PACE Program Director

Job Description

Primary Accountability

The PACE Program Director is responsible for the development, planning, implementation, and evaluation of the FHCN PACE program. This position plays a key leadership role, interacting with all levels of FHCN PACE staff, including the members, providers, community agencies, and health network management.

Description of Primary Responsibilities

• Provides overall management and direction to departmental / division staff. Responsible for performance management of departmental employees, including all managers, supervisors, and employees in the department, including recognition, performance evaluations, formal coaching and counseling, and making decisions or recommendations regarding necessary disciplinary actions. Responsible for recommending hiring or firing, and the advancement and promotion of managers, supervisors, and employees in the department, or any other change status of manager, supervisors, and employees in the department employees. Demonstrates core leadership behaviors and team one approach. Demonstrates a high level of emotional intelligence. Creates a culture of accountability and excellence. Drives execution and innovation. Ensures division alignment with organizational culture and strategic vision. Ensures development of and successful execution of an action plan across assigned employee base to support the strategic direction of the organization and obtainment of operational goals for assigned departments / division, effectively leading change when necessary. Empowers staff through effective communication and talent development. Ensures team members of all assigned areas of responsibility are fully functional and performing at a world class level. Ensures development of department / division managers and supervisors receive instruction / training that is in compliance with training plan, including on the job training to develop department employees. Works with manager and / or supervisor to ensure necessary remediation is taken with department / division employees assigned. Assists with the development of assigned departmental / division budget(s) and monitors budget to ensure expenses do not exceed budget. Ensures regulatory compliance for assigned departments / divisions, and compliance with all workflows, policies, and procedures. Recommends workflow, policy, and procedure changes based on observations from performance metrics, outcomes, and feedback from assigned leadership team members. Ensures department maintains compliance with all employee related reporting and tracking.
• Responsible for the development, oversight, and administration of all aspects of the 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 QA activities. Ensures the financial viability / continued growth of the program. Manages business relationships with all contracted providers, including contracts. Manages the development of the PACE program, including working with other departments and outside agencies. Manages the state and federal relationships surrounding the PACE program.
• Works with other departments to plan and direct all marketing and census development activities for the PACE program with the goal of growing enrollment through community outreach and eligibility.
• Ensures that the program complies with all Centers for Medicare and Medicaid Services (CMS) guidelines in the delivery of all participant services / programs. Participates in relevant internal and external organizational audits and surveys impacting the operations department to ensure successful outcomes. Conducts random audits of the health centers to ensure readiness at all times. Implements necessary adjustments to ensure compliance. Stays abreast of industry standards and maintains knowledge of regulatory requirements, including CMS, Joint Commission, HRSA, Title 22, etc. Ensures policies and procedures are adjusted based on updated or new requirements.
• Assesses and improves the PACE program’s performance on a continual basis by : Designing operational processes Monitoring performance through data and analyzing the data Implementing sustainable performance improvement Participating in multidisciplinary interdepartmental improvement activities.
• Performs other duties as assigned.

Description of Primary Attributes

Professional & Technical Knowledge :

Technical Skills :

Licenses & Certifications : None required.

Communications Skills :

Physical Demands : The physical demands described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee is regularly required to sit and type. The employee frequently is required to stand or walk, and occasionally move and / or lift items up to 20 pounds.

Pay Scale :

Min Salary Rate : $,.26

Max Salary Rate : $,.62