Description: The Senior Director, Integrated Care Coordination is responsible for d executing the strategic direction and integration of a population management and integrated care coordination strategy and operations across the continuum. The comprehensive care designs must serve the needs of all members including the most complex, high-risk, and costly patients; the identification, understanding, and segmentation of a population; the redesign of services for that population; and the delivery of those services at scale that ensure that KPMAS understands and addresses the broader social, environmental, and behavioral determinants of health for our members. This is necessary in order to achieve better outcomes, improve the care experience, and control total costs of care. This clinical operations leader provides the necessary KPMAS direction to direct reports to ensure e the oversight of planning, development, assessment, monitoring and execution of programs and services by direct reports that support the strategic development of Population Health/Management Programs and the integrated care continuum which encompasses ambulatory, acute, and post-acute care across all lines of business. Senior Director is responsible for the leadership and coordination and execution in collaboration with MAPMG leadership, the Sr. Director Integrated Care Coordination (ICC), serves as a critical leader of the regional leadership team for how to operationalize the management of population management/medicine processes for the KPMAS membership clinical care across the continuum.Essential Responsibilities:In coordination with MAPMG, leads the clinical operationalization and integration of population management and integrated care coordination strategies and processes across the continuum.Ensures that the comprehensive care designs serve the needs of all members including the most complex, high-risk, and costly patients; the identification, understanding, and segmentation of a population; the redesign of services for that population; and the delivery of those services at scale that ensure that KPMAS understands and addresses the broader social, environmental, and behavioral determinants of health in order to achieve better outcomes, improve the care experience, and controls total cost.Ensures that a clinical infrastructure is implemented using MCG or similar leading practice clinical guidelines across the continuum to improve the clinical quality of care, reduce practice variation and medical costs appropriately. Ensures that these clinical guidelines drive the implementation of care models that address the needs of the ambulatory, acute and post-acute care across all lines of business.Collaborates with cross-functional stakeholders within health plan departments, Care Delivery Organization and Medical Group to ensure that processes address growth, affordability and member centeredness goals and objectives. Continues to develop and maintain an expert level of knowledge and skills regarding Population Health/Management /Medicine, Integrated Care Coordination functions, professional standards, accreditation, or regulatory requirements and industry leading practices for all integrated care coordination functions.Oversees the development of plans, budgets, contracts, and performance management of staff Oversees the successful implementation of processes to effect operational benchmarks, policies, standards, practices and procedures; and establishment of goals and objectives for each functional department.Ensures compliance with administrative, legal, and regulatory requirements of the Health Plan Contract and government accrediting agencies.Works with management leaders to identify and establish effective population health and care management programs and practices which are cost effective and provide quality service to members, staff, and physicians.Contributes to effective and accurate communications, operations, and planning by monitoring performance, conducting studies, and reporting findings, and participating in special committees and/or projects as directed.Participates in Joint Operation Committees and community relations activities as necessary to enhance the image and reputation of the organization in local customer service areas. Be prepared to represent the organization in activities involving leaders in business, government, labor, the community at large, Health Plan Members and healthcare providers in the area as needed. Basic Qualifications:ExperienceMinimum five (5) years management experience in a multi-faceted healthcare system and multiple healthcare service provider setting. Minimum three (3) years experience working with chronic conditions, disease management, care management or management of vulnerable populations required.EducationBachelors degree required.License, Certification, RegistrationN/AAdditional Requirements:Demonstrated management experience across multiple sites.Ability to lead and implement change management and process improvement activities.Ability to understand and utilize data as meaningful information to improve performance.Strong communication, presentation, leadership, analytical and problem-solving skills.Significant knowledge of applicable federal and state laws and regulations related to healthcare (i.e., Public Employees, TJC, NCQA, and all applicable Medicare and Medicaid regulations and Nurse Practice Act).Must be able to work in a Labor/Management Partnership environment.Preferred Qualifications:Minimum three (3) years clinical practice in an acute hospital, community or ambulatory healthcare environment preferred.Prior experience as a director in a health plan preferred.Masters degree.Care Coordination and Transition Management Certification (CCTM) preferred.Certified Case Manager (CCM) preferred.Registered Nurse preferred Primary Location: Maryland,Rockville,Rockville Regional Offices Scheduled Weekly Hours: 40 Shift: Day Workdays: mon-fri Working Hours Start: 08:00 AM Working Hours End: 04:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-MAS-01NUENon Union Employee Job Level: Director/Senior Director Department: Regional Office - Med Ofc Admin-New Buspractices - 1808 Pay Range: $173000 - $223300 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: Yes, 10 % of the Time At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing. Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest Load More