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Job Summary                                                                                                                              The work of this position requires knowledge of records and data management, medical and public records requests, information privacy, and basic project coordination, as well as a thorough understanding of department and County programs, policies, and procedures. It also requires the ability to work closely with people from diverse backgrounds, experience, and knowledge. This individual is expected to operate with considerable independence in accordance with established policies, procedures and regulations and apply sound judgment and problem-solving skills.   Qualifications Education and Experience:     Three to five years of responsible and advanced administrative support experience including the full range of office and support functions; telephone and reception, word processing, spreadsheet and other personal computer applications, filing systems, mail, supplies, budgeting, accounting and others. In those positions requiring typing, the incumbents must, upon entry into the position, be able to type at a rate of no less than 55 words per minute.  May be required to possess or obtain a valid motor vehicle operator’s license.   Other combinations of education or experience, which would demonstrate the ability to perform the work, will be considered.   Preferred qualifications:   At least two years of experience with records management and public records requests is highly desirable. At least one year of experience with project coordination is highly desirable.   Experience in a variety of data systems and website maintenance/design is highly desirable.   Specialized experience in the area of assignment is highly desirable. However, this expertise is not required at entry into the classification.   Knowledge of: General office procedures and practices and of the specialized functions, policies, and procedures of the work unit; spelling, capitalization, punctuation and rules of grammar, and of the formats and clerical procedures used in performing the work; filing and record-keeping procedures; applicable laws, county codes, ordinances, and policies governing the work of the department and assignment; business English; PC computer applications such as word processing, spreadsheets and data bases; key components of cultural competency; differences and skills to effectively and appropriately work across cultures.   For complete job announcement, application requirements, and to apply on-line, please visit our website at: https://www.clark.wa.gov/human-resources/explore-careers-clark-county                                                                                               Salary Grade: Local 335.505 ($20.32 - $25.95) per hour

The SVP of Financial Operations will provide vision and leadership in the areas of budget, accounting, and finance for the benefit of the entire organization. This position is responsible for leading all units in Financial Operations in the areas of policies, procedures, systems and related processes, regulatory requirements, internal controls, budget and financial analysis, and cash flow.  The SVP directly supervises the Senior Director of Accounting and Finance, Senior Director of Purchasing and Accounts Payable, and Facilities Director. This position will allow the successful candidate to work a primarily remote schedule. They must be based in North Carolina and will be required to come into the Alliance Home office in Morrisville, for meetings with staff as needed. Responsibilities & Duties Develop & Implement Department Policies & Procedures Direct and manage the establishment of accounting, finance and budget policies, procedures, and controls for the agency to ensure compliance with county guidelines and with Federal and State laws and reporting requirements. Oversee the implementation and interpretation of administrative policies and procedures. Ensure that all financial operations are in compliance with the DHHS contracts, Alliance MCO Policy and Procedure and accounting pronouncements. Oversee Budget and Financial Analysis In coordination with the Senior Director of Accounting and Finance, oversee aspects of the budget process including helping to create the annual budget and budget amendments, tracking, timely monitoring, analysis, and recommendations, developing budget targets, ensuring accountability through routine reporting of variances, and ensuring the budget ordinance is in accordance with G.S. 159 requirements.  Participate in the preparation and presentation of the budget retreat. Monitor budget to actual and make recommendations to the EVP/CFO for amendments. Provide information to SVPs on service trend and initiate conversation on possible action steps. Participate in Tailored Plan implementation efforts to gain full understanding of Medicaid service trends, concerns, and initiatives. Oversee non-Medicaid reporting with particular focus on county specific requests or initiatives. Oversee disbursements to contract providers and the review of provider service budgets. Oversee all aspects of the capitation payment including monthly reconciliation, accounts receivable estimation and calculation, analysis of revenue and analysis and support for annual PMPM negotiations. Ensure timely analysis and interpretation of financial results and related planning. Oversee Department Operations Lead and manage the Financial Operations units. Lead and direct the operations in compliance with all regulations and in conjunction with Alliance mission, vision, and values. Collaborate and coordinate with other SVPs and Directors to ensure effective operations of the division, support of clinical initiatives, and intra-departmental cooperation on cross department initiatives. Lead Operations Performance Committee monthly meetings to ensure cross department review of key metrics and operational results.  