Reports to: Vice President of Population Health Initiatives
FLSA Category: Exempt / Grade 8
Purpose: Develops and maintains relationships with managed care plans, provider networks, members of the healthcare community (ie. hospitals, skilled nursing and assisted living facilities, etc) and community partners as it relates to Pima Council on Aging (PCOA), CareGiver Training Institute (CGTI) and Pima Care at Home (PCAH) programs and services. This position focuses on engagement and training, regularly scheduled service visits and service contract negotiations.
Major Duties and Responsibilities:
• Acts as the primary liaison between PCOA and its family of nonprofit companies and managed care plans, provider networks, members of the healthcare community and community partners as it relates to PCOA, CGTI and PCAH programs and services
• In collaboration with the VP of Population Health Initiatives and Program Leaders to, establish and manage goals, and objectives for each fiscal year
• Identifies, contacts, and fosters relationships with healthcare entities and partners in the healthcare community.
• Effectively recruits, negotiates and contracts providers from multiple lines of business as they relate directly to services provided by PCOA and its family of nonprofit companies
• Facilitates provider education and training to increase their familiarity and satisfaction with our programs, systems, policies and procedures.
• Work closely with the provider and member service departments to ensure comprehensive and efficient resolution of issues within stated deadlines
• Conduct provider outreach to educate and build/maintain positive relationships with contracted providers
• Manage outreach and communications with healthcare entities on a regular basis
• Engages with established and potential providers on a regular basis and develop and thorough understanding if their needs as it relates to PCOA programming
• Works with internal programs to ensure understanding of and adherence to external contract requirements
• Ensure understanding and collaboration between internal programs and contracted partners regarding contract expectations throughout life of contract
• Work with internal program leadership to verify internal capacity, procedures and systems are in place to ensure successful execution of contract expectations
• Works in coordination with the PCOA Philanthropy and Communications department and program leaders to create comprehensive and targeted outreach campaigns to meet the funding goals and objectives of the organization.
• Evaluate the effectiveness of all programs through evaluation and implement improvements as needed.
• Prepare program reports and analyze data to determine efficiency and effectiveness
• Develop and recommend program policies, procedures and process improvement as needed
• Establish and maintain cooperative working relationships with other agencies and organizations in the community.
• Represent PCOA in community coalitions, collaborations and committees
• Encourage and maintain mutual trust, respect, and cooperation among team members.
• Works on special projects and performs other duties as assigned.
Essential Functions: (Basic job duties that an employee must be able to perform, with or without reasonable accommodations)
• Ability to effectively communicate in person, via phone, via online platforms, and email
• Ability to use standard office equipment
Knowledge, Skills and Abilities:
• Ability to represent PCOA as a senior leader
• Knowledge of the healthcare industry; healthcare, clinical, medical terminology and environment; aging process; homecare industry; issues, health problems and conditions associated with aging and disabilities, social determinates of health.
• Knowledge and understanding of effective leadership principles.
• Knowledge of business and management principles involved in strategic planning, resource allocation, leadership techniques and program design and implementation.
• Ability to work effectively with culturally diverse individuals and in culturally diverse environments.
• Ability to work with minimum supervision and utilize strong organizational skills.
• Strong critical thinking skills and the ability to solve complex problems.
• Ability to communicate clear goals, vision and mission of the programs and of the agency.
• Proficient with Microsoft Office software
• Understanding of and commitment to the organization’s vision, mission and values.
• Bachelor’s Degree in business administration, healthcare administration, social work, public policy health or related field from an accredited college or university preferred.
• Proficient computer skills, Microsoft Office Suite, (Word, Power Point, Outlook, and Excel) social media, EHR, Eventbrite, CRM tools and video conferencing platforms
• Minimum of three years related experience
• Successful Level 1 fingerprint clearance and background check.
• Possession of a valid Arizona driver’s license and current automobile insurance
• Bi-lingual in English/Spanish preferred.
• Usually works in an office environment with low noise level due mostly to office equipment
• May conduct workshops, seminars, public speaking and other activities in locations throughout the community. The basic duties of this job may need to be conducted remotely as directed by the employer.
• The work environment noise is low, due mostly to office equipment.
• While performing the duties of this job, the employee is regularly required to walk, stand and occasionally climb or balance, stoop, kneel, and reach with hands and arms. The employee must lift and/or move up to 35 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, depth perception and ability to adjust focus. Hearing requirements include ability to listen and respond appropriately to conversations in person or on the phone.
Pima Council on Aging reserves the right to modify, interpret or apply this position description. This description in no way implies that these are the only responsibilities, including major responsibilities, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise; the employment relationship remains “at-will.” The aforementioned position requirements are subject to change to reasonably accommodate qualified individuals with a disability.
Hours of Work – 37.5 hours, primarily Monday-Friday, 8:30 am – 5:00 pm, with occasional evening and weekend hours.