Job Summary:Drives the strategic, administrative and operational programs for the overall external delivery system performance. As an operations leader for the overarching network regardless of market, role will provide direct and matrix management. Works collaboratively with designated medical staff and market leaders to ensure that network performance benchmarks and management of those standards is implemented and high functioning to optimize the patients care and service experience while achieving access, service, safety, quality, clinical and financial performance goals of external delivery system. Leads and/or partners with district medical directors to create infrastructure and foundational network management capabilities including but not limited to clinical performance management across cost, utilization, service and quality standards. Responsible for network portfolio management and rhythm of business functions including strategy development, strategy execution and management, business review cycle and market intelligence sessions aimed at market leading network management function for Kaiser Permanente. Assures alignment with the organizations strategic initiatives and business plan.Essential Responsibilities:
Network Operations Leadership: Provides direct and matrix leadership, support and overall financial management for network operations that reliably meet standards for: quality and appropriateness of patient care, patient satisfaction and service, access, cost and utilization management. Leads and supports integration and collaboration across the state, to provide network performance management system for all members receiving care outside of KP care delivery. Works with service line and medical staff leaders to assure that performance targets are met by using effective tools that measure progress, identify countermeasures, and make the achievement of milestones visible.
Team Leadership: Develop, lead, coach and support teams that enables the achievement of Kaiser Foundation Health Plan of Washington and Care Delivery Division business objectives, including optimal utilization of human and financial resources. Foster a work environment that supports teamwork, open communication and engagement for both providers and staff. Establish and communicate standards of performance, provide timely performance feedback and assure accountability to the established expectations. Sponsor/lead change and improvement initiatives.
Strategy: Participate in the development of strategic plans, including collaborating with service line leaders on network expansion and internalized services delivered within the market. Lead the implementation of strategic plans, annual goals, work plans, policies and budgets services in a way that is consistent with the business plans of KP and WPMG. Communicate and model the vision of the organization, division/subdivision, and/or district. Establish and communicate program direction. Link budget decisions and resource allocations to strategic initiatives.
Compliance: Ensures ongoing compliance with regulatory, accreditation, and institutional requirements. Administers clinical policy and procedure program within KFHPW by assuring consistent practice and providing local oversight as needed. Oversees teams to maintain clinical standards and practice in accordance with all local, state and federal requirements.
Basic Qualifications:
Experience
Minimum five (5) years of progressively responsibility in health care management or related field.
Education
Bachelors degree in business, health care administration, or related field.
License, Certification, Registration
N/A
Additional Requirements:
Demonstrated ability to constructively challenge established ways of doing things to lead improvement and change.
Knowledge of business process and rapid cycle improvement, systems thinking, data analysis.
Demonstrated effective problem solving and decision-making skills.
Proven negotiation and conflict resolution skills.
Excellent communication skills that are effective within a large, complex, diverse organization.
Able to collaborate and be influential across structures and roles; able to achieve regional goals while helping others to accomplish divisional/organization goals.
Ability to select, develop and direct effective managers including those in a matrix relationship, or on project teams; record of positive relationships with providers, managers and staff that strengthen engagement, quality and service.
Ability to manage projects and initiatives.
Preferred Qualifications:
Knowledge of health maintenance organizations and managed care environments.
Knowledge of WA State healthcare regulatory requirements.
Masters degree in business, health care administration, or related field.
COMPANY: KAISERTITLE: Associate Director Network Clinical OperationsLOCATION: Renton, WashingtonREQNUMBER: 1285258External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.