The Nexus Montgomery Regional Partnership (Nexus) is a collaborative effort among the six hospitals operating in Montgomery County and community-based organizations to promote health, reduce hospital utilization and manage total cost of care for our shared community in ways that no single hospital could achieve on its own.

PCC serves as the management and staff infrastructure for Nexus, working with and supporting the governing Nexus Board of Managers (representing the six member hospitals). PCC oversees implementation of the Nexus programs, providing data analytics and outcomes measurement, process improvement, learning collaborative facilitation, and subcontractor oversight.

The Senior Director reports directly to the PCC CEO and serves in a senior leadership role within the organization.  The Senior Director oversees multiple programs, and is responsible for the delivery of Nexus programs, support of Board governance activities, and the satisfaction of the Board of Managers with PCC as the management entity.  The Senior Director is the staff liaison to the Nexus Board and the primary point of contact for external stakeholders with Nexus.

Essential Duties

1. Governance Activities: 

• Support the Nexus Board of Managers in achieving effective collaborative governance, program oversight and strategic planning.  Research and recommend governance best practices and structures.  Work with Board and Committee Chairs to assure effective Board and Committee agendas, and that information provided is accurate, timely, and meaningful for decision-making.  Ensure staff create and maintain contemporaneous minutes for Board, Finance Committee and Partnership Programs Intervention Committee (P-PIC).  Orient new Board members as needed.
• Ensure Board meets at regular intervals with Staff program leads, contractors, and hospital/health system Subject matter experts for in-depth dialogue on the programs and collaboratives, and that quality of the interactions meet Board’s needs.  
• Inform Nexus Board of program activities through written and verbal reports. Ensure outcomes metrics and other measures are accurately reported to the P-PIC, Finance Committee, the Board and HSCRC with clear analysis and presentation for understanding and decision-making. 
• Present proposals and recommendations to the Board for action regarding policies and programs.  Assist the Board in selecting programs and investments to achieve the shared objectives of the Members, and in jointly setting goals and strategy.  Carry out plans and policies approved by the Nexus Board.
• Serve as a liaison on behalf of the Nexus Board with HSCRC, external partners and community.

2. Management of a Portfolio of Programs

• Direct the activities and staff for multiple population health programs. Ensure work plans and goals are clear and communicated, and processes are in place to meet contractual scopes of work; monitor and assess program statuses, successes, and challenges for key milestones, performance metrics, and budgets.  Lead team members in ensuring high quality delivery of the Nexus operational programs, some of which are implemented through subcontractors. Monitor program planning, implementation and evaluation and lead team members to meet performance targets.  For short-term programs or during program start-up, directly provide initial or ongoing program management.
• Provide management oversight for direct reports, which includes Directors/team leads.  Assure appropriate staffing and team structures, including supervision, staff training and development, performance evaluation, coaching and counseling in accordance with PCC’s policies.  Create a positive and trusting work environment.  Encourage innovation and openness to new ideas, and autonomy of staff in their approach 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.  
• Per priorities set by Nexus Montgomery Board, develop or design new programs and external partnership opportunities.  Draft budgets and work with Nexus and hospital staff to project potential return on investment.  Where funding opportunities arise related to priorities, participate in proposal development with PCC grants team. 
• Regularly assess capacity of Nexus staff and Nexus partner organizations and develop plans to optimize resources and effort.  Ensure PCC and partner organizations remain in compliance with contracted terms, policies adopted by the Nexus Board, and Federal, State and local regulations. As needed, lead, engage in, or monitor process improvement or risk mitigation activities regarding the contracted scope.  
• Produce and deliver monthly Board of Managers and Committee updates on existing programs or potential new programs under consideration.
• Establish strong working relationships with key partner, vendor, or internal program staff.   Obtain answers to stakeholder questions relating to program status, challenges, and successes. Serve as the primary point of contact for Board, HSCRC, key stakeholders, other regional partnerships, and external inquiries regarding Nexus.  As appropriate delegate communication request or inform and involve Board.
• Ensure presentations and communications relating to the Nexus programs are clear, accurate, have consistent messaging, and adhere to the Nexus Communications policies. Create reports, including to HSCRC, on program and overall partnership performance.  Clearly explain outcome and performance metrics for the multiple programs.  Present to external agencies and organizations, as appropriate.  
• Annually, or more frequently at the request of the Board Chair, oversee the conduct of a satisfaction survey of Board and Committee members with the performance areas required of PCC.  With CEO, meet semi-annually with the Nexus Board Chair to formally review performance of the activities for the scope of work. 

