Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.
And we’re committed to that work in various areas of our wondrous state—including Jackson County, in Southern Oregon. The region is anchored by the small city of Medford, home to our office and in easy reach of rushing rivers, the Pacific coast, Shakespearean plays, wine country, and the majesty of the Rogue River-Siskiyou National Forest. Please consider joining us here at Jackson Care Connect, our Coordinated Care Organization dedicated to our members’ physical, emotional and oral health. We look forward to your application!
General Statement of Duties
The CCO BH Director is responsible for the execution of strategies within assigned CCO(s) aimed at increasing the quality and capacity of behavioral health services, increasing integration of physical and behavioral health services, and reducing utilization and prevalence related to substance use disorders (SUD). The majority of time is focused on business group oversight, with secondary time on enterprise-wide engagement. Primary duties include strategic and operational leadership and planning, as well as resource, relationship, and people management. This position provides input into strategic plans for the broader organization.
Essential Position Functions
Leads the execution, management, and oversight of strategic initiatives, plans, and goals in the areas of mental health and substance abuse disorder treatment across assigned CCO functional and regional teams.
Leads SUD driven utilization interventions with CCO partners, and other key community and provider partners.
Identifies opportunities to develop, strengthen, and expand access to robust, high value evidence based behavioral health services within assigned service areas, including all sectors of care delivery (e.g., primary care, specialty, hospital, dental).
Leads the transition to, increased participation in, and oversight of value-based integrated care models, promoting focus on the whole person.
Leads the development of Recovery Oriented Systems of Care in assigned regions.
Partners with CareOregon staff accountable for operations, benefits and performance management of integrated care models pertaining to Mental Health and SUD issues across the lifespan.
Provides guidance, content expertise, and technical assistance to assigned CCOs, providers and community-based behavioral health and primary care organizations, including the development of training or skills development programs.
Creates and monitors dashboard and leverages clinical data, utilization and outcomes analytics to help assure assigned CCOs and partners’ success in meeting internal and external benchmarks.
Develops or ensures existence of internal systems and measures to ensure effective, efficient, and compliant operations.
Prepares grant applications, project updates, correspondence and other documents.
Acts as project leader or sponsor on complex data analytics development programs.
Leads the development and implementation of the CareOregon and assigned CCO business model(s) and strategies to effectively address the high prevalence of substance use disorders, and to increase quality and availability of mental health and integrated services, which may include varying levels of benefit integration across regions.
Develops and oversees BH related strategies for specific population segmentation cohorts.
Participates in the development of vision, goals, and strategic plans across business teams and regions.
Develops short and long term plans and policies; oversees the development and execution of standard operating procedures.
Provides input into strategic plans of the organization.
Maintains a business unit and member view while establishing department priorities, being cognizant of broader business unit and organizational impacts.
Ensures team efforts align with organizational priorities in a dynamically changing environment?
Leads cost and utilization portfolio for BH within the assigned CCOs.
Assures financial performance of innovative strategies and treatment models through strategic shared risk/reward contracts with key provider partners.
Recommends budgets in alignment with short and long term plans.
Manages resources to ensure priorities are accomplished.
Approves resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.
Leads effective communication system for work groups, ensuring a collaborative culture.
Builds and ensures effective relationships across internal teams and external organizations for current or future integration.
Partners with internal leaders and managers in identifying improvement plans and processes.
Works closely with Population Health and Network Support teams to drive CareOregon and CCO strategy for Mental Health, SUD and Medication Assisted Treatment.
Works with internal technology and analytics teams to create analytics and targets around BH driven utilization
Develops and maintains knowledge of CareOregon’s critical functions in support of our members and patients; collaborates with stakeholders to understand informational requirements to support department goals.
Develops trust/credibility and collaborate with a broad range of internal and external primary care and behavioral health leaders
Manages key external relationships and leverage new collaboration and integration opportunities, serving as the CareOregon senior leader for provider interests, commitments, resource requirements, timelines and related action items relating to Behavioral Health.
Represents CareOregon as a progressive thought leader on healthcare initiatives and CareOregon’s approach to improving care.
Directs team(s) and establishes team and management goals.
Provides team members with ongoing understanding of business unit plans and expectations; communicates in a manner that underscores the value of team and staff roles.
Performs employment functions in collaboration with Human Resources, including staffing, recruitment, performance management, professional development, and termination.
Coaches, motivates, and recognizes staff.
Creates opportunities for professional development, including job families, development plans, and regular and constructive feedback.
Collaboratively develops support models spanning all teams to effectively leverage staff and promote individual development.
Leads the development of performance goals, measurement, and evaluation of results.
Ensures participation in required training initiatives and organizational activities, as well as adherence to external regulations and internal policies.
Drives a culture of accountability and success in alignment with the organizational mission, vision, and values.
Essential Department and Organizational Functions
Supports and operates in alignment with the organization’s core values.
Strives to meet work goals that contribute to departmental and organizational goals.
Adheres to organizational standards, policies and procedures, as well as compliance requirements.
Performs other duties as assigned.
Knowledge, Skills and Abilities Required
Comprehensive knowledge of substance use disorders, treatment and recovery supports
Comprehensive knowledge of mental illness and the community mental health systems for both children and adults
Solid knowledge of health plan finance and the compensation arrangements between health plans and providers
Demonstrated depth of experience in building relationships with multiple entities, including providers and community stakeholders
Ability to effectively convey business unit goals and plans ensuring integration into strategic plans and initiatives
Highly skilled in resource management
Ability to develop and lead high performing team members, including hiring, goal setting, coaching, performance management, and development
Ability to communicate effectively, both verbally and in writing, including strong presentation and change management skills
Ability to influence and build consensus
Results-oriented with a high attention to detail, ability to multi-task, and meet deadlines in a demanding, fast-paced environment
Skilled in strategic thinking and executing strategy effectively; ability to think at an enterprise level
Superior critical thinking, analytical and problem-solving skills
Ability to work independently absent explicit directions; excellent judgment
Ability to contribute to a strong team-based environment
Ability to work in an environment with diverse individuals and groups
Skills in project/program management, group facilitation, community organizing and systems-thinking
Requires good judgment, personal initiative and a professional attitude and appearance
Ability to work in a large geographic area and to work remotely as needed
May include irregular work hours (e.g., evening meetings and weekend activities)
Minimum 10 years’ progressive experience in a behavioral health or behavioral health plan setting required (or 8 years’ experience with a related clinical degree), including at least 5 years in people management and leadership positions.
Advanced clinical degree in behavioral health (mental health and/or substance use disorders)
Work experience with Oregon Medicaid and/or OHP behavioral health benefits