The Senior Director of Health Care Access is responsible for large programs that are public-private partnerships serving low-income, uninsured community members. These programs engage the local Department of Health and Human Services, Maryland Department of Health, and networks of private and non-profit healthcare providers to deliver services to low-income and uninsured populations experiencing health disparities. Services include primary, specialty, dental and behavioral health care, cancer screenings, medicine access, as well as connection to social services, and reimbursement to providers for services rendered. All direct patient care is delivered through partner organizations, except some behavioral health services. 

This role has operational, strategic, stakeholder relationship, and growth responsibilities. This role is accountable for shaping the direction of the programs in its portfolio, identifying emerging needs, for the population, in the healthcare delivery and policy environment, and with funders. 

This role provides leadership, supervision, administrative oversight, and financial/budgetary management of the portfolio of programs and services for low-income and uninsured community members. The Senior Director is responsible for contract compliance, identifying and improving processes, ensuring programs strive for affordable access and equitable high-quality outcomes for patients of multiple cultures and ethnicities.
 
This role is a member of the PCC senior leadership team.  The Senior Director contributes to PCC strategic planning, and annual operating plan development.  This role works closely with the CEO and other members of the senior leadership team to identify and address cross-cutting priorities affecting multiple departments or teams within the organization and to advance the overall PCC strategic priorities.  

This role has ownership, with its direct reports, for maintaining and growing PCC’s positive reputation with key stakeholders and the funders of health care access programs (e.g. county, state, partner providers). The Senior Director works closely with the External Affairs team and others to advocate for needed funding and policies to support health care access for low income and uninsured individuals and families, and for existing and new programs in the Senior Director’s portfolio.
 
 Essential Duties
 
1. Manage a team of Program Directors who are themselves managers of teams. Utilize best practices to create a positive and trusting work environment. Directly supervise, train, coach and evaluate direct reports in accordance with PCC Human Resources policies.  Identify operational staffing issues and needs and develop management capabilities among direct reports by supporting Directors in personnel management and employee lifecycle including recruitment, orientation, coaching and development, and disciplinary action as needed. Drive culture focused on exceptional customer service, efficiency, and client satisfaction. 

2. Engage and manage PCC’s relationship with key partners, stakeholders, and funders of health care access programs. Develop and foster collaborative relationships to ensure sustainability and commitment to the programs in the Senior Director’s portfolio. Identify and nurture relationships with potential new partners. Actively participate with the External Affairs team to develop and present advocacy positions that meet resource and policy needs of the programs.  

3. Maintain and grow PCC’s positive reputation.  Communicate frequently with partner organizations to understand customer/client needs and share accomplishments. Integrate feedback from partners into program operations to ensure that PCC is held in highest regard for effective program operations. With direct reports, build relationships and influence in areas for potential program growth. Participate in proposal development for new or expanded funding.

4. Ensure contractual compliance, overseeing program budgets and performance metrics, and adherence to PCC procurement and other policies. Ensure accurate and timely completion of contract negotiations, renewals, and budgets including appropriate review by PCC Finance, legal counsel, and CEO as needed. Ensure program reports, presentations, and budget reports are clear, accurate, timely, have consistent messaging, and provide useful analysis that can drive decisions.

5. Oversee negotiation of programmatic contracts and sub-contracts in accordance with PCC policies and procedures. Ensure Program Directors liaise and negotiate with vendors and sub-contracted organizations, managing contractual obligations and structuring sub-contracts in compliance with master contract as applicable. 

6. In alignment with organizational strategy and strategic plan, support program managers and directors to assess program strengths, gaps, and opportunities for developing program enhancements and new services. Oversee implementation of priorities for programs in portfolio of oversight. Oversee Program Directors to ensure work plans and goals are clear and communicated, align with the PCC strategic priorities, and processes are in place to support day-to-day operations and assess program status and identify and mitigate challenges for key milestones, performance metrics, and budgets. 

