The Primary Care Coalition offers a rewarding work environment for people who share our values of collaboration, integrity, innovation, and excellence and wish to channel their efforts toward improving health equity in our community. Our organization provides substantial opportunities for growth and professional development at all career levels. The PCC is an equal opportunity employer and offers a full benefits package to eligible employees, including medical, dental, disability and life insurance, a retirement plan, commuter benefits, and generous paid time off.

Job Openings >> Sr. Manager, Specialty Care and Medicine Access (Full-Time)
Sr. Manager, Specialty Care and Medicine Access (Full-Time)
Summary
Title:Sr. Manager, Specialty Care and Medicine Access (Full-Time)
ID:11064
Department:Specialty Care
Job Type:Exempt (salaried)
Salary Range:$90,000-$115,000
Description
The Director of Specialty Care & Medicine Access oversees PCC programs and initiatives to improve access to specialty care and medications for patients who face economic, cultural-linguistic, and other barriers to care. This role leads day-to-day program operations for specialty care and medicine access and is responsible for supervising staff, cultivating relationships with specialty care providers, pharmacy vendors, safety-net primary care providers, and other organizations that also provide access to specialty care and medicines. The Director of Specialty Care and Medicine Access is accountable to ensure reliable, evidence based, efficient, and safe patient centered processes in programs within the portfolio of oversight. 

Essential Duties 

• Lead programs that provide access for low-income, uninsured patients to specialty care, generic medications and immunizations (procured per formulary for dispensing by primary care providers), name brand medications (obtained via national prescription assistance programs). Ensure standard operating procedures are kept current and are followed.
• Supervise team including nurse reviewer(s)/care manager and client services specialists.  Oversee day-to-day operations to ensure consistent staffing, efficient operations of network referral processes, on-going resource development and problem-solving in coordination with PCC colleagues, staff at the partner primary care clinics, and contracted specialty care providers. Recruit, orient, coach and develop direct reports. Evaluate direct reports in accordance with PCC Human Resources policies. 
• Represent PCC with external partner organizations. Interact professionally with medical specialists and their staff, hospitals and co-workers.  Coordinate efforts with the Catholic Charities Health Care Network (CCHCN), American Diversity Group (ADG), Alfa Pharmacy, partnering primary care clinics, and other organizations participating in the ecosystem that provides health care access for the low- income and uninsured. 
• Direct the specialty care access program.  Establish goals and metrics for numbers and types of specialty care providers.  With nurse reviewer, maintain and improve the referral criteria, referral process, timeliness of referrals, referral completion, no show rates, and service to the primary care clinics and patients.  Coordinate and facilitate meetings, maintain ongoing dialogue with, and ensure technical assistance and training are provided to the referring primary care clinics. 
• Develop and execute provider recruitment and retention strategies for specialty care providers. Network with specialty care provider practices and other key vendors and partners to recruit and retain. Negotiate reimbursement rates.  Negotiate and monitor MOUs, contracts, and other collaborative agreements with all participating Project Access community and hospital-based specialty practices, and other providers as appropriate.  Coordinate and facilitate meetings and maintain ongoing dialogue with specialist partners.  Provide technical assistance and address operational issues as they arise for the specialty care providers.  
• In collaboration with Medical Directors at the partner primary care clinics, lead evaluation and obtain recommendations relative to the Montgomery Cares generic medication formulary and immunization offerings (plus FIT kits for colorectal cancer screening).  Oversee the generic medication budget and staff who conduct the procurement, recall monitoring and expiry audits. Provide reporting and analysis of medication usage across the Montgomery Cares population. 
• With the MedBank supervisor, maintain and improve processes for utilizing national prescription assistance programs (PAPs) to obtain name-brand medication for uninsured patients. Ensure primary care providers are trained on referral processes for medications, and clinics are utilizing the PAP services.  Provide oversight of data aggregation for accurate and timely reports to funders and other stakeholders.  
• Drive program strategy for maximum impact using ongoing evaluation, process improvement, collaboration, and effective use of technology and data. Establish program goals and metrics, regularly monitor and report on program performance, and develop strategies to improve program performance and the health outcomes of patients.  Prepare monthly, quarterly and annual reports in a timely manner, and present information to internal and external stakeholders. 
• Ensure the needs of all clients and providers are represented and considered when implementing programmatic process improvements including patients, referring primary care practices, and supporting specialty care provider offices.  Resolve patient and provider complaints, update processes and standard operating procedures with lessons learned as appropriate. 
• Under direction from the Senior Director, Health Care Access, develop and monitor budgets for programs within portfolio of oversight. Manage program implementation in accordance with PCC fiscal policies and procedures and regularly monitor budget to actual reports. In coordination with program stakeholders, recommend action plans to address any significant variance in program expenditures and guard against cost overruns and underruns while ensuring resources are available to patients.
• Keep abreast of environmental, legislative and regulatory policy changes related to specialty care and medicine access. Understand the implications of policy changes for program delivery and update program strategy and procedures accordingly.

Additional Duties 

• Provide recommendations to Montgomery County Department of Health and Human Services (DHHS) and advocacy groups on program changes, and additional funding needs. 
• Provide clinical expertise to the specialty care nurse review, and to other PCC programs and activities, as needed.
• Identify and direct grant-funded health care access projects, including contributing to written grant proposals, and assuring the development and tracking of workplans, management of grant funds, and submission of timely updates and project evaluations to funders and other stakeholders.

Skills and Abilities

• Demonstrated excellent oral and written communication skills and the ability to communicate effectively with a broad range of stakeholders including patients and families, clinicians, hospital administrators and public health officials.
• Fundamental understanding of budget monitoring and program administration.
• Demonstrated effective computer skills, including Microsoft Office suite, database management and reporting, and electronic medical records.
• Appropriate clinical expertise to triage specialty care referrals and review a medication formulary.
• Ability to organize, develop, implement, monitor, and evaluate professional workplan goals and performance objectives. 
• Some Spanish language ability preferred

Education and Experience 

• Clinical licensure (active or inactive) (e.g. RN; NP; PA; DO; MD) is a PLUS.
• Bachelor’s Degree required.
• 4 to 8 years of health care delivery or healthcare administration.
• Prior experience working in a non-profit setting is preferred.
• Experience in primary care and/or specialty care required.  
• Experience working with diverse, under-resourced populations preferred.
• Experience using electronic health records and case management software.
• Proficient in Microsoft Office suite of products (Outlook, Excel, Word, PowerPoint, SharePoint, Teams)  

Telework

This position is approved for telework when activities do not require a physical presence.  The job duties require in-person meetings with team members, a variety of groups, State and clinic representatives, and other community partners.  It is an expectation to regularly attend in-person PCC meetings.

ADA Requirements

This job operates in a professional office environment.  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets and fax machines. 
• This is largely a sedentary role; however, some filing may be required. 
• This would require the ability to lift files, open filing cabinets and bend or stand as necessary.  
• Requires ability to learn new software applications as necessary.
• Must be able to lift up to 20 pounds.  
• Must be able to travel locally

Disclaimer

This job description indicates in general the nature and levels of work, knowledge, skills, abilities and other essential functions as covered under the Americans with Disabilities Act expected of an incumbent.  It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an incumbent.  An incumbent may be asked to perform other duties as required.

Primary Care Coalition is an Equal Opportunity Employer. 
This opening is closed and is no longer accepting applications
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