Executive Director PACE Operations

About the role

The Executive Director PACE Operations leads assigned PACE ministries of the PACE Service Line, overseeing operations of at least 7 (seven) ministries operating in several distinct markets, with a minimum of $175m in gross revenue per year.

Responsibilities

• Leads assigned ministries of PACE Service Line, for successful achievement of PACE Operations and Key Performance Indicators ensuring that quality integrated services are provided across multiple distinct markets.
• Leads 7 or more distinct ministries with unique cultures, markets, community relationships, and operations, and a combined gross annual revenue of greater than $175M.
• Develops and implements systems for the achievement of all quality, service delivery, utilization and financial targets established for the PACE Service Line.
• Ensures systems are in place for timely and accurate reporting to meet all organizational requirements related to quality, safety, DEI, care management, compliance, and finance.
• Develops and implements key strategic priorities, including, but not limited to, system restructure, organizational development and redesign, operational integration across multiple ministries, and strategic growth in unique and under-served markets that have been identified as strategic growth opportunities by PACE executive leadership.
• Develops and implements systems to achieve Service Excellence to participants, families, caregivers and community-based partners and contracted providers.
• Stays abreast of all legislative and regulatory issues affecting PACE and related programs.
• Establishes liaisons with local and state industry representatives to further the understanding of PACE.
• Maintains relationship with CMS and State Medicaid/Department of Aging and Health and Social Services.
• Develops and implements both financial and clinical strategies and operations consistent with the strategic goals, mission and values of the PACE Service Line, HCC and the Health System.
• Develops and implements strategies for operating systems designed to support growth and alignment with related elements of the clinical continuum of care, including but not limited to PACE and other community-based services.
• Ensures quality, comprehensive services are provided within the scope and intent of the PACE model of care per regulatory and licensing standards.
• Manages assigned core leaders and shared service functions in accordance with PHS mission, values and policies; builds high-functioning teams with highly engaged leaders delivering best in class participant experience and outcomes, including the best geriatric clinical practices available for the frail elderly population; leads coordinated cross-ministry work to ensure financial performance, and assumes advocacy role in public and community relations activities related to improving access to PACE for all eligible beneficiaries.

Requirements

• Bachelor's Degree in Healthcare Administration or related field; or equivalent educ/experience.
• Master's Degree in Healthcare Administration or related field (preferred).
• 10 or more years of experience in health care, long term and/or case management services for the elderly.
• 5 years of Leadership experience in health care, long term and/or case management services for the elderly demonstrating progressive advancement of responsibilities and accountabilities.
• Experience in the PACE model (preferred).
• Experience in managed care environment (preferred).

Qualifications

• Demonstrated leadership ability in creating vision for areas of responsibility, motivating staff to participate in its achievement.
• Excellent organizational skills, including the ability to prioritize, set limits, make decisions and follow through with commitments.
• Demonstrated ability to collaborate with staff, managers and other key leaders to achieve goals and objectives of the organization.
• Demonstrated business knowledge and abilities including strategic planning, financial management, program development and program management.
• Demonstrated expertise in efficiently managing budgets, monitoring expenditures and determining resource allocation.
• Knowledge and demonstrated skill in the management of health care related programs for frail elderly.
• Able to travel in a time efficient manner between sites as assigned.
• Able to travel extensively in the near geographic area with periodic overnight travel.