If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

This position is responsible for the strategic deployment and operational implementation of the network strategy within the assigned CCO geography. The primary focus is on physical health and coordination with Mental and Dental strategy. This position is responsible for the relationship management of participating providers. The position supports the execution of transformation activities designed to achieve triple aim results for the population and is accountable for access and quality outcomes for the service area and for the funded portfolio of clinical initiatives generated and funded from the Panel. This position has matrix accountabilities for multiple teams within CareOregon including population health, quality assurance and contracting.

• Working directly with network leadership, facilitate, support and coordinate the network facing teams within Jackson CCO (JCC) and CareOregon to create aligned work and priorities.
• Develop and implement clinical programs identified by JCC and CareOregon staff or CAP to improve cost, quality, and access within the service area.
• Lead the development of the clinical stakeholder engagement strategies for major partners within the service area.
• Lead and participate in projects to ensure execution and effective implementation of the regional network strategy.
• Develop communication plans to ensure that internal and external stakeholders are informed and aligned to support the execution of clinical initiatives; this includes working cross-departmentally with other CareOregon/CCO departments.
• Support the strategy for effective investment of the CCO's funding including total cost of care and primary care payment model to; ensure program costs are allocated appropriately across financial categories in collaboration with finance department.
• Leverage the work of the team to ensure CCO Metrics and Star metrics are achieved in the region, guide prioritization, clinical engagement, and execution.
• Represent the Region in applicable activities including medical and other professional organizations; participate in activities that enhance CCO's image within the community.
• Serve as a representative and spokesperson for the CCO in support of integration and coordination activities.

Employee Supervision

• Manages team(s) and recommends team direction and goals in alignment with the organizational mission, vision, and values.
• Identifies work and staffing needs to meet work expectations; recruits and hires, using an equity, diversity, and inclusion lens.
• Plans, organizes, schedules, and monitor's work; ensures employees have information and resources to meet job expectations.
• Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.
• Trains, supervises, motivates, and coaches employees; provides support toward employee development.
• Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.
• Ensures team adheres to department and organizational standards, policies, and procedures.
• Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).
• Performs supervisory tasks in collaboration with Human Resources as needed.

• Perform work in alignment with the organization's mission, vision and values.
• Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization's strategic goals.
• Adhere to the organization's policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 5 years of progressively responsible professional experience related to clinic-network operations, including 2 years' experience in project management with experience leading large, complex enterprise-wide projects and experience in facilitating large multi-stakeholder collaborations
• Experience as an influential communicator and creative problem solver, with successful examples of partnering across functions within a corporate matrix environment to gain consensus and support for new initiatives and programs
• Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle

Preferred

• Minimum 2 years' experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon's Aspiring Leaders Program
• Experience working in the healthcare industry, preferably to include management of clinical delivery system care or managed care organization (Medicaid and/or Medicare)
• Broad experience with a corporate matrix environment, with regular interface with centralized and field-based operational and business development functions (finance, network, contracting, medical management, sales and customer service)

Knowledge

• Medical policy knowledge and skills as related to clinical quality, case and disease management and credentialing activities
• Knowledge of information systems used in clinical care and the strategic clinical use of electronic information
• Basic knowledge of applicable regulatory and contractual requirements

Skills and Abilities

• Excellent facilitation and stakeholder engagement
• Results-oriented with a high attention to detail, ability to multi-task, and meet deadlines in a demanding, fast-paced environment
• Project management, presentation, and reporting abilities
• Superior critical thinking, analytical and problem-solving skills
• Skilled in driving results, thinking strategically, and executing strategy effectively; thinking at an enterprise level
• Excellent verbal and written communication skills
• Ability to contribute to a strong team-based environment
• High degree of initiative and motivation along with the ability to effectively support and collaborate with others to achieve business objectives
• Ability to work in an environment with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

• Ability to operate a motor vehicle

Working Conditions

Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy. (frequent/weekly drivers only)

#LI-Hybrid

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.