Program Manager – Health Home

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Department of Social Services (MSH) -  Req Number: 2457840


Job Title: Program Manager – Health Home

 

Roles & Responsibilities:

Mount Sinai Health Partners (MSHP) is the management services organization developed to enhance the Health System’s implementation of population health initiatives, that is, programs of care that enhance the patient experience and health status, improve the health of patient populations and reduce utilization and healthcare costs. Population health initiatives particularly focus on preventive care. MSHP provides the infrastructure to support population health initiatives and includes services such as care coordination, information technology, workflow optimization, physician engagement and quality reporting. The Department of Social Work Services takes a leadership role in MSHP Care Management, which is providing in person and telephonic short-term and long-term care management services for a large diverse group of individuals who have a variety of insurances that are part of value based contracts. The goal of MSHP Care Management is to provide standardized care management services to meet patients’ medical and psychosocial needs, increase quality and reduce unnecessary health care costs.

Mount Sinai Health Home (MSHH) is an integral part of Mount Sinai Health Partners (MSHP). MSHH is a NYS Department of Health (DOH) program designed to serve Medicaid/Medicaid Managed Care enrollees who have high-cost and complex chronic conditions. MSHH, a patient-centered program, is a care management service model which aims, through improved care coordination and service integration, to control future health care costs and improve health outcomes for this population. MSHH is has been serving adults since 2013, and the Mount Sinai Health Home serving children was designated in 2016. MSHH care management services are performed by internal social workers and care coordinators, as well as care managers from over 25 care management agencies (CMAs). Serving over 5,000 patients, these care managers are expected to ensure that patients “receive everything necessary to stay healthy, out of the emergency room, and out of the hospital.” 

The Program Manager will provide the necessary management, administrative support, and oversight for the program acting as a principal contact to various stakeholders including managed care (payers) and state government. 

This position will be primarily based at 320 E. 94th Street between First and Second Avenues; some travel throughout boroughs may be required for off-site meetings with stakeholders. 

RESPONSIBILITIES:
• Support strategic operations through participation in MSHH Weekly Team Operations Meetings and various process improvement activities and workflow development. 
• Develop and maintain knowledge and expertise of IT platform, DOH reporting, data exchange processes, and current regulations and technologies related to program data management (MAPP – Medicaid Analytics Performance Portal; RMA – Roster Management Application etc.) 
• Implement best practices in data management to ensure the integrity of the data, the quality of data processes and deliver analyzable or analyzed data to a variety of internal and external stakeholders.
o Lead data and operational needs regarding program performance data, including development of performance reports, strategies for network improvement, and relationship/data exchange management with stakeholders
o Completion of standard and ad hoc reports for senior leadership inclusive of Health Home quality metrics, deliverable and enrollment metrics to inform strategic operations.
• Serve as lead contact/program representative for:
o contracted IT platform vendors inclusive of leading weekly calls, driving development priorities, troubleshooting issues, and maintaining vendor relationship
o payers, inclusive of leading monthly calls, representing program priorities, maintaining relationship and partnerships
o Stakeholder workgroups such as the MAPP/IT/Data Exchange Subcommittee and Coalition MAPP Subgroup
• Manage key program strategic operations, including patient identification strategies, payer outreach strategies, PPS and MSHP priority alignment
• Act as project manager for new and special projects, including outreach optimization, payer initiatives, and MSHP initiatives
• Support CMA Network with operational and strategic initiatives including:
o Management of inquiries and troubleshooting via phone and email.
o Provision of training and support related to IT platform and data issues, includes maintenance of platform training manual
• Promote positive relationships with Mount Sinai Health Home, Mount Sinai Health Partners, and Mount Sinai Health System, as appropriate, in all external community and government settings.
• Provide ancillary support to MSHH’s Quality Monitoring Program (QMP) to help ensure operational targets and reporting requirements are met or exceeded.
• Contribute to special projects and performs other duties as needed.

Requirements: 

• Masters degree highly preferred.
• Demonstrated leadership experience in innovative programs with complex operational and regulatory requirements preferred.
• Strong interest in being part of an innovative initiative to improve the quality and cost of care.
• Ability to review and analyze complex data to inform Health Home programming required.
• Proficiency in Microsoft Excel required. 
• Excellent written and verbal communication; able to summarize analyses in a way that simplifies complex ideas and synthesizes information into insights.


 Strength Through Diversity

The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
 
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
 
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
 
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation. 

EOE Minorities/Women/Disabled/Veterans

 

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