Manager, Community Health Initiatives / Job Req 822406731

Remote: Full Time must live in one of 6 states where we operate: CA, AZ, NV, TX, WA,OR. Available for Full-Time Work Schedule 8:00am - 5pm Pacific Time, Monday-Friday.

PRINCIPAL RESPONSIBILITIES:

Under the direction of the Director, Community Health Strategy, the Manager of Community Health Initiatives supports the operationalization and implementation of Alameda Alliance for Health's (Alliance) community health efforts. The Manager plays a key role in helping integrate Population Health Management (PHM) principles with actionable, community-based interventions that address Social Drivers of Health (SDOH), support disease management, and promote access to preventive care.

The Manager contributes to the execution of Alliance's Community Health Worker (CHW) strategy, supporting training initiatives, tracking program activities, and coordinating with members, providers, and community partners. The role focuses on facilitating day-to-day program operations, helping monitor utilization trends, and identifying opportunities for process improvements.

Working collaboratively with internal departments-including Population Health, Case Management, Utilization Management, Quality, Health Equity, Pharmacy and Behavioral Health-the Manager ensures that community health initiatives are effectively integrated into care delivery. This role supports efforts to enhance equitable access, drive health outcomes, and reduce disparities across the Alliance member population.

Additionally, the Manager helps maintain relationships with key stakeholders such as Community-Based Organizations (CBOs), Local Health Jurisdictions (LHJs), and CHW providers to support program implementation and partner engagement, in alignment with CalAIM and Department of Health Care Services (DHCS) priorities.

The Manager of Community Health Initiatives will be responsible for seven (7) key service areas:

• Developing and implementing the Alliance CHW program in alignment with the Department of Health Care Services (DHCS) guidance, including All Plan Letters (APLs).
• Developing, managing, and expanding the CHW provider network.
• Providing programmatic management and oversight of the Alliance CHW program.
• Identifying and analyzing key data elements for CHW utilization and health disparities and recommending changes based on trends.
• Leading CHW provider training cohorts, including curriculum development.
• Providing required CHW program reporting to DHCS as well as budget reporting.
• Ensuring CHW integration and operational efficiency for the Alliance.

Furthermore, the Manager, Community Health Initiatives engages in intentional collaboration with Population Health, Case Management, Utilization Management, Quality, Health Equity, Pharmacy, Behavioral Health, Housing, and other healthcare service entities to promote service integration. Embedding community health strategies throughout the continuum of care will streamline and facilitate equitable access to care, contribute to cost-effective service delivery, and allow for targeted solutions to close member care gaps.

The Manger of Community Health Initiatives ensures all community health initiatives are implemented in alignment with the Alliance's goals, regulatory mandates, and commitment to delivering culturally responsive care to its diverse member population. The Manager, CHW Intiatives will champion Cultural Humility, Diversity, Equity, Inclusion, and Belonging to deliver services that are culturally and linguistically aligned with the values of the organization.

This position will have occasional travel expectations for business meetings with internal and external stakeholders, including CHW providers, community-based organizations, and provider groups with embedded CHW roles.

ESSENTIAL FUNCTIONS OF THE JOB:

Partnership and Program Development

• Develops and implements CHW programs that align with AAH's strategic goals and comply with regulatory and legal requirements.
• Partners with internal Alliance departments to impact strategic priorities through CHW utilization.
• Collaborates with local housing organizations, community-based organizations, provider groups, and other community coalitions to expand CHW preventative services.
• Engages in integral partnership building with community stakeholders to build strong relationships and systems that enhance CHW service delivery for members.