7. Encourage innovation and openness to new ideas, and autonomy of staff in their approach to tasks to achieve the identified expected end-result within timeframes and budget.  Serve as a role model to encourage teamwork, outstanding external relations and professionalism.

8. Stand up new programs and teams as needed to advance PCC strategies and organizational growth. Plan details of new programs to establish staffing models, workflows, cost estimates, and operating policies and procedures.  Lead implementation of new initiatives from successful program launch through scale-up and ongoing operations. Determine service expectations and capabilities and monitor key milestones throughout phases of start-up.

9. Develop, monitor and have fiscal authority for complex program budgets. Balance staffing and position pay equity across contractual budgets, as possible within contractual constraints.  Assure managers are implementing PCC fiscal policies and procedures and program directors regularly monitor and act on budget to actual reports.  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.  

10. Contribute to strategic planning and annual operating plan development. Collaborate with the CEO, other members of the senior leadership team, Program Directors, and external stakeholders to implement the strategic direction and ensure alignment across programs to promote health equity, patient engagement, patient and provider satisfaction, and operational excellence. 
 
11. Collaborate with and represent PCC to external agencies and organizations involved in health care access and health equity. Identify and build opportunities for collaboration with local, State and Federal agencies and academic centers involved in health care management and public health. 
 
12. Keep abreast of environmental and legislative policy changes related to programs within the portfolio of oversight and communicate accordingly with Program Directors and Managers. 
 
 Secondary Responsibilities
 
1. Ensure back up plans are in place for duties and functions within the department during unexpected absences. 
2. As delegated, serve as backup to CEO for specific functions. 
3. Other responsibilities and duties as assigned. 
 
Skills and Abilities
 
· Excellent leadership, relationship-building, negotiation, mediation, and public speaking skills
· Demonstrated success hiring exceptional people, cultivating talent, leading teams, and overseeing managers.  Inclined to coach and teach to strengthen managers while holding individuals accountable for results.
· Excellent contract management and compliance abilities with a proven track record of negotiating and overseeing complex contracts and partnership agreements 
· Ability to formulate, implement, and manage both strategic and operational plans, including budget development and fiscal administration for functional areas.
· Demonstrated project management skills; ability to develop collaborative projects and work with a variety of public and/or private providers, policy makers and researchers. 
· Command and understanding of change management processes
· Possess a demonstrated commitment to health equity and addressing the social determinants of health
· Ability to lead, facilitate, and work with diverse groups
· Politically astute and tactful; attentive to the perspectives and competing interests of various internal and external stakeholders.
· Strong analytical skills and experience with implementing evidence-based, outcome driven programs.  Proficient working with and interpreting data for purposes of process improvement and design. Demonstrated ability to develop critical questions and work with data analysts to interpret, communicate, and act upon results. 
· Familiarity with process mapping or other workflow improvement techniques sufficient to facilitate workflow and program information technology improvement discussions and decisions. Demonstrated success translating process improvement interventions into operating policies and procedures
· Possess the ability to see the broad picture, with flexibility to simultaneously dive into the weeds to execute on key contract objectives and goals.
· Sound financial leadership skills, able to develop and monitor complex programmatic budgets
· Self-motivated with the ability to work independently with minimal supervision
· Able to prioritize own and others’ work to ensure objectives are accomplished
 
 Education and Experience 
 
· Master’s degree in Healthcare Administration, Business , Public Health, Public Policy or related field preferred or 15+ years of relevant experience. 
· Five or more years supervisory experienced required, including concurrent supervision of multiple teams. Experience supervising both exempt and non-exempt staff preferred
· Five or more years of program and project management with a portfolio of multiple programs.
· Command and understanding of medical practices and ability to communicate well with health care providers and policy makers.
· Experience addressing health disparities through an equity lens and knowledge of cultural competency best practices.
· Knowledge of Montgomery County, MD government and non-profits preferred.
· 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 presence in the PCC headquarters office as well as for in person meetings with internal and external customers, vendors, and in person PCC staff meetings at least a few times per month. Occasionally, partner or community meetings are outside core business hours.

 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 within Montgomery County, MD. 

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.