Salary Range: $106,000- $118,000

Employee Benefits: Medical, Dental, Vision all with Carefirst Blue Cross Blue Shield, Paid Time Off (Vacation, Sick, Personal, Holidays), 403B Plan, Short-Term & Long Term Disability, Life Insurance. 

Telework 
This position is approved for hybrid in-person and telework. Job duties require at least two (2) days a week onsite at PCC headquarters. Job duties also require in-person meetings and collaboration with medical providers, local government, and other community partners.  This role is approved for telework when activities do not require a physical presence.  Note: PCC employees must reside in the following five states or District of Columbia: MD. VA, WVA, DE. PA, DC.  Relocation expenses are not reimbursed.  
 
Position Summary:

Reporting to the Senior Director of Healthcare Access, the Director of Specialty Care Programs oversees 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 related programs, sets the strategic direction for increasing impact, leads teams, and represents specialty care programs on behalf of the PCC. The Director also works in close partnership with a Clinical Lead who provides clinical direction and leadership on specialty care programs. Part of this Director’s role also includes cultivating relationships with specialty care providers, safety-net primary care health centers and providers, and other organizations that also provide access to specialty care and medicines. The Director of Specialty Care Programs is accountable to ensure reliable, evidence based, efficient, and safe patient centered processes in programs within the portfolio of oversight.  

Essential Duties  
1. Specialty Care Access Program Operations:  Leads program teams that provide adult and youth patients access to specialty care and related needs. Areas include but are not limited to: 

• Oversees the day-to-day program operations.  Ensure consistent staffing, efficient operations of the 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.  Addresses operational issues as they arise, resolve patient and provider complaints, and update standard operating procedures (SOPs) with lessons learned, and ensure SOPs are kept current and are followed.  
• Improves program operations for maximum impact. Establishes program goals and metrics.  Tracks, evaluates and reports performance. Works in partnership with program teams, and patient and provider stakeholders, using process improvement methods, to improve program performance including the referral process, timeliness of referrals, care coordination, referral completion, no show rates, timelines of access to specialty care, and excellence and ease of customer service to the primary care clinics and patients.   Ensures the needs and concerns of patients, primary care and specialty care providers are represented and considered when implementing or changing programmatic processes.
• Leads innovation in program strategy and design: Looks for opportunities to increase impact and service for the low-income, uninsured population. Conducts research to establish promising best practices, partnerships, and other approaches to address needs.  Works with internal PCC partners to design, develop, implement, and source funding to address the needs. Plans details of program changes including staffing model updates, technology, workflows, cost estimates, and operating policies and procedures. Leads implementation and change management for new program initiatives. Determines service expectations and capabilities and monitors key milestones.   

2. Specialty Care Provider Network Development:  Conducts specialty care provider recruitment and retention activities to ensure sufficient providers to meet specialty care access operational needs.  

• Analyzes specialty care usage and availability across the network, determines gaps. 
• Develops provider network expansion strategies to create sufficient access to needed specialties. Researches available community, hospital-affiliated, and virtual specialty care practices or networks.  Develops plan and priorities for recruitment.
• Implements provider network expansion strategies.  Recruits specialty care provider practices and, as feasible, other physical or virtual specialty care provider networks and other needed providers.   
• With support from Chief Operating Officer (COO), negotiates specialty provider/network MOUs, contracts, reimbursement rates and other collaborative agreements with all participating community, hospital-based, or virtual specialty practices, and other providers as appropriate.   

3. Medicine Procurement (Generics) Program: Oversees a program that provides generic medications and immunizations to the safety-net network of primary care provider (procured per a formulary) for dispensing at point-of-care to their patients. Program operations include generic medication procurement, recall monitoring, and an expiry audit and disposal processes.  Areas include, but are not limited to: 

• Oversees the staff who conduct operations.  Ensure consistent staffing, efficient operations, standard operating procedures are kept current and are followed.  

4. Program Management Activities 

• Ensures compliance with grant and contract requirements, and accountability for program results.  
• Provides reporting and analysis of specialty care and medicine procurement utilization across the population.  Ensures reporting is clear, timely, provides analysis that drives good decisions, and shows the value of the programs to external stakeholders. Prepares monthly, quarterly, annual and ad hoc reports in a timely manner.  Presents reports to internal and external partners.. 
• Coordinates and facilitates meetings.  Maintains ongoing dialogue with, and ensure technical assistance and training are provided to, the networks of primary care clinics and specialist partners. 
• Develops and monitor budgets for programs within portfolio of oversight. Manages program implementation in accordance with PCC fiscal policies and procedures and regularly monitors budget to actual reports.  Reviews and approves expenses within budget approval areas.    
• 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. 

