Program Director

Inspire Health Alliance; Fremont (CA); On-site; USD 95,000 - 105,000; Full time

Benefits offered by this job

Paid time off

Sick time off

Employee product discounts

Term life insurance

Healthcare stipend

Birthday paid day off

Job summary

HERS Breast Cancer Foundation in Fremont, CA seeks a full-time Program Director to oversee patient programs, budgeting, and staff coordination at the Fremont location, with flexibility for the San Leandro satellite. You will manage mastectomy fitter staff, insurance processes, and program outcomes to support patients and survivors.

The role requires a CMF certification (or willingness to obtain within 6 months) and 4–6 years in healthcare/nonprofit program management.

Qualifications

• Bachelor’s Degree in Public Health, Social Work, Healthcare Administration, Nursing, Business Administration, or a related field.
• 4 to 6 years of experience managing programs in a healthcare or nonprofit setting, with preference for oncology, women’s health, or clinic management.
• Active CMF certification through ABC; if not certified, obtain within 6 months of hire. Costs covered by the Foundation.

Responsibilities

• Oversee implementation of patient programs and services to ensure best outcomes while sustaining programs.
• Manage staff including Breast Care Specialists, Support Specialists, Medical Receptionists, and an Insurance Authorization Specialist.
• Coordinate budgeting, vendor relations, insurance billing, and staff scheduling to meet annual revenue targets.
• Ensure regulatory compliance (HIPAA) and maintain patient health records and inventory systems.
• Prepare program reporting, metrics, and participate in Foundation Board meetings bi-monthly.

Skills

Program management

Staff supervision

Budgeting

Regulatory compliance

Communication & collaboration

Education

Bachelor’s degree in Public Health or related field

Tools

Microsoft Office Suite

Job description

HERS Breast Cancer Foundation ("the Foundation") is seeking a full-time Program Director to oversee its programs and services which provide breast cancer patients and survivors with assessment and fitting services, and products including breast prosthetics and pocketed bras, compression garments to alleviate breast cancer-related lymphedema, and wigs.

In continuous operation since 1998, the Foundation is an invaluable community resource with the mission of supporting all individuals healing from breast cancer by providing post-surgical products and services regardless of patients’ financial resources. Mission fulfillment is achieved through three assistance programs which ensure that low income, under-insured, and uninsured breast cancer patients may access products and services that help them heal physically and emotionally.

The “HERS” in the Foundation’s name represents what its team strives to provide and restore in every patient served – Hope, Empowerment, Renewal, and Support.

An accredited Durable Medical Equipment (DME) provider and a 501(c)3 nonprofit organization, the Foundation operates its primary location in Fremont and a satellite location in San Leandro. The Program Director is expected to work full-time and in person at the Fremont location but should be flexible regarding working at the San Leandro location.

Programs and services are sustained by insurance reimbursement for dispensed products as well as year-round fundraising and grant writing efforts. Additionally, the Foundation is generously supported by volunteers who provide day-to-day administrative and event-specific assistance.

Position Summary, Core Role Skills, and Expectations

The Program Director is responsible for the implementation of the Foundation’s patient programs and services in a manner that ensures the best possible patient outcomes while also ensuring programs are sustained. Duties include managing patient relations, product budgeting, sourcing, and ordering, inventory management, developing and maintaining vendor relations, and coordinating the authorization and scheduling processes as well as insurance billing.

The Program Director is also tasked with developing a budget for program staff and managing staff; this includes Breast Care Specialists (fitters), Breast Care Support Specialists, Medical Receptionists, and an Insurance Authorization Specialist, and Patient Scheduler. The number of staff ranges from eight to10 full-time and part-time individuals.

To ensure regulatory compliance, the Program Director sees that Breast Care Specialists obtain and keep their certification current, encourage ongoing education by taking advantage of training opportunities, and adhere to the requirements set forth by the Foundation’s accreditation body.

Additionally, this role is tasked with ensuring that the Foundation’s patient health record and inventory/invoicing systems are operational, responsibly managing patient billing Accounts Receivable, and ensuring that patient products are dispensed and billed properly.

Key Responsibilities

1. Patient Program and Staff Management:

• Hire, train, and supervise mastectomy fitter trainees and ensure that they obtain their certification (CFm) within 6 months of their hire date. This includes ensuring that staff members adhere to the highest standards of compassionate and professional patient care.
• Supervise and/or provide direct fitting services, if needed, during peak hours or low staffing occurrences and complex cases. Manage patients requiring additional assistance, including handling patient escalations.
• Hire, train, and supervise Insurance Specialist(s), Appointment Scheduler(s), and Medical Receptionist(s). ensure that they follow Foundation policies and procedures. This includes ensuring that staff members adhere to the highest standards of compassionate and professional patient care.
• Establish and manage operational procedures for patient referral and eligibility processing, appointment scheduling and intake, product fitting assessment, and product selection (includes ready to wear and custom solutions), product dispensing and fulfillment, and fitting evaluation and documentation.
• Establish and achieve annual Program revenue targets in line with the Foundation’s overall budget goals. Manage inventory budgets and product margins to ensure compliance with budget targets.
• Collaborate with the Executive Director regarding patient Assistance Program applications; ensure that products are dispensed for approved patient applications in a timely manner, and the foundation funds are applied in compliance with all financial processes and procedures.
• Oversee continuing education and ensure all team members stay up to date on product information, compliance, and/or industry changes/mandates.
• Coordinate insurance contract rate changes and coverage updates with the Foundation’s staff and billing vendor.

