Director Clinical Programs

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 120,000 - 160,000; Full time

Job summary

Highmark Health in Pittsburgh seeks a senior leader to head the palliative and supportive care function of Well in Place. You will implement the clinical program and align with Medical Directors to ensure best practice and high-quality care.

You will manage hiring, coaching, budget oversight, and continuous improvement initiatives, directing a multidisciplinary team to improve patient outcomes while collaborating with enterprise risk, workforce operations, and clinical leadership.

Qualifications

• PA-C or CRNP with management experience.
• Experience leading project/workgroup initiatives.
• Preferred exposure to palliative care or hospice.

Responsibilities

• Hire, coach and develop staff; manage performance and productivity.
• Plan and direct day-to-day operations of the department and policies.
• Develop and monitor clinical quality programs with Medical Directors.
• Lead continuous improvement initiatives and workflows to boost efficiency.
• Collaborate with Management, Risk Assessment, and Workforce Operations teams.

Skills

People Leadership

Continuous Improvement

Quality Assurance

Interdisciplinary Team Work

Oral and Written Communication

Education

Physician Assistant or Master's Degree in Nursing

Job description

Job Summary

This position will lead the palliative and supportive care function of Well in Place. This role is responsible for the implementation of the clinical program and staying aligned with Medical Directors to ensure best practice and clinical quality.

Essential Responsibilities

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Develop and monitor clinical quality programs in partnership with Medical Directors and direct reports.
• Act as Executive Sponsor for continuous improvement initiatives.
• Lead a team to develop new processes and workflows to enhance program efficiency, staff satisfaction and patient clinical outcomes.
• Collaborate with Management and Risk Assessment leader to work toward shared outcomes.
• Collaborate with Workforce Operations team.
• Ensure decisions are driven by data and follow an agreed upon problem solving methodology.
• Partner with departments in the enterprise on projects related to care delivery, shared savings, and organizational goals.
• Assess readiness for strategic growth including but not limited to increased caseload geography, and care delivery model.
• Provide vision for incorporating population health strategies into workflow.
• Other duties as assigned or requested.

Experience

• Required 5 years in a PA-C or CRNP role
• Required 5 years in a management or leadership role
• Required 5 years of Project/workgroup Leadership
• Preferred 1 year in Palliative Care/Hospice
• Preferred 1 year in Community Based Healthcare

Skills

• People Leadership
• Continuous Improvement or Project Work
• Quality Assurance
• Interdisciplinary Team Work
• Oral and Written Communication
• Leading different disciplines to achieve shared goals
• Delivery of Virtual Healthcare Visits
• Customer service skills
• Ability to establish and maintain effective relationships
• Ability to work in collaboration with Medical Director(s)

Education

• Required Physician Assistant or Master's Degree in Nursing
• Preferred None

Licenses or Certifications

• Required Current Physician Assistant License or Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) and CRNP license.
• Preferred None.

Language (Other than English)

None

Travel Requirement

0% - 25%

Position Type and Physical Demands

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Non-office based Teaches / trains others Frequently Travel from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Additional Employment Requirements: Basic Life Support (BLS)

Compliance Requirements

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at [e-mail] California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.