Senior Operations Director, Continuum of Care - Medicaid Care Delivery and Ops

Kaiser Permanente

$216K — $280K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years in a leadership role managing direct reports
  • 7+ years in customer or member/patient service
  • 4+ years managing operational or project budgets
  • Bachelor's in business, nursing, health care, or related field, OR 9+ years in business operations or clinical health care
  • 12+ years in business operations or clinical health care required if no degree

Responsibilities

  • Directs continuum of care operations to enhance patient care and align with organizational goals
  • Oversees strategy development with stakeholders to enhance business value
  • Aligns workflows and performance targets across departments
  • Engages with internal and external partners to remove barriers and improve human resource programs
  • Forecasts compliance readiness activities to meet regulatory standards
  • Establishes and manages departmental budgets to meet financial goals
  • Leads multidisciplinary teams for emergency preparedness planning

Benefits

  • Supports continuous learning and professional development
  • Offers opportunities for career advancement
  • Emphasis on diversity, equity, and inclusion
  • Flexible working arrangements
  • Access to industry benchmarks and best practices for ongoing improvement
Full Job Description
Job Summary:
Directs continuum of care operations to optimize patient care and support organizational goals. Oversees the development of strategy with stakeholders to identify factors contributing to business value. Aligns workflow and performance targets across departments and across KP. Partners with internal and external stakeholders to identify areas of improvement and alleviate potential barriers to the implementation of human resource management programs. Forecasts and establishes survey readiness activities to maintain compliance with regulatory standards and defines standards for audit documentation. Ensures short and long-range financial goals are met by establishing and controlling the department budget. Ensures standardized care delivery by leveraging enterprise interdependencies across multiple programs and/or program work streams to align key care delivery initiatives across KP. Assumes accountability for short- and long-term results and performance while ensuring guideline and regulation alignment. Forecasts and aligns resources to ensure optimal assignment and utilization. Oversees multidisciplinary clinical teams and plans long-term strategic goals of comprehensive emergency preparedness programs. Oversees improvements in operations and technology processes, identifying and addressing root causes, and implementing innovative solutions. Consults with executive management for effective integration of performance metrics to monitor the success of strategic improvement projects across the organization.
Essential Responsibilities:
  • Builds organizational capacity and prepares high potentials for growth opportunities and advancement; builds collaborative networks inside and outside the organization for self and others. Provides framework for soliciting and acting on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Models and drives continuous learning and oversees the recruitment, selection, and development of talent; stays current with industry trends, benchmarks, and best practices; ensures performance management guidelines and expectations to achieve business needs. Acts as a thought leader on industry trends, benchmarks, and best practices; shares best practices within and across teams to drive improvement. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning cross-functional resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact across teams.
  • Oversees the operation of multiple units and/or departments by identifying member and operational needs; ensures the management of work assignment allocation and completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Engages strategic, cross-functional business units to champion and drive support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and ensures resolution of escalated issues. Sets and communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; obtains and distributes resources. Anticipates and removes obstacles that impact performance; addresses performance gaps and implements contingency plans accordingly; ensures teams accomplish business objectives; serves as a subject-matter expert and trusted source to executive leadership; provides influence and consultation in the development of the larger organizational or business strategy.
  • Directs continuum of care / care at home operations to support patient care by: anticipating business issues and barriers and providing recommendations and overseeing the development of strategy with stakeholders to identify factors contributing to business value; aligning workflow and performance targets across departments and across KP and accountable for department performance targets and aligning with market strategies; optimizing and prioritizing operational initiatives and strategies related to departmental or program goals, objectives, and/or outcomes; partnering with internal and external stakeholders to identify areas of improvement and alleviate potential barriers to the implementation of human resource management programs; forecasting and establishing long-term survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and defining standards for audit documentation, information, and reports; and ensuring short and long-range financial goals are met by establishing and controlling the department budget and ensuring overall financial performance meets expectations.
  • Ensures standardized care delivery by: leveraging enterprise interdependencies across multiple programs and/or program workstreams to align key care delivery initiatives across KP; assuming accountability for short- and long-term results and performance while ensuring guideline and regulation alignment for regional shared services cross-functionality; building relationships with key leaders internal and external to KP to develop and implement patient management solutions, ensuring consistency and seamless transitions across the continuum of care; anticipating and aligning resources in clinical areas to ensure appropriate assignment and utilization for regional shared services cross-functionality; overseeing multidisciplinary continuum of care / care at home leaders and service lines; establishing standards across the enterprise that ensure appropriate oversight to maintain high quality contract/vendor relations that provide optimal patient care and medical services for care across the continuum; planning the long-term strategic goals of emergency preparedness programs, overseeing regional shared services cross-functionality, and ensuring the shared services emergency preparedness and recovery plans are current and that managers and staff are trained and know what is expected during and after an emergency; providing strategic direction to project teams leading initiatives and overseeing implementation, equitable distribution of resources, and delivery on objectives; and defining and maintaining oversight, and communication at the enterprise level.
  • Oversees improvements to operations and technology processes by: forecasting and determining the direction of future strategic projects and providing oversight for multiple internal and external strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; using broad trends from analysis across operations processes to identify and facilitate implementation of new practices and solutions to optimize the performance of operations system processes; and consulting with executive management for the effective integration of performance metrics to monitor the success of strategic improvement projects across the organization.
Knowledge, Skills and Abilities: (Core)
  • Ambiguity/Uncertainty Management
  • Attention to Detail
  • Business Knowledge
  • Communication
  • Constructive Feedback
  • Critical Thinking
  • Cross-Group Collaboration
  • Decision Making
  • Dependability
  • Diversity, Equity, and Inclusion Support
  • Drives Results
  • Facilitation Skills
  • Health Care Industry
  • Influencing Others
  • Integrity
  • Leadership
  • Learning Agility
  • Organizational Savvy
  • Problem Solving
  • Short- and Long-term Learning & Recall
  • Strategic Thinking
  • Team Building
  • Teamwork
  • Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)
  • Business Process Improvement
  • Calendar Management
  • Change Management
  • Compliance Management
  • Confidentiality
  • Conflict Resolution
  • Employee Training
  • Employee/Labor Relations
  • Financial Acumen
  • Health Care Compliance
  • Health Care Quality Standards
  • Information Systems
  • Legal And Regulatory Requirements
  • Maintain Files and Records
  • Member Service
  • Microsoft Office
  • Onboarding
  • Outcome Driven Innovation
  • Position Requirements
  • Stakeholder Management
  • Talent Management
  • Training
  • Union Work Environment
  • Vendor Management
  • Workforce Planning

Minimum Qualifications:
  • Minimum four (4) years of experience in a leadership role with direct reports.
  • Minimum seven (7) years of customer or member/patient service experience.
  • Minimum four (4) years of experience managing operational or project budgets.
  • Bachelors degree in a business, nursing, health care, or directly related field AND minimum nine (9) years of experience in business operations, clinical health care, or a directly related field OR minimum twelve (12) years of experience in business operations, clinical health care, or a directly related field.
Preferred Qualifications:
  • Basic Life Support (BLS) Certification.
  • Seven (7) years of project/program management and/or implementation-related experience.


Primary Location: California,Pleasanton,Pleasanton Tech Cntr Building D
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri,
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Flexible
Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee
Job Level: Director/Senior Director
Department: Oakland Reg - 1950 Franklin - Rgnl Pres-Medical Strategy - 0208
Pay Range: $216700 - $280390 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No

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