AmeriHealth Caritas District of Columbia

Oversee the development and implementation of special projects, marketing campaigns, community events, health promotion and population health programs with providers, community organizations, vendors and strategic partners for the purposes of improving overall member outcomes and advancing the plan’s business goals in the areas of membership growth, membership retention, member health/wellness initiative discovery and participation, HEDIS results, EPSDT and Pay4Performance. 

Responsibilities

• Provide department oversight and ensure that the supervisors are regularly monitoring and tracking individual Community Educators/Community Health Worker activities to ensure the quality and accuracy of the information conveyed to members (enrollees) and the documentation of those activities in the company’s systems.
• Establish and implement appropriate policies, procedures and practices within the department to ensure that all telephonic and face-to-face outreach is conducted in a manner consistent and compliant with the DC Department of Health Care Finance contract’s rules and guidelines.
• Ensure the supervisors are consistently and effectively managing weekly schedules and monitoring daily and weekly productivity and performance dashboards.
• Complete monthly/ quarterly/annual reviews, staff development and counseling regarding job performance with department supervisors and ensure that the supervisors are doing the same with their staff.
• Collaborate and coordinate with the Manager of Marketing and Health Promotion Programs, Manager of Member Engagement and the Provider Network Management department to build and maintain good working relationships with community leaders, advocates, and providers.
• Establish relationships with network providers (hospitals, FQHCs, independent practices) to conduct wellness days, focused screening days, and block scheduling arrangements to help the plan meet its HEDIS, EPSDT and gap-in-care closure goals.
• Identify and implement arrangements with network providers where community outreach staff can be embedded part time or full-time in their facilities to increase AmeriHealth engagement with members (enrollees) in support of plan goals and priorities.

Qualifications

• 3-5 years of supervisory experience
• 3-5 years of healthcare experience
• Bachelor’s Degree

Skills

• Strong leadership skills and ability to navigate change.
• Ability to work cross-functionally, problem solve and navigate efficiently through bureaucracy. 
• Ability to lead and effectively manage a hybrid field and office-based call center staff.
• Excellent verbal and written communications capabilities
• Strong verbal and written communication skills.
• Working knowledge and proficiency with Microsoft Office products.
• Ability to manipulate spreadsheets and data in Microsoft Excel.
• Detailed oriented with strong organizational and time management skills.
• Broad knowledge about the community, specific health issues and health and social service systems.
• Self-motivated.
• Scheduling, planning and follow-up skills.
• Ability to interface effectively with a diverse population.
• Ability to work independently and with teams.

AmeriHealth Caritas District of Columbia