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Program Lead - (Medicaid)

Company

Kepro

Address Raleigh, NC, United States
Employment type FULL_TIME
Salary
Category Technology, Information and Internet
Expires 2023-08-10
Posted at 10 months ago
Job Description
Program Lead - CAP - DA


  • Are you an experienced Program Lead looking for a new challenge?
  • Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive?


If so, you might be our next new team member!


Note: (Remote Opportunity - Must reside in North Carolina)


Who we need:


The Program Lead oversees the clinical team and functions and manages and completes assigned work plan projects to comply with performance standards. The Program Lead coordinates with the Department on decisions and issues and communicates with providers regarding determinations and other clinical matters. The Program Lead also develops and leads clinical staff in activities to facilitate and support clinical, quality, and cost-effective outcomes.


Why us?


We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.


Singularly Focused. Mission Driven.


Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.


We do this through our people.


You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.


Benefits are a key component of your rewards package. Our benefits are designed to provide you additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.


What you’ll do:


The Program Lead oversees the clinical team and functions, and manages and completes assigned work plan projects to comply with performance standards. The Program Lead coordinates with the Department on decisions and issues, and communicates with providers regarding determinations and other clinical matters. The Program Lead also develops and leads clinical staff in activities to facilitate and support clinical, quality, and cost-effective outcomes.


  • Provide advice and assistance to leaders in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures. Collaborate with leadership in the development of new and enhanced products and services.
  • Maintains professional relationships with provider community and external customers and identifies opportunities for improvement.
  • Ensure adequate staffing and contractual service levels are adhered to by implementing and monitoring clinical staff productivity and performance indicators. Maintains effective team member relations.
  • Represents the clinical department by participating on committees, task forces, work groups, and multidisciplinary teams.
  • Manages and completes assigned work plan objectives and projects on a timely basis.
  • Leads team members in improving skills, creativity, and problem-solving.
  • Work with management team to develop and enhance the operational structure including skill set requirements, gap analysis, and training using workforce planning.
  • Oversee, coordinate, and monitor all Clinical team activities.
  • Provides reports of compliance and other activities.
  • Participates in the development of policies and oversees clinical staff activities to ensure compliance with regulatory and accrediting standards, quality assurance and inter-rater reliability.


The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.


What you’ll need:


Required Qualifications


  • Bachelor’s degree is required in a Human Services Field
  • Active unrestricted RN license preferred


Knowledge, Skills, Abilities


  • Knowledge and willingness to become a subject matter and thought leader for designated program(s).
  • Ability to professionally respond to change and handle multiple and changing priorities with sometimes conflicting deadlines.
  • Demonstrated proficiency in MS Office applications.
  • Ability to maintain a positive attitude and contribute both as an individual and a team member to achieve the goals of the department.


Experience


  • Experience with stated State Medicaid program (PCS, CAP/DA, CAP/C), strongly preferred.
  • Experience in Behavioral Health and Home Health services, strongly preferred.
  • 5+ years staff/workload management experience required.
  • Experience working with vulnerable populations, strongly preferred.


Thank You!


We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in


Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!


~ The Acentra Health Talent Acquisition Team


EOE AA M/F/Vet/Disability


Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.