Executive Director, PACE

2 weeks ago

Cincinnati, United States TriHealth Full time

Job Summary

The Sr. (Executive) Director is responsible for all executive leadership functions for PACE of Cincinnati, including PACE Center operations, CMS and ODSA compliance with the federal PACE regulation and ODA policies and procedures, quality, participant safety, enrollment, intake and outreach, health plan operations, and financial performance. The Executive Director will report to the President & CEO of Hospice of Cincinnati.

Position Responsibilities

  • Responsible for overseeing and administrating PACE of Cincinnati and effectively leading all program functions.
  • Responsible for, as dictated by the organizational chart, overseeing, directing, and supervising the PACE of Cincinnati leadership team.
  • Responsible for developing and implementing written policies and procedures that govern the operation of PACE of Cincinnati.
  • Responsible for notifying CMS and ODA of any changes to any organizational structure or key leadership position changes within timeframes established by CMS and ODA.
  • Responsible for developing, implementing, and overseeing the PACE of Cincinnati Compliance Plan.
  • Responsible for ensuring PACE of Cincinnati maintains an effective PACE Quality Plan (through the PACE of Cincinnati Medical Director) and reporting meaningful quality data regularly to the PACE of Cincinnati governing body.
  • Responsible for professionally representing the PACE program in the community and at the national and state level.
  • Responsible for leading efforts to establish collaborative relationships with key community-based organizations, that align with PACE strategy and goals.
  • Responsible for ensuring adequate census growth and working with the PACE of Cincinnati governing body on establishing an effective Marketing Plan and enrollment goals for the program.
  • Responsible for developing a regulatory-compliant and effective PACE service delivery model specific to the needs of PACE participants and their caregivers, including identifying the need for services to provide safe and effective participant care, improving efficiency, and responding to participant and community needs.
  • Responsible for maintaining program compliance at the federal and state levels and maintaining PACE compliance with all state and federal regulations. This position will work collaboratively with governmental agencies regarding regulatory requirements and all laws governing the PACE program.
  • Responsible for the fiscal soundness of PACE of Cincinnati, including preparing the annual operating budget, allocating resources to implement program activities, and reviewing and interpreting monthly financial statements.
  • Responsible for oversight and understanding of utilization management, working in collaboration with the Medical Director and clinical leaders to optimize quality and efficiency of care delivery.
  • Responsible for initiating and implementing PACE long-term strategic planning in collaboration with the PACE of Cincinnati governing body.
  • Other duties as assigned by the PACE of Cincinnati governing body.

Experience & Education

  • Master's degree in a related field, including, but not limited to, health care administration, business administration, social services, or nursing - or equivalent knowledge, skills, and abilities.
  • Experienced-based knowledge acquired through 3 - 5 years of work experience in health care and long-term managed care, preferably for an at-risk population and in a capitated setting. Proven experience in program development, strategic planning, budgetary oversight, organizational development, resource development, and public relations. Experience in developing and facilitating governing boards and advisory bodies preferred. Knowledge and understanding of utilization management principles and best practices preferred.
  • Either have one year of experience working with a frail or elderly population or, in the absence of such knowledge, receive appropriate training from PACE of Cincinnati on working with a frail or elderly population upon hiring. Experience working in Palliative Care, Hospice, or End of Life care is preferred.
  • Experience and knowledge of coordinating and partnering with community-based social and healthcare industry entities.
  • Be comfortable working in a dynamic environment with direct care and administrative staff.
  • Demonstrated ability to mentor and develop other leaders and care team members with strong understanding about formation and function of interdisciplinary teams.
  • Experience in successfully managing and completing projects.
  • Experience with managed care programs similar to PACE of Cincinnati preferred.
  • Experience and knowledge of relationship building with major Medicare Managed Care and Dual Special Needs plans, to forge synergistic relationships.
  • Must excel in organizational and supervisory skills, with an ability to effectively handle difficult situations.
  • Experience working with clinical charts and records preferred.
  • BLS certified.



Other job-related information:

Direct Report FTEs =
Indirect Report FTEs =

Working Conditions:

Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting

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