2. Operations, Inventory, and Compliance

• Manage vendor relationships with DME manufacturers and medical supply distributors to secure cost-effective pricing, bulk purchasing agreements, or new product donations.
• Manage billing vendor relationship, and address insurance claim processing questions, escalations, and application of payment reimbursements,
• Maintain rigorous inventory management protocols, utilizing software to manage product supplies in a diverse range of sizes and colors, and compression levels.
• Ensure strict compliance with HIPAA regulations, patient privacy standards, and health facility cleanliness/sanitization protocols for fitting rooms.
• Oversee clinical charting and documentation to ensure accurate tracking of patient histories and program metrics.
• Conduct annual inventory at all locations by the end of June.
• Coordinate with the Executive Director and/or other staff to manage private insurance contracts, Medicaid managed care organization, and Medicare to ensure proper billing. Manage prior authorizations and collaborate with the Foundation’s billing vendor regarding denied claims appeals.
• Prepare program reporting and metrics, and participate in Foundation Board Meetings, scheduled bi-monthly

3. Stakeholder Engagement & Strategic Partnership

• Cultivate relationships with clinical partners, including breast surgeons, oncologists, oncology nurses, and physical therapists specializing in lymphedema care.
• Collaborate with the development team to supply qualitative patient stories, quantitative impact metrics, and demographic data for breast cancer foundation grants.

Qualifications & Skills

Required Education & Experience

• Bachelor’s Degree in Public Health, Social Work, Healthcare Administration, Nursing, Business Administration, or a related field.
• 4 to 6 years of experience managing programs in a healthcare or nonprofit setting, with a strong preference for backgrounds in oncology, women's health, or clinic management.
• Active Certification as a Mastectomy Fitter (CMF) through ABC (American Board for Certification); if the candidate is not certified, the candidate must obtain certification within 6 months of their hire date. Related costs, including coursework, testing, certification renewal, and reasonable time spent in pursuit of the certification are covered by the Foundation.

Core Competencies

• Clinical Sensitivity: Deep understanding of post-surgical anatomy, tissue healing, lymphedema risks, and the physical/emotional trauma associated with mastectomy surgery and/or breast cancer treatment.
  Cultural Competency: Ability to build trust and manage accessible programs for culturally and socioeconomically diverse populations.
  Logistical Precision: Ability to oversee and interpret organization data (inventory turnaround, distribution speed) alongside clinical metrics (patient satisfaction, barrier reduction rates).

Note: Duties assigned by this position’s immediate supervisor may be added or changed based on business needs.

Other Skills

• Ability to interpret insurance contracts and track/comply with insurance coverage changes and how it impacts patient insurance billing.
• Essential to this role: effective and compassionate communication skills, including active listening, and the ability to de-escalate interactions.
• Ability to manage multiple and diverse tasks over the course of a workday while demonstrating a high level of detail and organization.
• Clear and concise writing skills for the purposes of patient charting, patient communications, and internal communications.
• Proficiency in Microsoft Suite; key applications include Word, Outlook, Teams, Excel, OneDrive, and SharePoint, and ability to type a minimum of 40 wpm.
• Ability to manage staff and collaborate with the Senior Breast Care Specialist and the Executive Director.
• Demonstrate knowledge of, and compliance with, the Employee Handbook’s policies and procedures and the accreditation policies.
• Consistently utilize the Foundation’s online human resources and time management system.

Other Requirements

• Undergo, at the Foundation’s expense, a background check; eligibility for employment depends upon successful completion.
• Flexibility regarding work site location; while not common, there are occasions when working at a Foundation satellite location may be necessary.
• Possess or have access to reliable transportation to ensure timely and consistent work attendance.
• Proof of vehicle insurance when/if travel is necessary from one Foundation location to another or, if needed, travel from one Foundation location to non-Foundation destination.
• Participate in events designed to support programs and services; these include two mandatory major fundraisers -- a spring gala and fall walk/run event.
• Participate in monthly all-staff meetings and oversee weekly standing fitter and support staff meetings.
• Attend six annual Board meetings and the Foundation’s annual staff retreat.
• Given the health vulnerabilities of our patients and to help prevent the spread of illness internally, all staff members are required to wear Foundation-provided disposable face masks at work except when actively eating/drinking.

Compensation and Benefits

The salary range for this position is $95,000 to $105,000. The Foundation provides PTO (paid time off), Sick Time Off, and employee product discounts as well as term life insurance and a monthly healthcare stipend for full-time employees.

The employee’s birthday is also a paid day off once the employee has reached one year of employment.

Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.