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Easterseals Southern California · 2 days ago

Senior RVP Provider Networks-2

Irvine, CA

Full-time

Onsite

Senior Level, Lead/Staff, Director/Executive

$150K/yr - $180K/yr

7+ years exp

Easterseals Southern California is dedicated to enhancing quality of life and expanding access to essential services for individuals with disabilities. The Senior RVP Provider Networks is responsible for clinical oversight and leadership in the delivery of autism services, ensuring compliance, quality, and continuous improvement of the provider network while collaborating with various stakeholders.

CharityNon Profit

Culture & Values

Responsibilities

Plans, directs, and oversees all aspects of the organization's provider network function. Responsible for developing the network and negotiating and administering contracts. Oversees provider relations and monitors all provider services. Ensures provider operations are in compliance with clinical guidelines, contractual obligations, and requirements of regulatory agencies

Leads the expansion of the provider network and diversification of funding sources, supporting long-term access and business strategy goals

Spearheads the development and execution of comprehensive service delivery plans that align with organizational goals and regulatory requirements

Leads and directs the work of ESSC clinical and administrative staff within the network. In coordination with Director(s) and associates of the network, ensures adequate and timely staffing, personnel training/skill enhancement, professional development, clinical supervision and guidance for all associates

Ensures staff and internal operations adhere to adequate performance, budgets, policies, standards, and regulations internal and external to ESSC

Leads and supports the talent strategy across all service areas, with a focus on coaching, leadership development, and organizational growth; includes identifying needs, fostering a culture of continuous learning, and implementing initiatives to enhance associate and network engagement, performance, and retention

Provides coaching, mentorship, and performance oversight for directors and clinical teams to ensure alignment with organizational goals

Approves policies, specialized training and instructional materials developed within various sub-functions and departments. Creates and guides implementation of policies, standards, and guidelines for provider network services and programs

Serves as an escalation point with participants assigned to a network provider when a concern and/or grievance has not been resolved at the Director BPN and/or network provider level, facilitating resolution

Develops major goals and strategic plans for improved quality and standardized care management throughout the services and other directly related projects/objectives. Oversees the implementation of strategy and programs, coordination of personnel, network providers, and resources required to successfully complete projects

Leads strategic initiatives in the following priority areas: Kaiser partnerships, utilization management, participant complaints, and vendor coordination

Drives and supports cultural and operational transformation through change management, data-informed decision-making, and cross-functional collaboration

Oversees the execution of bi-annual audits of the provider network. Conducts regular team and 1:1 meetings with direct reports for review and monitoring of clinical operations, performance evaluations, quality of services, compliance, grievances/issues, productivity, report submission obligations, audits, caseload, capacity needs, status of projects, among other topics. Reports results to VP

Effectively and timely reports to VP on associate relations and progress of associates on concerns

Partners and collaborates with leaders and department heads across the organization to elevate performance, ensure alignment and consistency of clinical and operational strategy with the overall goals of the organization. Partners with funding sources to ensure collaborative relationships, contract adherence, and quality assurance activities

Independently navigates associate relations in compliance with Human Resource guidelines, ensuring departmental consistency

Builds and maintains strong internal and external relationships to support cross-functional collaboration and service excellence

Develops and monitors program budget. Works with pertinent departments to address billing, accounting, human resources, payroll, and other organizational activity and issues

Collaborates with finance leaders to ensure understanding of and operational efficiency through strategic financial planning, budget alignment, and resource optimization to enhance performance and sustainability

Participates in presentations, conference attendance, article reviews, and research projects or initiatives. Remains current regarding new research, current trends and developments in autism, behavior analysis, speech, occupational and physical therapy

Performs other duties as assigned

Qualification

Provider network managementClinical oversightBehavioral health servicesLeadership developmentAutism Spectrum Disorders (ASD)Interdisciplinary collaborationStrategic planningEHR softwareCustomer service orientationMicrosoft OfficeCommunication skillsProblem-solving skillsTeamworkAdaptability

Required

Master's degree with a concentration in early childhood education/development, early childhood special education, psychology, speech, occupational or speech therapy, and additionally a directly related human services field

7 years of related professional experience working with children with Autism Spectrum Disorders (ASD), and /or other related developmental disabilities in a multi-disciplinary team setting

7 + years in an advanced leadership capacity managing certified/clinical staff

Experience managing cross-functional teams, strategic partnerships, and clinical operations in a fast-paced, multi-site environment

Strong clinical, administrative, management, and leadership skills

Able to foster teamwork, effective monitoring, motivating, training, and mentoring of staff

Strong interpersonal communication, problem solving, and decision-making skills

Ability to communicate effectively, through oral and written skills, and work cooperatively with a variety of individuals and groups

Able to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easterseals Southern California (ESSC) and/or program requirements

Ability to travel throughout Southern California with reliable transportation, maintain driving record in compliance with Transportation Safety Standards, and have and maintain proper auto insurance and vehicle registration

Ability to pass a post-offer medical examination and a TB test; and provide proof of required vaccinations or positive titer showing immunity

Must pass all drug testing required by ESSC

Preferred

Ph.D., Ed.D., or clinical doctorate with emphasis in psychology, behavioral analysis, speech occupational physical therapy, or public health administration

Board Certified Behavior Analyst (BCBA). CCC-SLP, or licensed Occupational Therapist, Doctoral-level BCBA, SLP/OT/PT

Experience in delivery and management of behavioral health/clinical services within a multi-site medical model is preferred

Previous experience with network management is required

5-7 years experience with a proven track record in building interdisciplinary relationships to support service delivery

Leadership experience in clinical operations, preferably in a multi-site or networked environment, is also acceptable