Description
The Chief Operating Officer (COO) provides leadership, direction, and administrative oversight for operational functions of Community Care Behavioral Health (Community Care). The COO is a member of Community Care's executive team and shares responsibility for the overall success and performance of the organization. The position reports directly to the President/CEO of Community Care. This position collaborates closely with the Chief Government Programs Officer, Chief Information Officer/VP of Business Systems Innovation, Chief Financial Officer, and Chief Medical Officer to ensure the optimization of core operational functions across the enterprise. The position leads or oversees many of Community Care's responses to contractual expectations from oversight entities including but not limited to: The Pennsylvania Department of Human Services (DHS), The Pennsylvania Department of Insurance (PID) and HealthChoices Primary Contractors (PCs). Additional responsibilities include ensuring that projects, processes, and initiatives are implemented and maintained successfully and are fully integrated with the clinical, financial and programmatic functions of the company. The COO provides direct supervision and mentorship to the Senior Director of Provider Relations, Director of Managed Care Organization (MCO) Integration, Senior Director of Business Development, Manager of Training, and Manager of Communications. The COO is the primary liaison to the Senior Director of Compliance/FWA, in close collaboration with the Chief Government Programs Officer. The COO is the primary liaison to UPMC ISD Human Resources Department.
Responsibilities:
- The primary responsibility of the COO is to ensure that company-wide operations are functioning at optimal levels of effectiveness and efficiency to meet the business, regulatory and strategic priorities of the organization.
- Identify operational areas to target for improved consistency and efficiency across contracts and lines of business.
- Responsible for participating in the planning of, and implementation of, initiatives that carry out the strategic vision of the company.
- Ensure that all core functions are making progress on strategic initiatives, major projects, and new initiatives.
- Develop and foster a culture of accountability, achievement, excellent customer service, public health interest and non-profit values in all staff.
- Support compliance with all regulatory agencies governing managed care services related to all the HealthChoices programs and the rules of accrediting bodies by continually monitoring the organization's service delivery, core business functions and initiating changes as required.
- Keep up to date on local, regional and national affairs, policies, and legislation affecting behavioral health care and Community Care.
- Work collaboratively and collegially across the senior team, within Community Care and across UPMC Insurance Services Division and the UPMC system.
- Create and maintain relationships with various stakeholder groups. Attend meetings regularly. Communicate concerns from various stakeholders to the appropriate programs, departments within Community Care and work with Community Care staff to ensure that areas of concern are appropriately addressed.
- Manage other special projects as assigned by the President/CEO. Travel required.
Qualifications
- Master's degree in field related to health care delivery or administration or bachelor's degree with progressive management experience with related health care operations experience.
- Minimum of 10 years' relevant experience required.
- Managed care experience required.
- Process improvement training/experience required.
- Excellent communication skills required.
- Knowledge of Pennsylvania Medical Assistance (Medicaid) strongly preferred.
- Direct service experience preferred.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
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