Communicate and report effectively to the Board, to Executive Leadership, to all staff and stakeholders as needed about financial performance, trends, recommendations, etc. Ensure Accounting and Integrity of financial systems and documents Oversee the financial statements including month end and year end close and related financial transaction. Oversees the design, compliance, and maintenance of the general ledger system   to ensure reliability to the claims system, detailed records, and accurate reporting in accordance with statutory and contractual requirements. Ensure the recording, tracking, and reporting of the value of departmental assets, liabilities, and expenses adheres to regulations and requirements; monitors obligations and expenditures to ensure adherence to spending limitations mandated by State and local governments. Oversee local, state, and external reviews and audits to ensure accurate and consistent data gathering for the annual audit; oversees the compilation and publishing of financial documents. Ensure proper reporting of all state expenses and revenue with accurate cross reference to contracts and allocations from the State. Oversee Financial Reporting Review prepared reports; train and direct assigned personnel using generally accepted accounting principles and governmental and auditing reporting standards. Prepare complex, routine, and non-routine financial reports; relay and interpret administrative decisions, policy, and instructions. Collaborate and coordinate with other SVPs and Directors to ensure effective operations of the division, support of clinical initiatives, and intra-departmental cooperation on cross department initiatives. Work with Alliance’s IT Department to make improvements in the areas of reporting, system processing, systemic problems, and cross departmental issues.   Manage and Develop staff Work with Human Resources and hiring managers to attract, maintain, and retain a highly qualified and well-trained workforce. Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes. Organize workflows and ensure staff understand their roles and responsibilities. Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements. Actively establish and promote a positive, diverse, and inclusive working environment that builds trust. Ensure all staff are treated with respect and dignity Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members. Work to resolve conflicts and disputes, ensuring that all participants are given a voice. Set goals for performance and deadlines in line with organization goals and vision. Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development. Cultivate and encourage efforts to expand cross-team collaboration and partnership. Minimum Requirements Education & Experience Bachelor’s degree from an accredited college or university with a major in Business Administration, Finance, Public Policy or related field and seven (7) years of administrative experience involving participation in the planning and management of a business or governmental program, including three years of management experience Or Master’s degree from an accredited college or university with a major in Business Administration, Finance, Public Policy or related field and five (5) years of experience administrative experience in the planning and management of a business or governmental program, including three years of management experience CPA and Health or Managed care experience strongly preferred Knowledge, Skills, & Abilities Thorough knowledge of accounting and financial planning principles and practices. Thorough knowledge of generally accepted accounting and budgeting principles as applied to governmental accounting, policies methods and practices. Considerable knowledge of applicable state, federal and local ordinances, laws rules and regulations that apply to governmental financial. Knowledge of and skill in the methods, techniques of research, statistical analysis, and report presentation. Knowledge of financial data processing systems; ability to perform or supervise the performance of a variety of projects. Thorough knowledge of Federal, State, and local procedures policies and regulations and legislation impacting the maintenance of financial records and reports. Ability to resolve complex problems that require the evaluation of alternative methods and solutions. Ability to set objectives, delegate, and prioritize workflow. Skill in written and oral communication sufficient to handle projects and problems, develop strong working relationships with divergent groups and communicate technical concepts to various audiences. Skill in the techniques of research, statistical analysis, and report presentation. Ability to solicit cooperation from persons and departments throughout the system. Ability to make prompt decisions on complex matters and make evaluations concerning day to day operations. Ability to plan, organize, supervise, and review the work of subordinate employees and supervisors. Ability to prepared concise and accurate financial and budgetary reports and plans. Ability to apply the principles of governmental accounting to a complex agency accounting system. Ability to plan, direct and coordinate the work of professional and technical staff. Ability to work under pressure and meet established deadlines. Ability to maintain effective working relationships with employees, public officials, and the general public. Salary Range  $143,133.23 to $246,400.14/Annually  Submit Application and Resume to Alliance Health at  https://www.alliancehealthplan.org Requisition SENIO001782

