Sr. Director, Delegated Care Management
Description
Company: Oak Street Health
Title: Director, Delegated Services
Company Description
The mission of Oak Street Health is to rebuild healthcare as it should be.
We are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare.
The Oak Street model integrates outstanding clinical expertise, technology, and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities, creating a virtuous cycle of improving community health.
We are a national organization serving over 100,000 patients and we are growing rapidly. We are a diverse team of care providers, service team members, technologists, community outreach experts, business professionals, and more -- all dedicated to our Oaky Values and motivated by our mission. We’re looking forward to getting to know you!
For more information, visit www.oakstreethealth.com.
Role Description:
This position is responsible for a range of activities supporting delegated Care Management/Care Coordination functions. These may include, but are not limited to, responsibility for implementation of new delegated Care Management functions, including project planning, system readiness, accountability for reporting requirements, hiring, training, and internal/external communication required for launch. This role may also support these new delegated LOBs operationally, either as an interim role or for sustained periods depending on business need. The Sr. Director ensures departmental adherence to program standards, meeting metrics as set by management, staff education both individually and on a group level, and serves as the liaison between OSH and insurance provider, other business partners, vendors and internal stakeholders as required.
Core Responsibilities:
Responsible for leading implementations for new Care Coordination/Care Management programs including development of model of care, policies and procedures and reporting
Collaborate with Utilization Management counterparts to align Care Management and UM functions in support of better patient experience/outcomes
Establish a culture of excellence in performance and innovation that optimizes opportunities to create new models and processes that better serve patients
Partner with other OSH leaders to further integration efforts between all delegated/non-delegated functions
Serves as point of contact for / management of health plan relationships related to Care Coordination
Oversight of delegated entities and internal operating partners servicing Care Coordination, including management of operational performance and program execution
In partnership with IT analyst, set, implement and monitor system configuration requirements in accordance with operational and regulatory specifications required for new programs
Collaborate with other OSH program leaders to implement initiatives in support of integrating delegated services with core OSH care model
Develop and execute process improvement initiatives, consistently evaluating operations for opportunities to improve efficiency and/or effectiveness
Other duties as assigned
What are we looking for?
We’re looking for motivated professionals with:
7+ years of healthcare experience, preferably in a primary care and/or managed care setting
Practical and operational experience in a managed care environment, with working knowledge of related legal/regulatory/health plan requirements
Demonstrated experience leading teams, competence with change management, and leading process improvement
Knowledge relating to healthcare delivery workflows, project management, and quality improvement is required
Prior experience in a similar role at a Health Plan
Strong teamwork and interpersonal skills. Must be able to work effectively with cross functional groups, fostering teamwork with a commitment to quality
Passion for excellence, willing to go the extra mile to achieve objectives and ensure consistently high quality work product
Ability to succinctly summarize and synthesize large amounts of information
Quick learner comfortable with a high level of ambiguity
Strong accountability and discipline against timelines and deliverables
Collaborative working style, able to work cross functionally
Bachelor’s degree required, advanced degree or licensure preferred
Proficient with standard MS Office tools
US work authorization
Someone who embodies being “Oaky”
What does being “Oaky” look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being scrappy
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.