Under the supervision of the Program Medical Director, the Clinical Strategy Manager acts as a clinical advisor within Colorado Access for health programming and member-directed services. They will lead large scale, cross-functional programs, working directly with peer departments to execute on program and project initiatives as a partnership The Clinical Strategy Manager will be responsible for developing strategies, goals, workplans, policies, and procedures, and successfully leading the deployment of this work through other leaders and teams. They will develop, implement, and evaluate health services strategies, goals, work plans, policies and procedures, and outcomes.
Partner with business and clinical stakeholders to identify and prioritize opportunities for achieving improvements in health care, health outcomes, health care costs, and member engagement in health.
Provides strategic direction in health programming to include innovative, culturally relevant interventions. Aligns operations related to quality, health programs, research and evaluation, pay for performance measures, clinical interventions and data reporting required to execute health strategy related deliverables.
Works closely with Directors across the organization to make tactical and operational decisions that advance company strategies and goals and collaborates to deliver on company-wide deliverables/requirements.
Works closely with the Director of Care Management to distill and interpret data to guide programming and provide an outcome narrative to stakeholders.
Proactively examines data to identify gaps and opportunities, as well as evaluate outcomes. This includes evaluation of subpopulations and health disparities. Designs interventions to address identified gaps.
Applies a broad knowledge of project management, business operations and healthcare industry knowledge to manage multiple projects to successful completion.
Create curriculum/training and assessment for internal and external stakeholders on new initiatives.
Manages and collaborates with internal and external stakeholders and cultivates positive working relationships.
*Due to the pandemic, our employees are temporarily working at home. We require our workforce to reside in Colorado and telecommute, which may require you to come into the office as we serve our local communities.
COMPENSATION & BENEFITS:
Compensation: $73,000.00 to $116,000.00 annually. Pay rate/salary to be commensurate with experience.
Benefits: In addition to being part of a mission driven organization that serves our community, eligible Colorado Access employees receive a generous benefits package, including:
Medical, Dental, & Vision starting the 1st day of the month following start date.
Supplemental insurance such as critical illness and accidental injury.
Healthcare and Dependent care flexible spending account options.
Employer Paid Basic Life Insurance and AD&D (employee, spouse and dependent).
Short-term and Long-term Disability Coverage.
Voluntary Life Insurance (employee, spouse, dependent).
Paid Time Off
Tuition Reimbursement (based on eligibility).
Annual bonus program (based on eligibility, requirements and performance).
Colorado Access is committed to providing equal opportunities to all people regardless of race, color, national origin, age, sex, genetic information, religion, pregnancy, disability, sexual orientation, veteran status or any other status protected by applicable law. We strive to maintain a work environment that is free from unlawful harassment and discrimination.
Education: Bachelor’s degree in Nursing is required (BSN); with a Master’s in a health-related field is preferred.
Experience: Minimum of six years’ healthcare experience required High preference of at least two years leading healthcare strategy initiatives required. Clinical experience is preferred. Must have experience in effectively leading a diverse group of professionals with varying backgrounds. Experience with program development and implementation required. Experience working with the Medicaid/Medicare population and in a managed care setting preferred.
Knowledge, Skills, and Abilities: This position requires extensive knowledge of health plan operations, managed care, case management, utilization management, and related information systems, as well as knowledge of public sector health care programs (Medicare, Medicaid, Child Health Plans, waivers, etc.). Knowledge in condition management and chronic care models. Demonstrated ability to think strategically and develop short and long-term goals. Ability to synthesize complex internal and external information, knowledge of emerging trends and opportunities in health care market. Position requires excellent written and verbal communication skills. Demonstrates support for the company’s mission, vision and values. Excellent interpersonal and leadership skills with ability to effectively facilitate group interactions skills. Strong quantitative analysis, qualitative and problem?solving skills. Proven self-starter, excellent organizational and time management skills; able to work independently and with very limited supervision. Intermediate to advanced proficiency with standard Windows software packages, including Excel, Visio, and MS Project. May be required to manage multiple priorities and projects with tight deadlines.
Licenses/Certifications: Active RN license is preferred but not required. A valid driver's license and proof of current auto insurance will be required for any position requiring driving.
Colorado Access is a local, nonprofit health plan that serves more than one million members. The company’s members receive health care under Child Health Plan Plus (CHP+), and Health First Colorado (Colorado’s Medicaid Program) behavioral health, physical health, and long-term support programs. Colorado Access provides care coordination services and administers behavioral health and physical health benefits for two regions as part of the Regional Accountable Entity program through Health First Colorado.