The Chief Medical Officer is a key member of the Executive Leadership team, serving as the senior clinical official responsible for clinical policy of the organization and its application at all levels.  The Chief Medical Officer has key roles in optimizing cost effective, quality physical and behavioral healthcare for members. This position will offer a flexible schedule which will include the ability to work remote certain days of the week. The successful candidates must be a resident of North Carolina or willing to relocate. Responsibilities & Duties Oversee clinical functions of the organization Develop clinical policy and oversee its application in Alliance internal departments and external providers and stakeholders Provide consultation to Alliance management and staff regarding such issues as clinical standards, policies, procedures, recovery and resiliency and best practices Oversee development of criteria for the review of clinical cases and oversee medical necessity review function, service denial review, grievance issues, and medication reviews Oversee development of key clinical indicators including structural, process and outcomes measures Implement a recovery philosophy and maintain a knowledge base in rehabilitation and recovery principles and innovations Model principles of engagement, empowerment and ensure training of all staff in the practical implications of these principles with a particular emphasis on care management, alternative levels of care and network sufficiency Oversee clinical best practice guideline development Ensure peer reviews and determinations meet clinical criteria and guidelines Oversee Utilization Management function and ensure completion of medical necessity reviews when Care Managers are unable to authorize inpatient or rehabilitation continued stay. Provide sufficient electronic documentation in the member’s record when a denial is made Ensure consultation with care management staff and data to identify opportunities for improvement and implementing strong action plans May provide clinical supervision to clinical staff focusing on medical necessity, reason(s) for continued inpatient services, state requirements, appropriate psychiatric practice and engagement, empowerment, recovery and rehabilitation Oversee Quality Management functions and audits Oversee clinical aspects of the Credentialing program, including chairing or designating physician oversight of the Credentialing Committee Serve as Clinical Spokesperson for the organization Serve as the key clinical spokesperson for the agency, including staff, providers, the State and other key stakeholders Develop and oversee budget for care and services Oversee medical budget and work with key departments to develop a budget for care and services that reflects the organization’s contractual obligations with the State and industry best clinical and services practices Oversee Health Initiatives Oversee integrated healthcare and population health initiatives and provide medical leadership for implementation of the 1115 tailored plan and Complete Care Model Provide clinical and overall input into innovations, including integrated models and population health approaches, data analytics and other clinical technological solutions, and new payment models reflecting value-based purchasing approaches Consult with healthcare providers Provide consultation to providers and other community-based clinicians, including general practitioners Provide clinical training Provide in service training for staff on managed care and general clinical issues, including helping staff to understand direct service vs. care management in a managed care environment Manage and Develop staff Work with Human Resources to attract, maintain, and retain a highly qualified and well-trained workforce   Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes Ensure the Division has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements Actively establish and promote a positive, diverse, and inclusive working environment that builds trust  Ensure all staff are treated with respect and dignity Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members Work to resolve conflicts and disputes, ensuring that all participants are given a voice Set goals for performance and deadlines in line with organization goals and vision Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development Cultivate and encourage efforts to expand cross-team collaboration and partnership Requirements Requires psychiatrist or primary care physician, fully licensed to practice medicine in NC and in good standing with a minimum of five (5) years’ experience in a health clinical setting and five (5) years’ experience in managed care.  Clinical experience with children/adolescents and adults is preferred Must reside in North Carolina or be willing to relocate Knowledge, Skills, & Abilities Thorough knowledge of the theory, principles, and practices of general, preventive medicine and of the techniques involved Thorough knowledge of the practice of the psychiatry Thorough knowledge of recent developments in the field of medicine, including population health Thorough knowledge of techniques of interviewing and counseling, assessment and evaluation of medical and psychiatric histories and presenting problems Thorough knowledge of the principles and practices of medicine and psychiatry, appraisal tools, laboratory tests and findings, therapeutic procedures and modalities in psychiatry, and knowledge of how to plan and carry out a regimen of care and treatment Knowledge of cultural awareness and differences, and the ability and sensitivity to work with and/or serve a diverse population Well educated in cultural diversity issues and sensitive in interactions with various and diverse members of the staff and community Strong communication skills both verbal and written with a variety of individuals, including staff, external professionals, local agencies and elected officials Skill in the treatment and diagnosis of a variety of psychiatric diseases and conditions Ability to articulate a clear clinical vision for the agency. Ability to compile clear and concise notes for patient’s charts and to make oral presentations of cases in medical conference Ability to establish and maintain effective working relationships with associate personnel, members, and their families and the general public Ability to be a positive, constructive force in helping internal departments and external providers work collaboratively and effectively Salary Range $271,574.63 to $467,508.70/Annually Salary offer will be commensurate with experience. An excellent fringe benefit package accompanies the salary, which includes:  Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave Dress flexibility   Submit Application and Resume to Alliance Health at  https://www.alliancehealthplan.org Requisition CHIEF001755