Traditional Health Worker Manager
PacificSource

Job Info

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Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

The Traditional Health Worker (THW) Manager is responsible for managing a THW team and executing a THW strategy to improve the health of PacificSource members across all lines of business, with an emphasis on Medicaid. This role is responsible for project management, delivery, and debrief of the annual THW Medicaid deliverables. This work will deliver on the quadruple aim of improving member and provider experience, clinical/quality outcomes, and reducing the cost of health care.

Essential Responsibilities:

• Provide leadership for THW liaison and coordinator roles to ensure successful regional strategies for budgeting, programs, payments, and workforce development are launched, tracked, and analyzed.
• Successful execution on Medicaid deliverables including reviewing feedback for future areas of opportunity. Ensure timely submission to state health authorities.
• Lead enterprise-wide initiatives aimed to improve network adequacy, THW utilization, and workforce sustainability through partnerships with external and internal stakeholders.
• Identify systems supporting or creating barriers to this work to ensure THWs can continue to bridge communities and health systems for innovation.
• Ensure all THW payor models advocate for high quality care and access while empowering health plan members and advocating for health equity at every turn.
• Provide technical assistance and support for training and education for contracted community-based or provider partner organizations. This may include development of materials, webinars, and other educational documents. Promote education through PacificSource mediums and external presentations.
• Oversee existing and prospective THWs in enrolling as providers, navigating certification, tracking progress, assisting with state registration, and providing technical assistance as needed.
• Lead the annual THW Integration and Utilization Plan. Work with THW team and Director of Community Health Strategy to ensure alignment with the healthcare workforce development program, and compliance with state regulations and the Oregon Health Authority's Traditional Health Worker Commission's best practices under the Office of Equity and Inclusion.
• Actively participate in internal and external meetings for feedback, collaboration, and approval as THW subject matter expert including covering regional work, as needed.
• Develop and manage required reports that meet the department's annual plans and goals.
• Develop effective solutions and manage schedules, timelines, activities, and milestones to ensure thorough development and timely implementation of projects. Routinely monitor and report on progress.

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
• Participate in and support project teams led by other departments and provide necessary input to support the goals of colleagues.
• Follow the Pacific Source privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: Five years of experience in healthcare, public health, or community-based organization including at least two years of experience as a THW or in health care coordination. Experience leading teams in healthcare or relevant field also required. Experience with Oregon Medicaid, program development, project management, and quality improvement strongly preferred. Proven track record of managing multiple high-risk, high-visibility, initiatives from definition through implementation.

Education, Certificates, Licenses: Bachelor's Degree in related field or equivalent combination of education and experience is required. THW training and certification strongly preferred.

Knowledge: Knowledge and understanding of THW roles, social determinants of health, and health equity. Commitment to diversity and inclusion. Excellent organizational skills demonstrating efficient documentation methods. Demonstrated successful communication and interpersonal skills. Ability to be nimble in a fast-paced environment with competing deadlines. Demonstrated skills with the following software: Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, Visio), SharePoint, and data analytics software are preferred. Strong understanding of regulatory requirements, technical writing, project management, and the desire to continue to position PacificSource as an industry leader.

Competencies

Building Trust

Building a Successful Team

Aligning Performance for Success

Building Partnerships

Customer Focus

Continuous Improvement

Decision Making

Facilitating Change

Leveraging Diversity

Driving for Results

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Rare overnight travel.

Skills:
Accountable leadership, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic Thinking

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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