Director of Medicaid Programs - Albuquerque, New Mexico

ABOUT ADOBE

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 and committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal consecutive times.

APH offers customized programs for insurance groups, providers, hospitals, and families, which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. As one of the country's few fully integrated healthcare providers, APH provides top-notch medical services with various service lines. The company is expanding and looking for individuals who want to make a difference and help those in need.

POSITION PURPOSE

Adobe Population Health is seeking a passionate, highly skilled and results-oriented individual to join our team as the Director of Medicaid Programs in New Mexico. This position will be responsible for overseeing the development, implementation, and management of Medicaid care coordination programs in the state of New Mexico. The Director will work closely with health plans, government agencies, healthcare providers, and community organizations to ensure the delivery of high-quality care coordination services to Medicaid beneficiaries.to join our team as a Director of Business Development. In this role, you will be responsible for ensuring the successful implementation and ongoing satisfaction of our clients with their Adobe Population Health solutions. You will play a crucial role in ensuring the satisfaction, retention, and growth of our client base while being established as the primary point of contact. As the Director of Business Development, you are dedicated to building strong relationships with our clients, understanding their needs, and driving value through our products and services. The ideal candidate will possess excellent communication skills, a strategic mindset, and a passion for delivering exceptional customer experiences.

This newly created position supports APH’s continued expansion and reports to the VP of Integrated Clinical Services.

This role is based out of our satellite office in Albuquerque and requires travel throughout New Mexico and to Arizona.

DUTIES & RESPONSIBILITIES

• Develop and implement strategic plans for Medicaid care coordination programs in alignment with Adobe Population Health's mission and objectives.
• Lead and supervise a team of Program Managers, Field Supervisors, Care Coordinators, and program staff to ensure effective delivery of services and achievement of program goals.
• Collaborate with health plans, state Medicaid agencies, and other stakeholders to establish program guidelines, standards, and performance metrics.
• Oversee the recruitment, training, and professional development of assigned staff to ensure competency and compliance with regulatory requirements.
• Monitor program performance and outcomes, analyze data, and prepare reports for internal and external stakeholders.
• Identify opportunities for program improvement, innovation, and expansion to meet the evolving needs of Medicaid beneficiaries.
• Ensure compliance with all relevant laws, regulations, and contractual obligations governing Medicaid care coordination programs.
• Foster a culture of collaboration, accountability, and continuous improvement within the care coordination team and across organizational departments.
• Represent Adobe Population Health in meetings, conferences, and other forums related to Medicaid care coordination initiatives.
• Build and maintain positive relationships with key stakeholders, including health plans, providers, advocacy groups, and community organizations.
• Travel required both in and out of state.
• Other duties as assigned by management.

SKILLS & QUALIFICATIONS

• Five (5+) years of experience in healthcare management, care coordination, population health management, or related field.
• Strong understanding of Medicaid programs, regulations, and policies, with specific knowledge of the New Mexico healthcare landscape preferred.
• Demonstrated leadership experience, including the ability to lead and motivate teams, foster collaboration, and drive results.
• Excellent communication skills, both written and verbal, with the ability to effectively interact with diverse stakeholders.
• Proven analytical and problem-solving abilities, with the capacity to analyze data, identify trends, and make evidence-based decisions.
• Ability to work independently, manage multiple priorities, and adapt to changing environments.
• Proficiency in Microsoft Office Suite and experience with healthcare technology platforms preferred.
• Knowledge of value-based care models, population health strategies, and care coordination best practices desirable.
• Commitment to Adobe Population Health's mission of improving the health and well-being of Medicaid beneficiaries through innovative care coordination programs.

EDUCATION, LICENSES, & CERTIFICATIONS

• Bachelor's degree in healthcare administration, public health, nursing, social work, or related field required.
• Master’s degree preferred.

BENEFITS & TOTAL REWARDS

• Insurance – Medical, Dental, Vision, and Life
• 401k Plan – 3% match
• Employee Assistance Program
• Tuition Reimbursement
• Continued Education Support
• Mileage Reimbursement (if applicable)
• Referral Bonuses
• Paid Holidays (8 days)
• Paid Time Off (15 days)
• Paid Volunteer Hours

CHARACTER & COMPETENCIES

• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Delegation - Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides recognition for results.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.
• Managing People - Includes staff in planning, decision-making, facilitating, and process improvement; Takes responsibility for subordinates' activities; Available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.; Continually works to improve supervisory skills.
• Problem-Solving - Identifies and resolves problems promptly; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Tactfully approaches others; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

PHYSICAL DEMANDS & WORK ENVIRONMENT

• Occasionally required to stand.
• Occasionally required to walk.
• Continually required to sit.
• Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
• Occasionally required to be exposed to warm or cool spaces.
• Continually required to talk or hear.
• While performing the duties of this job, the noise level in the work environment is usually moderate.
• May occasionally lift and /or move more than 30 pounds.
• Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.

EQUAL EMPLOYMENT OPPORTUNITY

APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.