Senior Director, Clinical Program Development

About the role

As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™. Care at Somatus goes beyond treatment. Through a whole-person approach, we deliver outcomes-driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.

Responsibilities

• Develop the program roadmap and break down roadmap into tactical plan in conjunction with the product team
• Lead development of new clinical programs for CKD & ESRD population, including understanding existing workflow, defining program goals, KPIs, and assessments
• Assess, monitor, and optimize existing programs to achieve operational effectiveness, reduction in costs, and improvement in patient quality
• Oversee clinical and operational workflows, refining as needed
• Ensure the programs, workflows, and trainings align with requirements set forth by NCQA, Medicaid, SNP and other regulatory entities
• Interface with Senior Level Executives during client meetings / presentations
• Lead client workflow meetings for seamless collaboration as needed
• Work closely with payer partners to gather requirements, identify cross-system impacts, perform analysis, and drive project management
• Responsible for program and clinical operations collateral, including patient education materials, clinical team training manuals, and workflow documentation
• Collaborate closely with product development to ensure that technology solution supports clinical strategy
• Coordinate clinical program materials and new programs / new initiatives
• Collaborate with data and technology teams for successful development of reports related to clinical programs and workflows
• Contribute to a strong culture of continuous development and rapid iteration

Requirements

• Bachelor’s degree with 7-10 years of related experience
• Clinical licensure: RN, NP, RD or PharmD is required
• Experience working with clients and other external stakeholders
• Strong interpersonal and communication skills for cross-functional collaboration
• Utilizes strong organizational skills to execute against roadmap with timely deliverables and close collaboration with internal and external stakeholders
• Skilled at using all Microsoft applications including Visio, Word, Excel, PowerPoint and other web-based applications
• Understands and complies with highest standards of confidentiality
• Consistent track record of successfully leading program development and project management
• Understanding of healthcare workflows for population health, value-based care, and care management
• Understanding of MOC, SNP, Medicaid, NCQA, contract, and training requirements
• Understanding of business development process and needs
• Ability to document and analyze complex business requirements and processes
• Ability to create training content from program requirements and needs
• Ability to manage multiple, competing priorities with minimal oversight
• Able to handle ambiguity and desire to work in a fast-paced start-up environment

Qualifications

• Master’s degree
• Strong analytical skills
• Acute attention to detail
• Ability to be both a strategic and tactical change agent in the renal space
• Self-starter who will take initiative and be proactive when there are multiple priorities
• Strategic solution-seeker who sees opportunities when others see barriers
• Experience working with vulnerable patient populations (ESRD, CHF, geriatrics, minorities, low income, uninsured, etc.)
• Strong interpersonal skills and ability to communicate effectively