Program Implementation, Administrative Support and Compliance

• Support the implementation of the Community Health Worker (CHW) Program in alignment with DHCS All Plan Letter (APL) requirements and internal workflows.
• Participate in development of comprehensive Community Health strategy that includes a Business Case and Logic Model articulating CHW targeted interventions, service integration across the continuum of care aligned with population health design, and cross-functional collaboration amongst internal and external stakeholders
• Implement Alliance's 1st Community Health Worker (CHW) Integration & Training Cohort, becoming a regional accelerator of CHW strategies
• Develops training materials and policy guidance including, but not limited to, procedures on community health benefits and services.
• Coordinate CHW program activities across departments (e.g., Care Management, Utilization Management, Pharmacy, Population Health, Quality) to support seamless service integration and adherence to population health goals
• Analyzes, identifies, and recommends process improvement opportunities to the Director of Community Health Strategy which focuses on member experience, member housing and health outcomes, partnership engagement, partnership retention, and organizational alignment with the Alliance housing and community services goals.
• Collaborate with Communications, Provider Services, and Outreach teams to support CHW recruitment and engagement strategies in accordance with recruitment productivity measures
• Implement the annual recruitment, outreach and engagement plan to promote CHW services, in collaboration with Alliance Communications & Outreach and Provider Services departments
• Demonstrate leadership through active reflection advocating for programmatic policies and resources that support community health and health equity at the local, state, and national levels.
• Manage daily operations support and troubleshooting discussing financial performance, and utilization metrics for vendors and contracted partners. This includes developing and maintaining standardized templates and tools to track project progress, inform data-driven decision-making, and facilitate clear communication with all internal and external partners
• Follows all policies and procedures established by DHCS and the Alliance.
• Communicate regularly, in both written and verbal form, to relevant internal and external stakeholders.
• Develops and facilitates internal and external CHW provider onboarding and entity interests process for CHW recruitment
• Creates and monitors CHW efficiency dashboards and utilization reports to track CHW utilization trends, contracted provider CHW metric outcomes
• Develop presentations and reports for review by executive leadership as needed.
• Facilitates CHW program monitoring.
• Performs other duties as assigned.

Data Quality & Compliance

In collaboration with Director, Community Health Strategy implement the comprehensive data dashboard to monitor and evaluate Community Health Worker (CHW) program effectiveness. This dashboard will provide insights into the following key performance areas: access to services, utilization rates, primary care engagement, care coordination and health navigation, linkage to social drivers of health (SDOH) resources, quality improvement metrics, and member demographics. The dashboard will enable the identification of high-risk populations, facilitate advanced risk stratification, and support predictive analysis to inform the design of targeted interventions.

• As an SME, facilitate collaboration with Providers Services in the development, negotiation, and implementation of vendor / customer payor contracts
• Develops, produces, and manages monthly/quarterly data reports as required by DHCS.
• Develops, produces, and manages internal routine and ad-hoc data quality reports including, but not limited to, analysis of internal CHW data dashboards and repositories.
• Develops, monitors, and expands the Housing and Community Services Program repository for ancillary services/external community referrals to increase CHW connectivity.
• In partnership with Director, implement, train stakeholders on platform enhancements to facilitate utilization of AAH CHW network and other community health linkages.
• Partner with Data Analytics and program staff to compile and validate data for evaluating the impact of CHW interventions on high-cost service utilization (e.g., emergency room visits, readmissions).
• Implements and monitors metric data monthly to identify areas for process improvement and ensure metric achievement.
• Produces CHW Diversity, Equity, Inclusion, Belonging (DEIB) strategy reports for network development and internal health disparities linkage.
• Support implementation of the CHW program per DHCS APL-24-006, and any subsequent DHCS guidance pertaining to the CHW benefit
• Develop comprehensive training materials that articulate policy guidance, standardized procedures, CHW recruitment strategies, utilization goals, program outcomes, monitoring processes, evidence-based best practices, and compliant billing protocols. Regulatory Compliance: Ensure Community Health Worker Program operates in full compliance with federal, state, and local regulations, including HIPAA, mandated reporting, and protection of personally identifiable information (PII) and protected health information (PHI)

Leadership & Contributions

• Champions the mission, vision, and values of the Alliance as outlined in the strategic plan and interagency business goals and objectives.
• Models leadership by utilizing diversity, equity, inclusion, and cultural humility principles when working with all members, partners, and internal/external stakeholders.
• Manage and serve as a liaison between external partners, including CHW providers, community-baseed organizations, and local health jurisdictions, and other Alliance departments
• Demonstrates the ability to quickly pivot and adapt to changes in AAH's policy, practice, and procedures positively and proactively supports colleagues in adapting to organizational changes in the workplace.
• Contributes effectively to the advancement of initiatives through sharing knowledge and expertise collaboratively.
• Models conduct that is consistent with Alliance culture and business values.
• Assists the Director in developing policies and procedures in alignment with DHCS regulations.
• Analyzes, evaluates, and clearly presents information and findings through presentations, written materials, and verbal communication
• Demonstrates the ability to manage competing demands and prioritize accordingly.
• Collaborate with internal departments to support cross-functional integration of CHW services
• Professional and discreet demeanor with good interpersonal skills. Ability to handle confidential information and use tact, respect, discretion, boundaries, and sound judgment.

