Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.In consultation with the Behavioral Health Population Health Manager, the Behavioral Health Population Health Team Lead maintains direct oversight for the development, implementation, and monitoring of Behavioral Health Population Health team and activities, across four CCO Regions: Central Oregon, Lane County, Marion and Polk Counties, and Columbia Gorge. This position provides leadership and supervision to the BHPH team through offering of subject matter expertise, ongoing coaching/guidance, and liaising of regional initiatives complimentary of PacificSource transformation strategy, including integrated care, development of regionally responsive behavioral health service array, and fulfillment of contractual requirements and delivery of high quality care.Essential Responsibilities:
Accountable to provide supervision, training, and support for Behavioral Health Population Health team.
Conduct performance management and assist BHPH Manager with hiring, staff development, and ongoing support of team members.
Guides BHPH Team project management and strategic implementation of processes and changes for improvement to PacificSource Community Solutions (PCS) behavioral health programs and services.
Consult with the Behavioral Health Strategist in the design, organization, implementation, and evaluation of strategies and initiatives written in regional Comprehensive Behavioral Health Plan (CBHP).
Continuously monitor compliance to OHA and other State contracts and other regulatory bodies as they pertain to PacificSource Community Solutions regional services and programs.
Compiles and communicates amendments to Oregon Administrative Rule which affect BHPH regional deployment, in collaboration with BHPH Strategists and Manager.
Maintain policy and procedures related to BHPH and OHA deliverables, as outlined within Ex. M of the CCO 2.0 Contract
Advise the Behavioral Health Population Health regional teams in designing, implementing, and evaluating novel and existing behavioral health programs to improve the member’s experience.
Support involvement of BHPH in internal groups that increase regional cross-sector collaboration to reduce the use of institutional care, integrate PacificSource members with behavioral health conditions to community-based settings, and improve member experience and health, as needed/requested by regional BHPH Strategists.
Coordinate with CCO Behavioral Health Director and Behavioral Health Population Health Manager to promote and improve behavioral health integration and initiatives in each CCO region.
Create ongoing opportunities for team engagement and development which contributes to overall culture of Behavioral Health Population Health, and Population Health, as a department (e.g. trainings, social convening, etc.)
Liaise conversations regarding budgetary planning and decision making to support regional initiatives and ongoing team development
Ensure ongoing collaboration between Population Health, Quality Improvement, Care Management, Provider Service, and other internal departments to augment member and provider partner outcomes
Elevate regional provider innovations to BHPH Manager to inform contract development and negotiations with BH Providers
Partner with regional BHPH Regional areas to elevate regional behavioral health initiatives and advise on continuous process improvement opportunities.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILEWork Experience:A minimum of five years’ experience in health care related field (specifically behavioral health); project management and/or supervisory (i.e. supporting people or implementation of strategy or programs) experience preferred. Minimum of 3 years health plan and/or fidelity model experience focused on project management, strategic development, quality management/improvement/assurance, and/or program development.Education, Certificates, Licenses:Master’s degree, or equivalent experience within health care field, in Behavioral Health, Public Health, or other related field required.Knowledge:Knowledge of State of Oregon Medicaid regulations, mandated benefits and systems of care for behavioral health. Knowledge of the needs of those with behavioral health disorders, and relevant procedure codes. Knowledge of quality improvement processes. Organizational skills with solid experience in using computers and various software applications including Word, Excel, PowerPoint, Outlook, SharePoint, and audio-visual equipment. Ability to deliver coaching needs to a variety of different provider populations.Competencies:Building TrustBuilding a Successful TeamAligning Performance for SuccessBuilding Customer LoyaltyBuilding Strategic Work RelationshipsContinuous ImprovementDecision MakingFacilitating ChangeLeveraging DiversityDriving for ResultsEnvironment:Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and OrganizationOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
