Senior RVP Provider Networks-4

Easter Seals Southern California•Irvine, CA

1d•$150,000 - $180,000

About The Position

Easterseals is leading the way to full equity, inclusion and access through life-changing disability and community services. For more than 100 years, we have worked tirelessly with our partners to enhance quality of life and expand local access to healthcare, education and employment opportunities. Easterseals Southern California provides essential services and on-the-ground supports to more than 15,000 people each year—from early childhood programs for the critical first five years, to autism services, daily and independent living services for adults, employment programs, veterans’ services and more. Our public education, policy and advocacy initiatives positively shape perceptions and address the urgent and evolving needs of the one in four Americans with disabilities today. Together, we’re empowering people with disabilities, families and communities to be full and equal participants in society. Join us as we seek to be the most inclusive place for people with disabilities to live, learn, work & play easterseals.com/southerncal Starting salary ranges from $150,000 – $180,000 annually OVERVIEW OF POSITION: Responsible for clinical oversight and leadership in service delivery of ESSC’s autism services Provider Network, including Behavioral and Therapy Networks. Directs and oversees all aspects of program planning, development, and implementation in coordination with network providers. Ensures quality, integrity, compliance, innovation, and continuous improvement of the network. Collaborates with various stakeholders, funding sources, health care providers, and local authorities on high-impact results-driven projects, while also promoting the organization’s services and increasing membership.

Requirements

Master’s degree with a concentration in early childhood education/development, early childhood special education, psychology, speech, occupational or speech therapy, and additionally a directly related human services field.
Board Certified Behavior Analyst (BCBA). CCC-SLP, or licensed Occupational Therapist, Doctoral-level BCBA, SLP/OT/PT.
7 years of related professional experience working with children with Autism Spectrum Disorders (ASD), and /or other related developmental disabilities in a multi-disciplinary team setting.
7 + years in an advanced leadership capacity managing certified/clinical staff.
Previous experience with network management is required.
5-7 years experience with a proven track record inbuilding interdisciplinary relationships to support service delivery.
Expertise in all empirically evaluated assessment and intervention strategies related to program and service delivery for individuals with Autism Spectrum Disorders (ASD).
Experience managing cross-functional teams, strategic partnerships, and clinical operations in a fast-paced, multi-site environment.
Strong clinical, administrative, management, and leadership skills.
Able to foster teamwork, effective monitoring, motivating, training, and mentoring of staff.
Strong interpersonal communication, problem solving, and decision-making skills.
Exceptional interpersonal skills with the ability to build and maintain strong internal and external relationships to support collaboration and service excellence.
Demonstrates advanced strategic thinking with the ability to identify problems, develop efficient solutions, and lead teams through successful execution.
Proven ability to lead change initiatives and drive cultural and operational transformation through collaboration and data-informed decision-making.
Able to interpret and implement policies, procedures, and regulations.
Demonstrates adaptability in navigating complex challenges and evolving healthcare landscapes, maintaining strategic focus under pressure.
Ability to communicate effectively, through oral and written skills, and work cooperatively with a variety of individuals and groups.
Must relate well to children and their families, and maintain positive affect.
Ability to exercise discretion and maintain a high level of confidentiality to handle sensitive and confidential situations and documentation; positive customer service orientation and professionalism in all interactions.
Knowledge of community resources and agencies that serve children.
Familiar with funding source plan design.
Knowledge of standards and regulations related to behavioral health services and information management.
Proficient in Microsoft Office applications (Word, Excel, PowerPoint, and Outlook), and EHR software.
Able to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easterseals Southern California (ESSC) and/or program requirements.
Ability to travel throughout Southern California with reliable transportation, maintain driving record in compliance with Transportation Safety Standards, and have and maintain proper auto insurance and vehicle registration.
Ability to pass a post-offer medical examination and a TB test; and provide proof of required vaccinations or positive titer showing immunity.
Must pass all drug testing required by ESSC.

Nice To Haves

Ph.D., Ed.D., or clinical doctorate with emphasis in psychology, behavioral analysis, speech occupational physical therapy, or public health administration, preferred.
Experience in delivery and management of behavioral health/clinical services within a multi-site medical model is preferred.
Leadership experience in clinical operations, preferably in a multi-site or networked environment, is also acceptable.

Responsibilities

Plans, directs, and oversees all aspects of the organization's provider network function.
Responsible for developing the network and negotiating and administering contracts.
Oversees provider relations and monitors all provider services.
Ensures provider operations are in compliance with clinical guidelines, contractual obligations, and requirements of regulatory agencies.
Leads the expansion of the provider network and diversification of funding sources, supporting long-term access and business strategy goals.
Spearheads the development and execution of comprehensive service delivery plans that align with organizational goals and regulatory requirements.
Leads and directs the work of ESSC clinical and administrative staff within the network.
In coordination with Director(s) and associates of the network, ensures adequate and timely staffing, personnel training/skill enhancement, professional development, clinical supervision and guidance for all associates.
Ensures staff and internal operations adhere to adequate performance, budgets, policies, standards, and regulations internal and external to ESSC.
Leads and supports the talent strategy across all service areas, with a focus on coaching, leadership development, and organizational growth; includes identifying needs, fostering a culture of continuous learning, and implementing initiatives to enhance associate and network engagement, performance, and retention.
Provides coaching, mentorship, and performance oversight for directors and clinical teams to ensure alignment with organizational goals.
Approves policies, specialized training and instructional materials developed within various sub-functions and departments.
Creates and guides implementation of policies, standards, and guidelines for provider network services and programs.
Serves as an escalation point with participants assigned to a network provider when a concern and/or grievance has not been resolved at the Director BPN and/or network provider level, facilitating resolution.
Develops major goals and strategic plans for improved quality and standardized care management throughout the services and other directly related projects/objectives.
Oversees the implementation of strategy and programs, coordination of personnel, network providers, and resources required to successfully complete projects.
Leads strategic initiatives in the following priority areas: Kaiser partnerships, utilization management, participant complaints, and vendor coordination.
Drives and supports cultural and operational transformation through change management, data-informed decision-making, and cross-functional collaboration.
Oversees the execution of bi-annual audits of the provider network.
Conducts regular team and 1:1 meetings with direct reports for review and monitoring of clinical operations, performance evaluations, quality of services, compliance, grievances/issues, productivity, report submission obligations, audits, caseload, capacity needs, status of projects, among other topics. Reports results to VP.
Effectively and timely reports to VP on associate relations and progress of associates on concerns.
Partners and collaborates with leaders and department heads across the organization to elevate performance, ensure alignment and consistency of clinical and operational strategy with the overall goals of the organization.
Partners with funding sources to ensure collaborative relationships, contract adherence, and quality assurance activities.
Independently navigates associate relations in compliance with Human Resource guidelines, ensuring departmental consistency.
Builds and maintains strong internal and external relationships to support cross-functional collaboration and service excellence.
Develops and monitors program budget.
Works with pertinent departments to address billing, accounting, human resources, payroll, and other organizational activity and issues.
Collaborates with finance leaders to ensure understanding of and operational efficiency through strategic financial planning, budget alignment, and resource optimization to enhance performance and sustainability.
Participates in presentations, conference attendance, article reviews, and research projects or initiatives.
Remains current regarding new research, current trends and developments in autism, behavior analysis, speech, occupational and physical therapy.
Performs other duties as assigned.