Find your WHY at Reid HealthOverall responsibility for the oversight and administration of the PACE program, which includes the effective planning, organization, administration and evaluation of the organization’s operations. This includes ensuring that appropriate personnel perform their functions within the organization. This position is responsible for managing all aspects of Reid Health’s PACE program, which consists of a primary care medical clinic, 24-hour care delivery, preventive services, a provider network, therapeutic services, a day health center, home care, transportation, and quality assurance (QA) activities. Duties include ensuring that the program complies with all Centers for Medicare and Medicaid Services (CMS) guidelines, ensuring the financial viability/continued growth of the program, managing business relationships with all contracted providers, and managing the state and federal relationships surrounding the PACE program.Let's Shine. Together.Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.Overview of ResponsibilitiesResponsible for maintaining confidentiality and providing excellent customer service to program enrollees, their families or sponsors. Identifies opportunities and prepares Reid Health PACE Center for the futureInfluences and guides the vision of the organizationKeeps up to date on national and local trends impacting care delivery for older adultsDevelops strategic and business plans for the growth of Reid Health PACE CenterEnsures the continued collaborative relationship between the parent organizations for the benefit of Reid Health PACE CenterDetermines site location for day centers and program expansionEnsures the effective administrative oversight for the development and implementation of Reid Health PACE Center programs and facilitiesCoordinates the governance of Reid Health PACE Center to ensure that issues are brought to the attention of the Board appropriately and the Board is kept informed on the key performance aspects of the entityEnsures that the legal records and documents are appropriately created and maintainedServes as liaison with state and federal regulatory agencies to negotiate as needed and represent the interests of Reid Health PACE CenterEnsures the accurate and timely management of the financial operations of Reid Health PACE CenterEnsures the development and management of data systemsOversees policy and quality program for compliance and performance improvementKeeps current on the changes in regulation and policy impacting Reid Health PACE CenterEnsures that management staff and appropriate key personnel are aware of changes that impact operations and policyDevelops and approves policies that meet applicable regulatory agency requirements and ensures adherence to policies and regulationsEnsures the effectiveness of the teamDirects the day-to-day operations of the services and business operations of Reid Health PACE CenterEnsures the operations of Reid Health PACE Center are provided in a manner that shows respect for staff and participants based on the highest principles of customer serviceDirects the marketing and outreach activities of Reid Health PACE Center to meet enrollment goals within the limitations of regulatory guidelinesEnsures the development and implementation of effective personnel practices including hiring, training, performance appraisal and team buildingProvides leadership in the development of creative and flexible solutions in the management of careEnsures the fiscal solvency of Reid Health PACE CenterEnsures the timely and appropriate submission of rate proposals and cost reports to the state agencyMonitors and ensures monitoring of service and administrative costs for maximum value and operating resultsNegotiates provider contracts with contracted health and medical servicesDevelops and approves annual budgets and monitors resultsObtains and administers loans as neededManages PACE team and contractors in a skilled manner to ensure that all aspects of operations are run with skill, monitored and controlled for maximum performanceEnsures the appropriateness of provider network developmentEnsures management staff accountability for supervision of staff regarding staffing, employment, evaluation and trainingEnsures that all management staff are facilitating efforts to maximize performance and focus on continual performance improvementNegotiates provider contracts with required network providersComplies with CMS PACE regulations as they pertain to this roleEducation/ExperienceMinimum Education Required: Bachelor’s degree in Nursing, Public Health Administration, or related Human Services fieldMinimum Education Preferred: Additional education with a business operations focusMinimum Experience Required: Significant progressively responsible experience in health care with managed care and geriatric service delivery required, with a minimum of 3–5 years managing and developing new services. Demonstrated leadership and management capabilities to facilitate effective and efficient operations and support effective relationships with external agencies and organizations to ensure success. Highly effective communication in writing and presentationMinimum Experience Preferred: Prior direct care experience with seniors is preferred. Prior involvement in the start-up of healthcare-related businessLicensure and CertificationLicensure: As appropriate per degreeCertifications: NoneOther: Strong personnel and financial management skills. Ability to work autonomously. Working knowledge of geriatrics and continuum of Long-Term Care. Working knowledge of 24-hour care delivery systems. Working knowledge of HMOs. Working knowledge of Medicare and Medicaid servicesSchedule DetailsSalaried position, Monday-Friday.What We OfferUnexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes ated Best Places to Work 2022Stay ConnectedNot quite what you are looking for? Submit your information for general consideration. One of our employment specialists will be in touch with next steps.Other InformationEEO Statement:No Search Firms:Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health.Application
