership and key stakeholders.
• Serve as a liaison with contracted health plans and external partners.
• Participate in joint operational committee (JOC) meetings and performance reviews.

• Analyzes performance metrics to identify areas for improvement and implements best practices.
•  Direct the implementation and ongoing management of the ECM Program

• Supervise program managers and interdisciplinary care teams.
• Develop, implement, and refine workflows, policies, and standard operating procedures. Ensure accurate and timely documentation on required platforms.
• Maintain audit readiness and respond to internal and external audits.

• Ensure adherence to DHCS ECM requirements and Medi-Cal regulations.
• Oversee documentation standards and compliance practices.
• Leaf team during MCP and State audits.
• Provide leadership in reporting audit results and outcomes.

• Bachelor’s degree in health administration, Public Health, Nursing, Social Work, or related field required.
• Master’s degree or project management certification (e.g., PMP) preferred.

• Proven experience in managing complex programs.
• minimum of 5 years of leadership or supervisory experience in managed care.
• Experience working with Medi-Cal or managed care population preferred.
• Knowledge of ECM Model of Care strongly preferred.

• Exceptional leadership, strategic thinking, risk management, and communication skills. 
• Excellent written and verbal communication skills
• Ability to collaborate across departments and with external stakeholders.
• Proficiency in electronic documentation and reporting systems.

• Office based work environment.
• 80% of travel requirements for meetings, site visits, satellite offices as required.