Vice President of Operations, Medicaid

At Embrace Families we believe all kids deserve to grow up in safe, stable and loving homes. As a national leader in child welfare services, we begin by helping Central Florida families overcome the root causes of abuse and neglect through programs that offer case management and other prevention services that keep families together and build a stronger community. When a child can't remain safely in their home, we partner with local agencies to support them through foster care, adoption, mentoring and beyond to ensure that children in bad situations move toward brighter futures.

Telecommuting/Remote work options available - Hybrid/Mostly Full-Time Remote 

Starting salary: [$104,600-$123,428 per year] (dependent on experience)

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POSITION OBJECTIVE: 

This position will oversee the operations of Integrated Health which is responsible for the provision of Medicaid services to children and families in dependency.  The VP is responsible for the contract's successful implementation & ensuring the operation of Integrated Health is meeting expected outcome measures and adhering to required contract provisions.  This position also will ensure that positive relationships with stakeholders are maintained and will serve as the organization's primary representative with the Agency for Healthcare Administration (AHCA), Sunshine State Health Plan (SSHP), the Department of Children & Families (DCF), and other stakeholders as it relates to this contract. This position is associated with the implementation and management of the Statewide Medicaid Managed Care - Child Welfare Specialty Plan Contract that was awarded by AHCA. 

KEY FUNCTIONS: 

• Ensures effective & productive working relationships are maintained & serves as the representative of Integrated Health with AHCA, DCF, SSHP, provider groups, community alliances, the Integrated Health Board of Directors, and other stakeholders as needed.  
• Manage & administer Integrated Health's statutory & contractual responsibilities with AHCA and SSHP
• Oversees any contract monitorings by SSHP and AHCA and coordinates change initiatives and corrective action plans with CBCIH Senior Management and Board of Directors.
• Responsible for the financial performance of CBCIH and ensuring alignment with the organizations goals, contract requirements, and the policy decisions of the board.
• Oversees the process of policy design in order to ensure Integrated Health is in compliance with Medicaid regulations, statutes and the Specialty Plan. 

QUALIFICATIONS:

Required:

• Master's Degree in a related field and 10 years of experience in management of a Managed Care Environment
• A minimum of ten years of management/supervisory experience
• Knowledge of Medicaid rules & regulations

Preferred:

• Experience working with the Department of Children and Families' and/or the Agency for Health Care Administration.
• Experience in Florida's Child Welfare System.
• Current or Former healthcare/ behavioral healthcare licensure
• Certified Professional in Healthcare Management (CPHM) and/or Certified Professional in Healthcare Quality (CPHQ)

 

SKILLS:

• Effective leadership, management and planning skills
• Excellent interpersonal and communication skills
• Ability to define problems, collect data, establish facts and draw valid conclusions
• Ability to analyze and implement services, plans and policies
• Ability to interact with and maintain high morale among employees
• Ability to analyze, integrate and report data
• Demonstrate cultural and linguistic competence & sensitivity to population served
• Ability to travel

SPECIAL CONDITIONS:

• Thorough Background Screening upon hire including FBI, FDLE, Local Law check, Employment Reference check, DMV check, Criminal Records check, Social Security Trace & Drug Screening.  FDLE check will be run at least every 5 years.
• On-call assignments- Yes
• Travel- local: 7% per week, long-distance: 15% per month
• Attend at least 15 hours of in-service training annually

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Embrace Families Values Strong Families and Strong Communities. We believe Every Child deserves a safe, stable, and loving home. We invite you to come on board and help us make that happen.

• We are the lead child welfare agency in Central Florida covering the tri-county area of Orange, Osceola and Seminole counties
• We are Innovative and have piloted programs not seen before in this industry - Ask us about our Keys to Independence Program and our work in Texas
• We raise awareness with fun and inspiring events such as Dance, Dream, & Inspire, the MANicure Movement, and our Golf Tournament
• We partner with organizations throughout the tri-county area to address the specific needs of our children and families at their community level.
• Voted one of the Top Places to Work by Orlando Sentinel
• A high % of Employee Engagement according to our yearly Gallup survey

Embrace Families Values Strong Employees. Our comprehensive pay and benefit package provides a foundation of health, wellness & development supports for you and your family.

• Your benefit eligibility starts on day 1
• 100% Employer paid basic life, AD&D and disability benefits
• 401(k) with Employer match up to 4% of eligible pay
• Paid Time Off accrues starting on day 1 with 27 days (216 hours) per hire year!
• 10 paid holidays each year
• A broad EAP Program with access to thousands of trainings and lifestyle discounts ranging from professional and personal which cover, mental, physical, and financial well-being
• Flexible hybrid work opportunities for most positions
• Opportunities for learning, growth, and development
• A high % of Employee Engagement according to our yearly Gallup survey
• Market based pay scale and an emphasis on recognizing and rewarding staff

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