Manager of Clinical Integration - Partnership HealthPlan of California

Under direction of the Associate Director of Clinical Integration, leads and supports the clinical
integration team in the enhancement and refinement of existing programs and the development,
management, integration and refinement of new and existing programs. The Manager of Clinical
Integration will ensure successful implementation of Care Coordination programs including
working closely with Care Coordination’s operational leaders and internal and external
stakeholders to establish expected outcomes, plan roadmaps, and oversee alignment and
execution of deliverables. The Manager of Clinical Integration will directly oversee and support
the clinical integration team consisting of supervisors and individual contributors across the
training team, program and project roles, and the business and data analysts.

• Provides day-to-day direction to Care Coordination’s Clinical Integration Team’s
  Supervisors, and Individual Contributors to meet department goals and objectives and to
  ensure compliance with company policies.
• Directly conducts team performance management, including onboarding activities and
  annual performance evaluation process. Keeps Associate Director apprised of staff
  concerns and accomplishments, and provides feedback on performance evaluations.
• Ensures activities related to programs are progressing with Health Equity, Quality,
  Member Services, and Population Health, along with Regional Leaders and
  Communications, and other Partnership departments to identify, track, and monitor
  alignment for Care Coordination activities across the organization
• In relation to Care Coordination programs, works with other departments within
  Partnership to develop and implement improvements that will lead to improved
  performance or enhanced workflow of staff.
• Monitors and provides data for reporting that will support the efficacy of each CC
  activity/program and to produce dashboards that includes a summary of CC program
  activities, member outcomes, return on investment, and quality improvement activities,
  including formal regulatory submissions. .
• Assists in developing structures, relationships, and processes to promote active
  partnerships with providers, community stakeholders, and/or other healthcare
  professionals to meet and support key organizational initiatives (ex: MOU requirements,
  CalAIM, etc.)

• Assists with audit and survey readiness activities to ensure the department is compliant
  with all applicable regulation and DHCS standards, licensure requirements, accreditation
  standards (i.e. NCQA), new legislation, and Partnership policies and procedures throughthe guidance of deliverables provided by direct reports across training, program
  development, data and reporting

• Participates in onsite audits by various regulatory agencies as necessary.
• Provides oversight to department auditing to ensure compliance with DHCS
• Participates in the planning of new enhanced Health Services products.
• Assists in managing vendor relationships as assigned.
• Facilitates meaningful data presentations; uses data to identify needed process improvements.
• Actively participates in organizational meetings and goals; providing input where appropriate
  and informing assigned team of what is learned or changed as a result of those meetings.
• Participates in strategic goal setting for department activities and initiatives. Develops
  annual goals for individual performance and updates at least every six (6) months for
  progress.
• Promotes the continuous improvement process and implements recommended changes.
• Provides daily leadership, direction, resources, training, evaluation and support to staff
• Performs Human Resources functions such as time card management, directing work
  activities, implementing workplace changes, conducting annual reviews, and conducting
  staff trainings.
• Works with operational Managers and Supervisors, and the training team to develop
  standardized training content and material for new staff and for the ongoing education of
  existing staff.
• Other duties as assigned

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE:

$136,296.78 - $177,185.82

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.