ECM Territory Manager - Nor Cal (Alameda County)
About The Position
MEDZED IS A LEADER IN DELIVERING VALUE-BASED, TECHNOLOGY-ENABLED SOCIAL SUPPORT TO A DIVERSE POPULATION OF HIGH-COST MEDICAID MEMBERS WHO HAVE BEEN UNREACHABLE WITH TELEPHONIC OUTREACH, DISCONNECTED FROM PRIMARY CARE, AND USING HOSPITAL-BASED SERVICES AS THEIR PRIMARY POINT OF CARE. WE COMBINE INNOVATIVE TECHNOLOGIES WITH FIELD-BASED OUTREACH TO FIND AND ENGAGE THESE MEMBERS. WE THEN APPLY A MODEL OF CARE DESIGNED TO RE-CONNECT THEM TO PRIMARY CARE, ADDRESS THE HEALTH-RELATED SOCIAL NEEDS (HRSNS) THAT CONTRIBUTE TO THEIR DISENGAGEMENT AND PRESENT BARRIERS TO CARE, AND PROVIDE THEM WITH THE MEANS AND KNOWLEDGE TO TAKE MORE CONTROL OVER THEIR HEALTHCARE. OUR INTERVENTIONS YIELD REDUCED EMERGENCY DEPARTMENT AND INPATIENT UTILIZATION COSTS FOR OUR HEALTH PLAN PARTNERS AND IMPROVED QUALITY OF LIFE FOR THEIR MEMBERS. WE ARE SEEKING AN ACCOMPLISHED TERRITORY MANAGER TO JOIN OUR OPERATIONS TEAM TO HELP REALIZE OUR VISION AND CONTRIBUTE TO LONG-TERM VALUE CREATION.
Requirements
- Minimum of 3-4 years’ experience managing others working in health, social, or community services.
- High School Degree or equivalent.
- Strong analytical skills and clear understanding and comfort with data, dashboards, and reporting tools.
- Ability to manage a P & L.
- Ability to adapt to constant change, work well under pressure in a fast-paced and challenging environment.
- Ability to solve problems, think critically, and collaborate effectively.
- Curious and relentless nature.
- Understanding of patient centered care and whole person care models.
Responsibilities
- Lead their team to achieve monthly and quarterly performance goals, e.g., effective outreach and member engagement through door knocks and telephonic outreach, timely completion of assessments and care plans, delivery of quality care, and successful graduation of members.
- Maintain audit readiness by ensuring compliance with HIPAA, documentation standards, and all state and health plan regulatory requirements.
- Set clear expectations, model effective behavior, and maintain open communication.
- Support their field-based team by spending time in the field, ensuring a high level of engagement with community-based organizations, health plans, and other partners.
- Teach and coach their team to make sure escalation protocols are understood and practiced, panels are full, safety expectations are met, and members receive exceptional care.
- Meet performance metrics, goals, and deadlines for their team while motivating them to achieve and exceed goals.
- Manage the day-to-day operations for their territory, including conducting one-on-one performance and caseload reviews as well as tracking individual productivity, growth, member engagement, quality of care and graduation.
- Engage with community-based organizations, health plans, and other partners.
- Provide ongoing virtual and field-based coaching and development to the field team.
- Provide resources related to community-based opportunities with the Community Impact Partnership Program (CIPP) Director.
- Advise Community Health Navigators on how to create Specific, Measurable, Achievable, Relevant, Time-based (SMART) goals with achievable interventions and how to overcome barriers and objections with members.
- Problem solve issues raised by CHNs in an initiative-taking, creative manner.
- Support program expansion, staffing needs, and operational enhancements.
- Hire, manage and coach staff.
- Manage Profit and Loss for the territory.
- Ensure timely review and approval of payroll, expenses, and other compliance requirements within territory.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
