Overall responsibility for the oversight and administration of the PACE program, which includes the effective planning, organization, administration and evaluation of the organization’s operations. This includes ensuring that appropriate personnel perform their functions within the organization. This position is responsible for managing all aspects of Reid Health’s PACE program, which consists of a primary care medical clinic, 24-hour care delivery, preventive services, a provider network, therapeutic services, a day health center, home care, transportation, and quality assurance (QA) activities. Duties include ensuring that the program complies with all Centers for Medicare and Medicaid Services (CMS) guidelines, ensuring the financial viability/continued growth of the program, managing business relationships with all contracted providers, and managing the state and federal relationships surrounding the PACE program.

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

• Responsible for maintaining confidentiality and providing excellent customer service to program enrollees, their families or sponsors. Identifies opportunities and prepares Reid Health PACE Center for the future

• Influences and guides the vision of the organization

• Keeps up to date on national and local trends impacting care delivery for older adults

• Develops strategic and business plans for the growth of Reid Health PACE Center

• Ensures the continued collaborative relationship between the parent organizations for the benefit of Reid Health PACE Center

• Determines site location for day centers and program expansion

• Ensures the effective administrative oversight for the development and implementation of Reid Health PACE Center programs and facilities

• Coordinates the governance of Reid Health PACE Center to ensure that issues are brought to the attention of the Board appropriately and the Board is kept informed on the key performance aspects of the entity

• Ensures that the legal records and documents are appropriately created and maintained

• Serves as liaison with state and federal regulatory agencies to negotiate as needed and represent the interests of Reid Health PACE Center

• Ensures the accurate and timely management of the financial operations of Reid Health PACE Center

• Ensures the development and management of data systems

• Oversees policy and quality program for compliance and performance improvement

• Keeps current on the changes in regulation and policy impacting Reid Health PACE Center

• Ensures that management staff and appropriate key personnel are aware of changes that impact operations and policy

• Develops and approves policies that meet applicable regulatory agency requirements and ensures adherence to policies and regulations

• Ensures the effectiveness of the team

• Directs the day-to-day operations of the services and business operations of Reid Health PACE Center

• Ensures the operations of Reid Health PACE Center are provided in a manner that shows respect for staff and participants based on the highest principles of customer service

• Directs the marketing and outreach activities of Reid Health PACE Center to meet enrollment goals within the limitations of regulatory guidelines

• Ensures the development and implementation of effective personnel practices including hiring, training, performance appraisal and team building

• Provides leadership in the development of creative and flexible solutions in the management of care

• Ensures the fiscal solvency of Reid Health PACE Center

• Ensures the timely and appropriate submission of rate proposals and cost reports to the state agency

• Monitors and ensures monitoring of service and administrative costs for maximum value and operating results

• Negotiates provider contracts with contracted health and medical services

• Develops and approves annual budgets and monitors results

• Obtains and administers loans as needed

• Manages PACE team and contractors in a skilled manner to ensure that all aspects of operations are run with skill, monitored and controlled for maximum performance

• Ensures the appropriateness of provider network development

• Ensures management staff accountability for supervision of staff regarding staffing, employment, evaluation and training

• Ensures that all management staff are facilitating efforts to maximize performance and focus on continual performance improvement

• Negotiates provider contracts with required network providers

• Complies with CMS PACE regulations as they pertain to this role

• Minimum Education Required: Bachelor’s degree in Nursing, Public Health Administration, or related Human Services field

• Minimum Education Preferred: Additional education with a business operations focus

• Minimum Experience Required: Significant progressively responsible experience in health care with managed care and geriatric service delivery required, with a minimum of 3–5 years managing and developing new services. Demonstrated leadership and management capabilities to facilitate effective and efficient operations and support effective relationships with external agencies and organizations to ensure success. Highly effective communication in writing and presentation

• Minimum Experience Preferred: Prior direct care experience with seniors is preferred. Prior involvement in the start-up of healthcare-related business

Licensure and Certification

• Licensure: As appropriate per degree

• Certifications: None

• Other: Strong personnel and financial management skills. Ability to work autonomously. Working knowledge of geriatrics and continuum of Long-Term Care. Working knowledge of 24-hour care delivery systems. Working knowledge of HMOs. Working knowledge of Medicare and Medicaid services

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes ated Best Places to Work 2022

Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

EEO Statement: Reid Health is an Equal Opportunity Employer

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Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

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