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Program Director for National BFCC Contract - Patient Family Engagement in Harrisburg, PA at KEPRO

Date Posted: 12/9/2018

Job Snapshot

Job Description

Program Director for National BFCC Contract – Patient Family Engagement

***This position can be located anywhere in the US***

Program Description:

  • National level program
  • Healthcare Navigation
  • Primary phone contact with beneficiaries, could be face-to-face, electronic or mail
  • Would involve a small call center to handle incoming referrals
  • Also involves calling providers and practitioners
  • Would involve continuous interactions with BFCC-QIOs for referrals and information
  • Medication Oversight
  • Helping beneficiaries reconcile medications – primarily by phone
  • Probably a component of the overall navigation program
  • Staffing consists of Nurses, Social Workers, Customer Service Reps and potentially pharmacy related staff.

Qualifications

  • College Degree in health related field – Public Health preferred, nursing or other health field acceptable – bachelor’s/master’s degree preferred, experience will be considered
  • License and /or certification and/or credentialed related to the field if required by discipline or contract, (CCM certification nice to have)
  • Leadership/experience in Population Health Management, Case Management/Disease Management/Wellness or Health Coaching
  • Proven track record with enrollment and retention of beneficiaries for programs such as case management/Disease Management/Wellness or Health Coaching
  • Minimum of 5-10 years in experience in operations and management
  • Knowledge of Project Management and Quality Improvement processes, metrics and productivity
  • Knowledge of regulatory agency compliance
  • Knowledge of contract development and implementation
  • Aptitude for systems, planning and prioritization of tasks
  • Ability to lead and managed direct reports to achieve contract deliverables
  • Competent communication skills (written, verbal and listening)
  • Uses appropriate interpersonal skills with a variety of stakeholders
  • Ability to provide supervision to staff that ensures excellent customer satisfaction

Responsibilities

  • Directs national 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
  • Directs program through objectives and goals assigned for contract compliance
  • Monitors metrics and daily operations to ensure success
  • Collaborates with BFCC leadership including medical directors, management team 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, nurses, social workers, pharmacy techs, clerical and customer service
  • Provide staff training/education, consumer training/education, data collection and analysis
  • Work with Communications for program outreach and communication activities
  • Assesses all systems and processes including contract, policy and procedure, workflow, etc., continually to ensure a high level of customer satisfaction to all stakeholders
  • Provide data analysis and reporting that meets the contractors goals of quality care and cost effectiveness in a timely manner
  • Provide consultation to contractor on system and policy issues.
  • Some travel required local and national
  • Public speaking engagements regarding program

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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