Strategic Planning Manager II - King County Integrated Care Network Administrator
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences.
The Department of Community and Human Services (DCHS) provides equitable opportunities for people to be healthy, happy, self-reliant and connected to community.
The King County Integrated Care Network (KCICN) Administrator is responsible for the strategic vision and operational execution of the ICN’s traditional managed care functions under both the Integrated Managed Care (IMC) and the BH-Administrative Services Only (BH-ASO) contracts within the Behavioral Health and Recovery Division (BHRD).
The KCICN Administrator provides strategic direction and oversees execution of traditional managed care operations including, but not limited to the following functional areas: oversight of encounter collection, validation, and submission to administrative entities; provider payments and reconciliation; provider relations, training, capacity building and network management; eligibility and membership; identifying and clarifying business rules and technical specifications to support system configuration and IT, and data collection, and reporting to administrative and regulatory agencies.
The incumbent in this position will align all work with the mission of the Department's Equity and Social Justice strategic plan (i.e., to reinforce and embed equity and social justice principles into policies, practices, attitudes and actions that produce equitable access, opportunities, treatment, impacts and outcomes for all).
WHO MAY APPLY: This position is open to all qualified candidates that meet the minimum qualifications. The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, veterans, and those with lived experiences.
WORK SCHEDULE: This position is exempt from the provisions of the Fair Labor Standards Act and is not overtime eligible. Typical hours are Monday - Friday 8am-5pm.
TEMPORARY TELECOMMUTING REQUIREMENT
The work associated with this position will be performed remotely, at least through July 5, 2021 in compliance with King County’s telecommuting mandate. It is possible that the work will be primarily performed remotely on an ongoing basis after July 5, 2021.
Employees will be provided with a County issued laptop and must maintain a workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours. Employees must reside in WA state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements. There will be situations where the employee is required to report to a County worksite. Please note that when an employee conducts work that is likely to bring them in contact with another individual, safety precautions are required by the department in alignment with the Public Health Directive from the Seattle & King County Public Health Officer.
To support employees during this time King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will be joining an innovative and progressive team. King County is doing its part to reduce the spread of COVID-19 and remains committed to reducing our carbon footprint.
RECRUITER: Annette Coleman firstname.lastname@example.org
- Job Duties
- Provide strategic direction and oversee execution of BHRD traditional managed care operations functional areas.
- Engage and collaborate with internal and external partners, and provide strategic leadership in the development, implementation, monitoring, and communication of BHRD managed care programs, policies and systems to achieve optimal operational efficiencies and meet contractual and regulatory requirements internally within BHRD and across the network of contracted Medicaid and non-Medicaid providers.
- Direct KCICN policy and procedure development, implementation and monitoring in coordination with BHRD Quality section, including coordinating policy development through inter-jurisdictional review processes.
- Oversee, supervise, and support BHRD KCICN operational staff and the network of contracted behavioral health providers in achieving clinical outcomes under contracts with the Washington State Health Care Authority (HCA) and contracted Managed Care Organizations (MCOs).
- Lead the development of strategies to improve operational efficiency and/or performance, including oversee the development of operational plans which identify future operational resource requirements to ensure performance targets are met.
- Provide strategic guidance and ensure the execution and implementation of standardized, scalable and sustainable processes that meet requirements for BH-ASO and IMC services under contracts with HCA and MCOs, respectively.
- Provide strategic vision for the development and implementation of integration pilots, and coordinate and collaborate with external partners and stakeholders, including MCOs, to achieve identified outcomes.
- Monitor the achievement of contracted MCO goals pertaining to clinical performance and value-based purchasing.
- Collaborate with key internal stakeholders, such as leaders from finance, network, clinical quality, and IT to ensure seamless interoperability between departments and functions.
- Collaborate with key external stakeholders, including managed care plans, behavioral health providers, State regulatory agencies and IT vendors.
- Collaborate and provide strategic guidance for the BHRD Performance, Measurement, and Evaluation team members and other Division staff as needed to detect and describe system-wide trends pertaining to quality.
- Lead innovations in data collection, analysis and reporting to drive performance improvement.
- Serves on KCICN Governance Committees as appointed.
- Serves on BHRD Executive Leadership Team, Management Team, Plan Management Group and other BHRD committees as appointed.
