Director, Service Coordination and Long-Term Services and Supports

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee the strategy, program development, and execution of all LTSS/HCBS requirements and functions outlined in the Community HealthChoices agreement.

• Assist in the strategy and execution of Geisinger Health Plan’s CHC program, which encompasses Service Coordination and Service Integration.

• Establish and manage strategic alliances with LTSS providers, community organizations, advocacy groups, associations, vendors, and others.

• Act as a representative of GHP as a CHC leader and LTSS subject matter expert in forums hosted by state DHS/OLTL.

• Prepare GHP for CHC readiness assessments and regular audits.

• Monitor and evaluate contract-required reporting, providing recommendations for executive approval.

• Create policies and procedures that ensure effective and efficient delivery of LTSS programs, focusing on a participant-centered approach.

• Evaluate program effectiveness and participant experiences, implementing necessary enhancements.

• Collaborate with the Geisinger Health Plan Leadership team on operational challenges, staffing, resources, systems, and program requirements.

• Propose action plans to address identified issues.

• Lead and engage in committees, task forces, work groups, and multidisciplinary teams.

• Ensure adherence to state and federal regulations as well as CHC contractual commitments.

• Manage budgets in conjunction with Leadership team members.

• Stay informed on industry trends, innovations, healthcare laws, and regulations to adapt programs and services accordingly.

⛳️ Requirements

• Residency in Pennsylvania is required.

• Willingness to travel frequently across Pennsylvania, including attending state meetings.

• A Master's Degree in Healthcare, Nursing, Social Work, Public Administration, or a related discipline is mandatory.

• Comprehensive understanding of long-term care services and supports policies, practices, and regulations.

• At least 8 years of managerial or supervisory experience is required.

• A minimum of 5 years of experience in health insurance or managed care is necessary.

• Familiarity with person-centered philosophies, concepts of independence, and/or self-determination is essential.

• Experience working with individuals with disabilities and older adults is preferred.

• Strong analytical capabilities are required.

• Proficient problem-solving and change management abilities are essential.

• Ability to work independently in a fast-paced environment is necessary.

• Exceptional verbal and written communication skills are required.

• Strong critical thinking and decision-making skills are essential.

• Knowledge of care management is necessary.

• Understanding of health insurance is required.

• Proficient leadership and organizational skills are crucial.

🏝️ Benefits

• Comprehensive healthcare benefits available for both full-time and part-time positions from day one.

• Vision insurance coverage.

• Dental benefits provided.

• Domestic partner benefits included.

• A collaborative, cooperative, and collegial work environment.