Executive Director, Health Equity

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California.

Work Culture:

GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work – Together.

GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).

GCHP’s focuses on 5 Core Values in the workplace:

• Integrity

• Accountability

• Collaboration

• Trust

• Respect

Disclaimers:

• Flexible work schedule is based on job duties, department, organization, or business need.

• Gold Coast Health Plan will not sponsor applicants for work visas.

POSITION SUMMARY

Under the direction of the Chief Medical Officer, this position is an enterprise leadership role responsible for connectivity with our members, and medical community and analyzing effects of social determinates of health on our membership. The position partners with other leaders to guide the organization’s commitment and strategy to be a diverse, equitable, and inclusive (DEI) organization. The position is responsible for setting and implementing an overarching vision of DEI for the member community with a primary emphasis on health disparities both at the programmatic and administrative levels —that works to eliminate systemic member marginalization and promotes inclusion and anti-racist practices. To accomplish these efforts collaboration will be required with Health Services and Community Relations and the departments within. It will also include departments outside Health Services such as Provider Network Management, Clinical Operations and more. The position is responsible for the promotion of external DEI for Gold Coast Health Plan’s members and providers of the greater Ventura County area.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS

Job Function & Responsibilities

• Provides strategic leadership to ensure that organizational culture, practice and leadership development programming are primary to the DEI vision.

• Design and implement culturally specific and responsive policies, programs and service delivery models, as well as standardized guidelines and criteria to ensure health equity is prioritized and addressed.

• Oversees regulatory compliance, including monitoring, implementing and reporting for all new regulatory requirements focused on health equity and disparities. Ensures compliance with contracted services and performance metrics.

• Ensure compliance with California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Covered California, and Centers for Medicare and Medicaid Services (CMS) regulatory and contractual requirements.

• Ensures all policies and procedures consider health inequities and are designed to promote health equity and reduce health disparities, including but not limited to:

o Member and Provider outreach.

o Medical and other health services policies.

o Community Advisory Committee.

o Quality improvement activities, including delivery system reforms.

o Appeals and grievances, and Utilization management.

• Develops and implements policies and procedures aimed at improving Health Equity and reducing Health Disparities.

• Engages and collaborates with staff, subcontractors, network providers, and entities included, but not limited to local community-based organizations, local health department, behavioral health and social services, child welfare systems and members in health equity efforts and initiatives.

• Implements strategies designed to identify and address root causes of health inequities, which includes but is not limited to systemic racism, social drivers of health, and infrastructure barriers for Gold Coast staff, providers and members.

• Develops targeted interventions designed to eliminate health inequities and collaborates with other departments as necessary to ensure implementation. Develops quantifiable metrics that can track and evaluate the results of the targeted interventions designed to eliminate Health Inequities.

• Ensures employees, subcontractors, and Network Provider staff receive mandatory diversity, equity and inclusion training (sensitivity, diversity, communication skills, and cultural competency training).

• Ensure the records of such training are maintained in the Learning Management System.

• Creates, implements and reports on the organizational equity plan in partnership with organizational stakeholders.

• Collaborates with Human Resources and the Chief Diversity Officer, to design and implement strategies for recruiting and retaining employees and management.

• Collaborates with Learning and Development to develop educational and training for employees and staff.

• In collaboration with the Chief Medical Officer and Clinical Leadership Team, oversees Quality Improvement and Health Equity activities, which includes:

o Analyze and evaluate the results of QI and Health Equity activities, including annual review of the results of performance measures, utilization data, and consumer satisfaction surveys.

o Institute actions to address performance deficiencies, including policy recommendations.

o Ensure appropriate follow-up of identified performance deficiencies.

• Serve on the Diversity, Equity and Inclusion Council. Communicates clearly in writing and verbally the principles, initiatives and outcomes of the DEI work. Develops media messaging to internal and external constituencies.

• Develops communication systems to share best practices, keeping staff apprised of key initiatives and activities. Forges strong relationships and continuing communication links with other health equity advocates, and the local community.