3. Financial and Contract Management

• Develop annual and (as appropriate) multi-year budgets for Board approved and in-development programs. Draft Nexus Total Annual budget, consolidating all program and supporting infrastructure costs. Ensure Finance Committee and Board achieve an approved budget within timeframe required.
• Develop scopes of works and draft contracts for program activities with hospitals, subcontractors and consultants. 
• Ongoing, assure staff code expenses to appropriate budget categories and programs. Monthly, monitor spend and compliance with Board approved budget. Provide fiscal reports to Nexus Board, hospitals and HSCRC.
• Support Chair of Nexus Finance Committee in communications with Nexus Board, hospital financial leadership and HSCRC.
• Ensure subcontract negotiations, renewals and modifications are timely completed, with review by PCC, legal counsel, Finance Committee, P-PIC and Board as needed.
• Ensure PCC meets its responsibilities identified in the annually updated Scope of Work.

4. Additional Duties 

• Participate in relevant local and state work groups, committees and community meetings.  Some such meetings are held outside standard business hours.  
• Build relationships across the Nexus region, with community providers, influencers and grass-roots representatives.  Identify and build opportunities for collaboration with other state sponsored collaborations and identify best practices or opportunities for improvement.
• Ensure the experiences and needs of patients, families and community residents are included in evaluation of current and potential programs and initiatives.
• Serve as a member of the PCC senior leadership team.  Work collaboratively with the CEO and other senior leaders to identify and address cross-cutting priorities affecting multiple departments or teams within the organization, sharing program successes and challenges and identifying best practices and standard operating procedures that can improve all PCC programs.
• Other duties as assigned.

Skills and Abilities

• Excellent leadership, relationship-building, negotiation, facilitation, and public speaking skills. Demonstrated servant-leader skills capable of leading from the side, as well as managing a team. Strong project management skills.
• Sound budgeting and financial reporting skills. Experience budgeting and balancing staff time across multiple funding streams and program areas. 
• Demonstrated advanced analytical skills.  Ability to quickly digest, understand and explain data.  Experienced in project management, definition of program success measures, scorecard development, and reporting. Familiarity with data collection and data analysis design sufficient to communicate needs with data management and data analysis staff.  
• Demonstrated success hiring exceptional people, cultivating talent, leading teams and overseeing managers.
• Demonstrated experience in process improvement with ability to work as a consultant, facilitator and colleague with multidisciplinary healthcare professionals. 
• Demonstrated advanced communication skills with ability to communicate effectively and persuasively, both orally and in writing to a broad range of stakeholders, including clients, clinicians, hospital administrators, and public health officials. Prepare clear presentation materials and deliver effective presentations. Listen actively, build rapport easily identify conflict and tension and facilitate constructive resolution, inspire and build trust.
• Experience facilitating the open expression of multiple perspectives, through meetings and one-on-one discussions, to achieve a consensus or agreement.
• Ability to organize, develop, implement, monitor and evaluate work plan goals and performance objectives.  Must have superb organizational skills and attention to detail.
• Ability to lead, facilitate and work with diverse groups.  Experienced in creating engaging, non-judgmental meeting environments that encourage sharing of challenges and failures and supportive peer-to-peer learning. 
• Self-motivated individual; ability to work independently and with minimal supervision.

Education and Experience 

• Master’s degree, or bachelor’s degree and commensurate experience, in Public Health or Policy, Business or Healthcare Administration, a clinical profession (e.g. MD, DO, NP, PA, LCSW), or related field or experience.  
• 7+ years of experience in health or social service related program design, program management and implementation. Experience at a local level and with diverse client populations preferred.
• 5+ years experience required in managing and developing individuals and teams. 
• Experience addressing health disparities through an equity lens and knowledge of cultural competency best practices.
• Knowledge of the Maryland All Payer and Total Cost of Care Models, Maryland Primary Care Model, population health practices, or alternative payment models preferred.
• Knowledge of the State Health Information Exchange (CRISP) preferred.
• Knowledge of Montgomery County, MD and its public health, hospital and community services environment preferred. Must demonstrate ability to work effectively with senior hospital leadership. Prior experience working with hospitals preferred.
• Proficiency in Microsoft Office suite of products (Outlook, Excel, Word, PowerPoint).

Telework and Work Hours

This job is approved for telework, when activities do not require a physical presence. This position is expected to regularly attend/lead in-person staff meetings at the PCC headquarters office, Board and committee meetings.  This position is expected to regularly meet and network in-person with current or potential community partners, attend conferences and collaborative learning events.  This may require working outside of Core 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.

• Requires ability to travel within central Maryland, to attend meetings and observe community-based programming.  
• 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.
• Advanced math skills needed to calculate compensation and analysis.
• Requires ability to learn new software applications as necessary.
• Must be able to lift up to 20 pounds.

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.

PCC is an Equal Employment Opportunity Employer