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Executive Director, Regulatory & Special Programs

Company: Kaiser Permanente
Location: Oakland
Posted on: November 11, 2019

Job Description:

  • Develops strategy in collaboration with key stakeholders to include leadership from Region, Health Plan, Medical Group, Community Benefit, Finance, Public Affairs, Government Relations, Operations (i.e. regional and local area), Health Policy, Product and Market Management and Local Area Leadership.
  • Serves as the Plan Partner liaison for NCAL.
  • Consults with and advises local area leadership to establish plans and initiatives including the financial, operational, and community benefit stakeholders.
  • Oversees the activities related to Medi-Cal, and ensures that the Medi-Cal programs in NCAL are administered in compliance with all federal and state requirements.
  • Performs oversight and accountability of member services, member onboarding program, and benefit implementation for the NCAL region.
  • Develops a region-wide, multi-year strategy that addresses the non-medical needs of specific member populationsLeads the program design and implementation of above programs, and partnering with KFH, KFHP, and TPMG to ensure coordination and collaboration with clinicians.
  • Ensures portfolio of non-medical services show empirical proof of their effectiveness in improving the health status of these populations.--
  • Oversees the development, implementation, tracking and analysis of Medi-Cal process improvement initiatives and related metrics for assessing Medi-Cal performance.
  • Leads and coordinates relevant health plan, hospital, and medical group personnel to support strategy implementation and performance improvement.
  • Works in concert with the SCAL counterpart on standardizing Medi-Cal-specific policies and procedures for operations and care delivery for all of California
  • Works closely with the VP, California Medi-Cal and executive leadership to develop quality improvement and cost savings initiatives to ensure cross-functional integration and coordination of efforts.
  • Conducts region-specific budget preparation and policy and program implementation of federal and state initiatives.
  • Makes operational adjustments to guarantee that Medi-Cal programs are performing at or exceeding set targets.
  • Provides management and oversight of contracted vendors for NCAL Medi-Cal.
  • Works closely with the Executive Director, CA Medi-Cal Health Plan Administration to ensure that health plan operations and care delivery programs for NCAL are intimately aligned with Medi-Cal administrative health plan functions, including but not limited to DHCS All Plan Letter implementation, compliance, audits, and contract administration.
    • Experience:Minimum ten (10) years of relevant experience in healthcare, including leadership and management experience in health plan, hospital, medical group administration, Medi-Cal and government programs.
    • Education:Bachelor's degree required.

Keywords: Kaiser Permanente, Oakland , Executive Director, Regulatory & Special Programs, Executive , Oakland, California

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