• Represents GCHP’s commitment to equity and acts as subject matter expert at the local, state, and national level.

• Functions as a subject matter expert for senior leadership and report to the Medical Commission as needed.

• Works with senior leadership in deploying standardized evidence-based best practices in medicine and clinical content and ensure adoption of best practices.

MINIMUM QUALIFICATIONS

Education & Experience:

• Master's Degree, Field of Study: Social work promoting equity, inclusion and social justice.

• 6 years of related experience in the health care industry.

• 10 plus years of experience in recent relevant management experience, a majority of which should be in a senior leadership position.

• 5+ years of management experience within a health care organization (managed care or prepaid health system experience preferred), which included Medi-Cal program, general and fiscal operations, customer service and provider relations, health care information systems, and regulatory compliance.

• 5+ years of experience in developing and implementing initiatives/programs related to health equity.

• Knowledge of the Medi-Cal, entitlement programs, Utilization Management, Care Management & Disease Management programs & procedures.

• Knowledge of health care fiscal principles &operations, managed care provider payment methods & contracting.

• Knowledge of public policy & regulatory issues in health care, customer service & quality improvement methods; general knowledge of MIS applications in health care systems.

Equivalent In lieu of degree:

• Will accept 2+ additional years of experience in lieu of a master’s degree or which demonstrates the ability to perform the duties of the position.

KNOWLEDGE, SKILLS & ABILITIES

Preferred Qualifications:

• Doctorate, Field of Study: Nursing, Business, Public Health or Health Administration or a related field preferred, or equivalent.

• Direct work experience with the vulnerable and at-risk communities.

• Bilingual in English and in Spanish.

• 5 years of experience advocating for and implementing change within a multicultural environment, preferably with some experience in project planning, developing, and implementing diversity, equity, and inclusion programs, managing outcomes, and using data to inform continuous decision-making and improvement.

• Experience facilitating large multi-stakeholder collaborations related to health equity is a plus.

• Proven track record of successful project and program leadership.

• Experience with historically underrepresented, low-income, traditionally disenfranchised, and differently labeled populations in diverse environments.

• Experience with building and maintaining effective working relationships with providers, community representatives and regulators.

• Proven experience organizing and directing multiple cross-departmental teams, simultaneously, on large, complex, and high-stakes work plan execution.

• Proven success leading large, complex, cross-functional, and high-stakes projects.

• Excellent communicator in written and verbal form with considerable experience in highly effective corporate communications with internal and external stakeholders.

• Extremely versatile, dedicated to efficient productivity.

• Ability to plan, assign, direct, supervise & evaluate the work of others.

• Establish and maintain effective and cooperative working relationships with Gold Coast staff and others contacted in the course of the work.

• Assume responsibility& exercise good judgment in making decisions within the scope of authority of the position

• Effectively prioritize multiple tasks and deadlines.

• Ability to accurately complete tasks within established times.

• Ability to maintain confidentiality

Technology & Software Skills: Advanced computer skills in MS Office products.

Certifications & Licenses: A valid and current Driver's License, Auto Insurance, and professional licensure(s)

Competency Statements

• Management Skills - Ability to organize and direct oneself and effectively supervise others.

• Business Acumen - Ability to grasp and understand business concepts and issues.

• Decision Making - Ability to make critical decisions while following company procedures.

• Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.

• Interpersonal - Ability to get along well with a variety of personalities and individuals.

• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

• Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

• Consensus Building - Ability to bring about group solidarity to achieve a goal.

• Relationship Building - Ability to effectively build relationships with customers and co-workers.

• Presentation Skills - Ability to effectively present information publicly.

• Delegating Responsibility - Ability to allocate authority and/or task responsibility to appropriate people.

• Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.

• Strategic Planning - Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved.

• Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.

• Judgment - The ability to formulate a sound decision using the available information.

• Communication, Oral - Ability to communicate effectively with others using the spoken word.

• Communication, Written - Ability to communicate in writing clearly and concisely.

• Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.

Apply Here

PI250412579