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Director, Program in Scarborough, ME at KEPRO

Date Posted: 6/25/2018

Job Snapshot

Job Description

Since 1985, KEPRO has helped more than 20 million members lead healthier lives through clinical expertise, integrity and compassion. KEPRO was founded by physicians and clinical expertise is at the core of our organization. We are a leading quality improvement and care management organization. We offer innovative and outcomes-focused solutions to reduce the unnecessary use of health care resources and optimize the quality of care for public and commercial clients. KEPRO’s tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients alike. KEPRO is on a journey to transform medical management and to develop customized solutions tailored to our client’s specific business requirements, while improving the quality of life for patients, reducing costs, and achieving return on investments for our clients. Our approach to medical management is holistic and compassionate and is coordinated around a patient’s entire healthcare experience.

Program Director

Summary Description

Directs program to ensure efficiencies, deliverables and assigned contract functions are performed to the highest standards to strengthen the relationships with customers and meet contract requirements. 

Accountabilities

  • Effectively directs program through objectives and goals assigned for contract compliance. Monitors metrics and daily operations to ensure success. 
  • Collaborates with program leaders, including medical director, management teams, and corporate support teams to improve processes, determine training needs and improvement opportunities. Assists in budget review and management.
  • Provides leadership and supervision to staff assigned to the program, including quality, UM, retrospective reviews, provider training/education, consumer training/education, data collection, analysis and reporting and technical assistance, to ensure compliance with accreditation standards.
  • Works with management and corporate team for the enhancement of the RFP, new RFP cycles and related new business. 
  • Oversees budget review and analysis to ensure the financial success of the program. 
  • Assesses all systems, including contract, policy and procedure, workflow, etc., continually to ensure a high level of customer satisfaction to all stakeholders.
  • Collaborates with management team to create an organizational structure that will ensure effective processes and work designs. 
  • Assists in determining development opportunities for staff and teams. 

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time

Qualifications

  • BA/BS minimum in a nursing, health care, business or related field required
  • License and/or certification and/or credentialed related to the field if required by discipline or contract.

Knowledge, Skills, Abilities

  • Knowledge of best practice in healthcare operations.
  • Knowledge of government policy and structure.
  • Knowledge of metrics, productivity measures and reporting.
  • Knowledge of regulatory agency compliance.
  • Knowledge of contract development and implementation.
  • Budget and financial skills.
  • Able to lead and mange direct reports to achieve contract deliverables.
  • Aptitude for systems planning and prioritization of tasks
  • Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders.
  • Ability to provide supervision to staff that ensures excellent customer satisfaction.
  • Provide ongoing monitoring and supervision to meet contract deliverables for all operations
  • Provide data analysis and reporting that meets the contractor’s goals of quality care and cost effectiveness in a timely manner. 
  • Provide consultation to contractor on system and policy issues.         

Experience

  • Minimum 8-10 years of experience in operations and management.
  • Healthcare experience strongly desired.

Mental and Physical Requirements        

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

Only those candidates identified for an interview will be contacted. No Phone Calls Please.  Visit our website at www.kepro.com for more information on the KEPRO Family of Companies.

EOE AA M/F/Vet/Disability

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.

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