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26 days ago
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Requirements and responsibilities
Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.At Vynca, our mission is to provide comprehensive care for more quality days at home.About the jobThe Director of Enhanced Care Management is responsible for directing and overseeing operations of the enhanced care management program. This includes responsibility for Cal AIM program performance, provider and community collaboration/engagement, oversight of the care management specialists, policy development, process improvement/program enhancements, managing interdependencies and risks, and developing growth opportunities. The director works on projects from the point of conceptualization up to the implementation stages, and is responsible for resolving complex problems. The director supports the VP of Clinical Operations in the development of strategy that results in better health quality outcomes, better patient care, and lower cost of care.The Director of Enhanced Care Management will develop, implement, supervise, and manage Vynca’s Enhanced Care Management Program. They will supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff. This individual will be responsible for administering the ECM program, developing linkage with healthcare plans, outreach, creating clear and easy access and entry into the ECM program, program evaluation, and staff supervision.What you’ll doSupervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staffRefine and implement program policies and proceduresOversee day to day ECM programEnsure that ECM contract goals and objectives are metEnsure contract regulatory and data requirements are metEnsure records (electronic and physical) and billing requirements are kept up to standardsOversee assessments, intakes, care planning, crisis management, transition plansOversee and ensure staff trainingRun EHR reports as neededOversees claims submission, denials, and receipt of paymentsAttends meetings and represents the organization with the public, local businesses, employers, health plans, vendors, regulatory and outside vendorsProvides reports to management and managed care plans regarding ECM as neededResponsible for CalAIM program performance and successful execution of all SLAs.Oversee all aspects of running an efficient team, focusing on role definition and attainment of goalsDesign and implement standard operating procedures and workflows for the departmentDevelop strategic messaging that conveys the company’s value proposition and overcomes patient objectionsManage quality assurance programs to enhance the client experienceDevelop KPIs that align team member performance to business objectivesManage P&L and report accurate business results in monthly operations reviewsApply creative, analytical solutions to business problems, with the ability to remain nimble and pivot quickly when neededCollaborate with other department leaders and foster cross functional cooperation, especially with business development for referral management and clinical operations for patient on-boardingExemplify company culture by modeling core values of the organization and ensuring staff understands values and missionOther related duties as assignedYour experience and qualificationsBachelors Degree, highly preferred5+ years of people management experience3+ years of care management experienceExperience with Enhanced Care Management programs, highly preferredProven, results-driven business leader with P&L responsibility experienceSuperior organizational skills to orchestrate internal and external meetings driving outcomesSelf-directed, entrepreneurial leader with the flexibility and tenacity to thrive in a fast-paced, high-growth, dynamic environmentProficient with Microsoft and Google applications, plus general computer literacyStrong adaptability to work collaboratively and cross-functionally in a remote environmentMust have access to reliable internet connectionAbility to work with complex and multifaceted tasks and systems.Experience working with culturally, ethically, sexually, and socio-economically diverse populations with the ability to maintain sensitivity in all interactionsExperience working with multidisciplinary teamsThis is a remote position with occasional travel required for training, meetings, and other business needs. At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah, and Washington.We offer competitive compensation based on factors such as experience, skills, location, company needs, and market demands.Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits. For field roles, mileage reimbursement will be provided per IRS guidelines.Additional InformationThe hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.
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