- Perform other related duties as assigned.
- Experience, Qualifications, Knowledge, Skills
- Graduate and/or bachelor’s degree with coursework in social or health care services and at least 10 years of professional experience in public sector behavioral health, primary care health services, electronic health record sector, or within a health insurance plan; or an equivalent combination of experience, education and/or training that provides the knowledge, skills and abilities to perform the work.
- Strong ability to synthesize and analyze complex data, including large data sets, and conduct program evaluation.
- Experience working as a director or manager of operational functions in the health or behavioral health sector including at an insurance, health system or electronic health record organization.
- Experience working with healthcare or social service systems at the national, local, regional, or state levels, including but not limited to systems that serve low-income & vulnerable clients.
- Knowledge of and experience with federal, state, and regional rules, regulations, and contract requirements pertaining to behavioral health managed care (e.g., CFR, RCW, WAC).
- Knowledge of and experience with Medicaid managed care organizations in Washington State.
- Experience driving improvement of managed care functions within a healthcare or behavioral health organization.
- Knowledge of and experience with substance use disorder and mental health services in King County and/or Washington State, or equivalent experience in another state.
- Experience facilitating/leading large workgroups/committees with stakeholders and key partners.
- Proven ability to work effectively with individuals who may have markedly different perspectives.
- Strong written and verbal communication skills.
- Ability to manage multiple tasks simultaneously.
- Excellent interpersonal skills.
- Strong knowledge of Office 365, e-mail, OneNote, Microsoft teams and Excel.
- Valid Washington State Driver's License, or the ability to travel throughout the county in a timely manner.
- Graduate degree with coursework in social or health care administration or an equivalent combination of experience and education.
- Supplemental Information
Forbes recently named King County as one of Washington State's best employers.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.
Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles--we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.
King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact your recruiter listed on this job announcement.
King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being. Eligible positions receive the following benefits and have access to the following programs:
- Medical, dental, and vision coverage: King County pays 100% of the premiums for eligible employees and family members
- Life and disability insurance: employees are provided basic coverage and given the opportunity to purchase additional insurance for both the employee and eligible dependents
- Retirement: King County employees are eligible to participate in a pension plan through the Washington State Department of Retirement Systems and a 457(b) deferred-compensation plan
- Transportation program and ORCA transit pass
- 10 paid holidays each year (plus 2 personal holidays)
- Generous vacation and paid sick leave
- Paid parental leave, family and medical leaves, and volunteer leave
- Flexible Spending Account
- Wellness programs
- Onsite gyms and activity centers
- Employee giving program
- Employee assistance programs
- Flexible schedules and telecommuting options, depending on position
- Training and career development programs
This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy. If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails. Also, in the event of any incorrect information in this document, applicable laws, policies, rules, CBAs, or official plan documents will prevail.
NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position. Short Term Temporary positions are not eligible for an ORCA transit pass.
For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.
01Are you applying to this position as an eligible Current or Previous King County Employee Priority Placement Program Participant AND Is this position the same or lower percentage of full-time when compared to the position held at the point of the notification of layoff AND Do you possess the skills and abilities to qualify for this position?
02If you answered yes to the question above and you are applying for this position as a Priority Placement Participant, to be considered, you must provide the following three pieces of information in the space provided: 1. The title you held when you received your layoff notice 2. The department you worked in 3. The effective date of your layoff03Tell us about your professional experience in public sector behavioral or primary care health services, or within a managed care organization. List the organization name(s) and dates.04Please describe what you believe are the key characteristics of an integrated health care system?05This position serves as a business representative for the Department of Community & Human Services Behavioral Health and Recovery Division to multiple functions specific to the King County Integrated Care Network (KCICN) including but not limited to clinical, quality, data & analytics, and King County IT. Please succinctly describe an experience when you had to represent business needs and how you helped others to understand those needs in order to maintain business operations.06This is a three-part question about equity and social justice, which is integral to the work we do in King County: a. How do you define equity? b. How have you worked to incorporate an equity lens in your current or previous jobs? c. What would meaningful progress look like in King County?
- Yes, I was given a layoff notice from my role at King County AND I am within two years of the effective date of my layoff. AND The position I was laid off from was the same or a higher percentage of FT status when compared to this one.