Program Director IHS

Acentra Health, LLC•UNAVAILABLE, UNAVAILABLE

1d•Remote

About The Position

Acentra Health is seeking a Program Director with healthcare experience to lead a comprehensive Care Coordination program for members across California. This role involves strategic and operational leadership, overseeing program design, daily operations, workforce performance, quality outcomes, regulatory compliance, and service delivery through interdisciplinary teams. The Program Director will collaborate with various stakeholders, including clinical, operational, provider, health plan, and community-based organizations, to ensure members receive timely, equitable, and person-centered support. Key responsibilities include managing care coordination workflows, enhancing transitions of care, addressing social determinants of health, supporting complex and high-risk populations, and monitoring access, engagement, and outcomes. The position is remote, requiring the candidate to reside in California.

Requirements

5+ years of Healthcare leadership experience in operations and management
Knowledge of Medi-Cal healthcare delivery model and environment
Medical or Clinical professional experience, ideally within nursing or social work or other healthcare service delivery.
Candidate must reside in California.
Travel up to 20-25%, dependent on California location.

Nice To Haves

3+ years in case management/care coordination
Previous experience in developing community-based member engagement strategies
Provider Network experience either through provider relations or provider recruitment/enrollment
Knowledge of California healthcare delivery systems, including Medi-Cal and MCO environments
Budget and financial skills
Experience in developing stakeholder relationships.

Responsibilities

Effectively directs program through objectives and goals assigned for contract compliance. Monitors metrics and daily operations to ensure success.
Collaborates with program leaders, including medical director, management teams, and corporate support teams to improve processes, determine training needs and improvement opportunities.
Engages community partners and stakeholders in delivering member outreach.
Provides leadership and supervision to staff assigned to the program, including quality, Case Management, Care Coordination, provider training/education, consumer education, data collection, analysis and reporting, and technical assistance, to ensure compliance with accreditation standards.
Works with management and corporate team for the enhancement of the contract scope, new RFP cycles and related new business.
Oversees budget review and analysis to ensure the financial success of the program.
Assesses all systems, including contract, policy and procedure, workflow, etc., continually to ensure a high level of customer satisfaction to all stakeholders.
Collaborates with management team to create an organizational structure that will ensure effective processes and work designs, including team integration and oversight which includes California field-based outreach and localized community engagement, within the southern region.
Assists in determining professional development opportunities for staff and teams.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.