5. Leads Teams: Creates a cohesive and productive work environment in order to achieve the required outcomes. Drives culture focused on exceptional customer service, efficiency, satisfaction of the clinic partners and patients.  Areas include, but are not limited to:   

• Hires, supervises, and develops department staff, including clinically licensed individuals, to ensure the workflows accomplish the department’s goals and objectives within budget. 
• Clearly communicates performance expectations, evaluates and provides direct reports with opportunities to develop skills and progress in their careers, and when necessary, implements and manages staff performance improvement plans. 
• Ensures PCC policies and procedures are adopted and serves as a mentor and coach to direct reports willingly sharing knowledge and expertise and involving appropriate staff in planning, decision-making and problem solving.  
• Escalates issues appropriately and seeks consultation from supervisor as needed to address team and program challenges. 

6. Represents and Promotes the Specialty Care and Related Programs to External Organizations. Interacts with medical specialists and their staff, hospitals and co-workers.  Coordinate efforts with the Catholic Charities Health Care Network (CCHCN), Alfa Pharmacy, partnering primary care clinics, and other organizations participating in the ecosystem that provides health care access for the low- income and uninsured. Maintains effective relationships with key internal and external stakeholders. (E.g. Montgomery County DHHS, MCAB, etc.) 

Additional Responsibilities  
• Collaborates and consults with Senior Director of Healthcare Access and peers covering behavioral health, clinical transformation, specialty care, medicine access, and primary care on strategies to advance PCC’s mission.  
• Provide recommendations to Montgomery County Department of Health and Human Services and advocacy groups on program changes, and additional funding needs.  
• With PCC Finance Department and contract holders, shepherd annual budgets and multiple budget modifications through the contract holders’ (e.g., local and state government) approval processes throughout the fiscal year. Provide justification and rationale for each budget modification to contract holders.    
• With PCC Fund Development Team, 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 renewals, and submission of timely updates and project evaluations to funders and other stakeholders. 
• Keeps abreast of environmental, legislative and regulatory policy changes related to specialty care and medicine access. Understands implications of policy changes for program delivery and updates program strategy and operations accordingly. 
• Participates with PCC program management team members and in programmatic activities, internal work groups and committees as appropriate, as well as individual and organizational development activities.   
• Other duties as assigned. 

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, and PCC peers, staff and leadership. 
• Ability to develop and maintain trusted relationships with primary and specialty care providers and pharmaceutical companies and advocate effectively on behalf of patients, families and underserved communities.  
• Strong leadership skills, works collegially, engenders accountability and is a proven team builder; takes a consultative approach to establishing work plans and incorporates the viewpoints of senior leaders, staff, and peers.   
• Ability to remain politically perceptive, work well under pressure and shift priorities based on contextual requirements.  
• Excellent organizational and time management skills with the ability to meet deadlines, collaborate with staff and peers, manage multi-faceted projects with attention to detail. 
• Strong research skills and the ability to makes data-driven decisions to support justifications for changes and recommendations.   
• Sound financial leadership skills able to develop, forecast, and monitor programmatic budgets. 
• Proven program or project management skills and an ability to organize, develop, implement, monitor, and evaluate professional workplan goals and performance objectives.  
• Demonstrated ability to conceptualize, direct and implement program and workflow improvement strategies. 
• Demonstrated effective computer skills, including Microsoft Office suite, database management and reporting, and electronic medical records. 
• Strong data analysis and reporting skills. 
• Self-motivated with the ability to work independently with minimal supervision. 
• Some Spanish language ability preferred. 
 
Education and Experience  

• Bachelor’s Degree required, Master’s Preferred. 
• 8 to 10 years of combined experience in healthcare delivery and administration. 
• 5+ years of supervisory experience. 
• 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. 
• Knowledge of health care systems and familiarity with trends in public and private health insurance and managed care systems. 
• Proficient in Microsoft Office suite of products (Outlook, Excel, Word, PowerPoint, SharePoint, Teams).   

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.  

Primary Care Coalition is an Equal Opportunity Employer