Provider Network Director jobs in California

Company Overview: Full Circle Health Network is an integrated network of nonprofit, nationally accredited providers delivering coordinated, community-based services to vulnerable children, individuals and families across California.

Full Circle exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations that address their whole-person and whole-family needs.

We accomplish this primarily through the following core activities:

• Serve as a single contracting vehicle for community-based providers to enroll in Medi-Cal managed care plan networks.
• Reduce administrative burden for providers so they can focus on serving clients.
• Drive improved coordination between providers across multiple systems through technology infrastructure, training, and administrative practice support.

The Full Circle Health Network embraces the population health vision of CalAIM. Healing trauma, stabilizing home environments, and reuniting families promotes wellness throughout a child’s lifetime reaping innumerable future individual and societal benefits.

Full Circle Health Network is closely affiliated with the CA Alliance of Child and Family Services, under the governance of the California Alliance Board of Directors. The Network has an advisory board made up of subject matter experts and participants of the network.

Position Overview: Full Circle is looking for an CalAIM Program and Network Development Director to drive performance in achieving network adequacy and program enrollment goals. The position will report to the Chief Operations Officer. This is an exciting opportunity to be at the nexus of California’s CalAIM Medi-Cal reforms to help make the systems work better for children, youth and families who rely on California’s safety-net programs.

Responsibilities:

• Be a subject matter expert and lead program development for all CalAIM services: Enhanced Care Management, Community Health Workers, and Community Supports.
• Manage a team of provider contracting and success managers to develop statewide network capacity and program development to achieve ECM, CHW and CS program enrollment goals.
• Guide staff in creation of a Learning Collaborative/Community of Practice whereby participating CBOs share experiences, lessons learned, best practices, etc.
• Leads and/or participates in cross-functional workgroups created to maintain and develop core programs and efficient network operations.
• Evaluates all facets of the programs to improve efficiency of operations, financial return, customer service, and provider engagement.
• Represent Full Circle and providers at key meetings to inform and shape ongoing policy development.
• Support the development of communication materials and participate in forums to share core principles and best practices for all CalAIM service adoption based on the provider experience.
• Hire, train, coaches, counsel, and evaluate performance of direct reports.
• Other duties, as assigned.

Qualifications:

• Ability to work independently and maintain positive relationships with internal and external contacts at all levels.
• Ability to communicate and work effectively with a variety of providers and individuals demonstrating problem-solving skills.
• Must be able to represent Full Circle in a positive and collaborative manner externally to relevant stakeholders.

Skills and Characteristics:

• Highly self-motivated and able to work independently.
• Committed to diversity, equity, and inclusion in personal practice and policy matters.
• Excellent writing skills with demonstrated experience conveying key messages clearly, timely, and succinctly.
• Must be extremely organized, with sharp attention to detail, having a strong work ethic and possess a willingness and ability to learn.
• Computer applications, including word processing, database and spreadsheets is required. Possess organizational skills to maintain accurate records and documentation. Proficient in Microsoft applications such as, Word and Excel. Strong oral and verbal presentation skills.

Education and Experience:

• 5 - 7years of experience working in health care or managed care operations, including in management positions, and demonstrating successive increases in responsibility
• Experience working in managed care and provider network management preferred.
• Bachelor’s degree

Equal Employment Opportunity:

Full Circle Health Network is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Additionally, we adhere to all relevant state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Full Circle Health Network is dedicated to fostering a workplace that reflects the diversity of the communities we serve. We encourage applicants of all backgrounds to apply.

Job Type: Full-time

Pay: $130,000.00 - $140,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Compensation package:

• Yearly pay

Experience level:

• 5 years

Schedule:

• 10 hour shift
• Monday to Friday
• Weekends as needed

Experience:

• Management: 3 years (Required)

Location:

• California (Required)

Work Location: Remote