Budgets

• Manage and safeguard all organizational resources.
• Support the collection and organization of data to inform cost analysis of Community Health Worker (CHW) interventions, including tracking trends in emergency room use and avoidable hospital readmissions
• Review budget reports and provide feedback to enhance the annual budget for community health strategy, including the CHW program

PHYSICAL REQUIREMENTS

• Constant and close visual work at desk or computer.
• Constant sitting and working at desk.
• Constant data entry using keyboard and/or mouse.
• Frequent use of telephone headset.
• Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
• Frequent lifting of folders and various other objects weighing between 0 and 30 lbs.
• Frequent walking and standing.
• Local Travel as needed - driving of automobiles or travel for in-person convenings with CHW providers and other external stakeholders, based on business need

NUMBER OF EMPLOYEES SUPERVISED: 0

MINIMUM QUALIFICATIONS:

EDUCATION OR TRAINING EQUIVALENT TO:

• MSW, MPH, LCSW, MFT or LPCC required

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:

• Two years of demonstrated leadership or supervisory experience required (e.g., management and performance oversight of provider groups or CBOs, oversight of clinical or non-clinical teams)
• Two years of Program Management experience required
• Two years' experience working with NCQA or HEDIS quality metrics, required
• Local Context of Alameda County Services, required
• Experience with policy development, program design, and implementation, required
• Experience with Medi-Cal/DHCS regulations required
• Experience with Coordinated Entry or Homeless Services standards preferred
• Two years' experience working with or serving populations who have co-morbidities (e.g., mental illness, substance abuse) preferred
• Two years' experience working in Medi-Cal/Medicare programming addressing SDOH related issues, preferred
• Experience with Harm Reduction and Trauma Informed Care preferred
• Two years of knowledge of and experience with federal and state homeless initiatives and insurance programs preferred.
• Two years of Project Management experience preferred.
• Two years' experience developing business case/process improvement analysis, preferred.

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

• Understanding of Health Equity and correlation with Medicare/Medi-Cal measures required
• Ability to work in a multidisciplinary company. Proficient experience in the use of various computer system software including Windows, Microsoft Word, MS Project, Excel, Access, Outlook, Visio, and PowerPoint, required
• Ability to develop project reports and data dashboards to improve health plan initiatives and member outcomes, required
• Knowledge of community resources in Alameda County preferred
• Strong interpersonal skills, mature judgment, and diplomacy required to interact effectively with a broad spectrum of people, both individually and in groups.
• Excellent written and oral communication skills.
• Extremely well developed organizational and planning skills.
• Strong networking and negotiation skills to ensure positive working relationships with all staff, consultants, development partners, and other stakeholders.
• Ability to positively influence and create buy-in across groups.
• Independent, self-starting, self-motivated performer.
• Customer focused with strong analytical skills.
• Solid problem-solving ability.

Employees who interact with members of the public may be required to be tested for Tuberculosis and fully vaccinated against COVID-19 and influenza. Successful candidates for those positions/ classifications may be required to submit proof of vaccination against influenza and/or COVID-19, a negative Tuberculosis test, or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the Human Resources department.

SALARY RANGE $126,796.80 - $190,174.40 ANNUALLY

The Alliance is an equal opportunity employer and makes all employment decisions on the basis of merit and business necessity. We strive to have the best-qualified person in every job. The Alliance prohibits unlawful discrimination against any employee or applicant for employment based on race, color, religious creed, sex, gender, transgender status, age, sexual orientation, national origin, ethnicity, citizenship, ancestry, religion, marital status, familial status, status as a victim of domestic violence, assault or stalking, military service/veteran status, physical or mental disability, genetic information, medical condition, employees requesting accommodation of a disability or religious belief, political affiliation or activities, or any other status protected by federal, state, or local laws.