Sr Dir-IDD Strategy & Innovation (Full-time Hybrid, Morrisville, NC Based)

Alliance Health•Durham, NC

4d•$119,264 - $152,062•Hybrid

About The Position

The Senior Director of IDD Strategy & Innovation will lead develop and lead initiatives that strengthen healthcare and community partnerships across Alliance’s catchment area for individuals with intellectual and development disabilities (IDD). The position will provide strategic leadership for the evolution of Alliance's Intellectual and Developmental Disabilities (IDD) service model, including optimization of the NC Innovations Waiver service continuum, development of innovative care models, and expansion of person-centered services that improve member outcomes and community inclusion. The position works across Alliance departments, the provider network, and community to identify gaps in current services and work to build creative programs to address those gaps. The position will help design and implement a payment and reimbursement models that promote person-center outcomes and community inclusiveness. This position does not establish clinical practice standards, make clinical coverage determinations, or provide clinical oversight of service delivery; those responsibilities reside within Clinical Operations. Reporting to the Chief Strategy and Innovation Officer, the ideal candidate has a deep understanding of service and support needs of individuals with IDD, the North Carolina’s Innovations Waiver, NC Medicaid benefits, and with experience managing complex, multi-stakeholder projects that improve health outcomes through cross-sector collaborations.

Requirements

Bachelor's degree from an accredited college or university in Social Work, Public Administration, Health Services, Human Services, Healthcare Administration, Public Health, or a related field and seven (7) years of progressively responsible consultative or administrative experience in publicly-funded healthcare, managed care, IDD services, behavioral health, healthcare strategy, or related human services programs.
Experience must include strategic planning, cross-sector partnership development, program innovation, and implementation of initiatives designed to improve outcomes for individuals with IDD.
Master's degree from an accredited college or university in Social Work, Public Administration, Health Services, Human Services, Healthcare Administration, Public Health, or a related field and five (5) years of progressively responsible consultative or administrative experience in publicly-funded healthcare, managed care, IDD services, behavioral health, healthcare strategy, or related human services programs.
Experience must include strategic planning, cross-sector partnership development, program innovation, and implementation of initiatives designed to improve outcomes for individuals with IDD.
Experience working with NC Medicaid Managed Care and historically marginalized populations
Extensive knowledge of NC Innovations Waiver services, Tailored Plans, Medicaid financing, and value-based reimbursement models for IDD populations
Superior quantitative, analytical and problem-solving skills with a talent for breaking down complex issues into actionable components
Ability to interpret data, track performance and report on impact
Knowledge of federal and state regulations related to disability services such as ADA, Medicaid and Olmstead
Experience with budget management, contract management and policy development
Experience working with accreditation bodies
Use of Microsoft Office products and knowledge of data analytics programs and reporting

Nice To Haves

Experience with North Carolina Medicaid programs, including the NC Innovations Waiver and/or Medicaid Transformation initiatives, is strongly preferred.

Responsibilities

Develop and implement strategic initiatives supporting Alliance's IDD (Intellectual and Developmental Disabilities) programs, including efforts to expand services and the current service array to individual on the Registry of Unmet Needs
Identify service gaps within the Innovations Waiver and the Alliance benefit plan
Lead strategic evaluation and optimization of NC Innovations Waiver services to identify opportunities for service expansion, enhanced care coordination, and improved member outcomes
Design innovative solutions to address unmet community and healthcare needs
Evaluate emerging state and federal policy changes impacting IDD services
Serve as a strategic subject matter expert regarding NC Innovations Waiver requirements, Tailored Plan initiatives, Medicaid transformation efforts, and emerging reimbursement models that support value-based care and community integration
Create business cases and recommendations for new programs and investments
Align initiatives with organizational strategic priorities and value-based care objectives
Translate Medicaid policy, waiver provisions and quality measures into actionable community engagement strategies
Collaborate with legal, compliance and policy teams to ensure initiatives meet legal, regulatory and contractual requirements
Build and maintain relationships with: Healthcare systems, Behavioral health providers, Primary care organizations, Community-based organizations (CBOs), Local governments, State agencies, Advocacy organizations
Develop collaborative models that address social drivers of health and community inclusion
Facilitate cross-sector partnerships focused on improving outcomes for individuals with IDD
Represent Alliance in community coalitions, advisory boards, and stakeholder meetings
Serve as a strategic and operational subject matter expert on: NC Innovations Waiver design, Tailored Plan requirements, Medicaid transformation initiatives, Reimbursement structures, and Service delivery innovation
Identify opportunities to maximize waiver services and supports.
Monitor state policy and regulatory changes
Partner with operational teams to ensure compliance and successful implementation
Advise executive leadership regarding waiver and Medicaid-related innovations
Develop and communicate a long-term strategic vision for Medicaid-funded IDD services, engaging provider networks, advocacy organizations, healthcare systems, and community partners in advancing innovative service delivery models
Lead program evaluation framework aligned with the organization’s goals, funding requirements and community impact
Identify operational risk, gaps and opportunities for improvement and innovation
Identify gaps and recommend solutions to increase service alignment and community access
Assess social determinants affecting members and families
Develop programs that address: Housing instability, Employment barriers, Transportation needs, Food insecurity, Caregiver support challenges, Specialty and primary care needs
Collaborate with community organizations to improve access to resources.
Design interventions that improve health equity and quality of life
Analyze member outcomes and utilization data. Identify trends and opportunities for service improvement
Establish strategic and operational performance indicators related to access, network capacity, waiver utilization, innovation adoption, community inclusion, and program effectiveness
Measure program effectiveness and return on investment
Establish strategic performance indicators to measure waiver utilization, access to services, community inclusion outcomes, health outcomes, quality metrics, and overall impact of IDD innovation initiatives
Prepare reports for leadership, state agencies, and stakeholders
Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
Travel to meet with members, providers, stakeholders, attend court hearings etc. is required