Senior Director of Integrated Care Services
5 days ago
Phoenix
Job Description ABOUT ADOBE Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care. Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored five consecutive years as a “Best Place to Work” by the Phoenix Business Journal, APH continues to expand its reach and impact. APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines. With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need. POSITION PURPOSE The Senior Director of Integrated Care Services is a strategic leader responsible for overseeing Adobe Population Health’s core clinical and population health programs—including Case Management, Health Risk Assessments (HRA), Medicaid Programs, and Adobe Provider Group (APG) operations. This RN-licensed position provides oversight to a multidisciplinary leadership team and ensures that clinical operations align with organizational goals, health plan expectations, and industry best practices. The Senior Director plays a pivotal role in using data-driven strategies to improve clinical outcomes, reduce inpatient (IP) and emergency department (ED) utilization, decrease hospital readmission rates, and drive improvements in the Health Benefit Ratio (HBR). The role ensures all departments meet National Committee for Quality Assurance (NCQA) and Utilization Review Accreditation Commission (URAC) standards, while fostering an integrated and accountable system of care. This position is primarily remote and reports to the VP of Integrated Care Services. DUTIES & RESPONSIBILITIES Leadership & Supervision • Provide direct oversight to Directors and Program Leaders across multiple ICS programs (Medicare Programs, Medicaid Programs, HRA, Transitions of Care, APG California)., • Lead multidisciplinary teams with a focus on equity, excellence, and whole-person care., • Drive performance culture by setting clear expectations, mentoring leaders, and fostering accountability., • Oversee hiring, onboarding, training, and performance management for ICS leadership staff. Strategy & Program Management, • Develop and implement integrated strategies that enhance quality of care, operational efficiency, and regulatory compliance., • Collaborate with internal leaders and external partners to ensure ICS programs align with health plan contracts and Adobe’s mission., • Monitor and analyze program data to identify trends that impact patient outcomes and financial performance., • Use analytics to develop and implement interventions that lower IP and ED utilization, reduce avoidable readmissions, and improve HBR., • Ensure ongoing readiness and adherence to NCQA and URAC accreditation standards across all ICS programs., • Maintain HIPAA compliance and data security across all clinical workflows., • Serve as a senior liaison with health plans, provider groups, state Medicaid agencies, and community partners., • Represent Adobe at strategic partner meetings, health plan case rounds, and industry events., • Collaborate with the VP of Integrated Care Services to develop and manage departmental budgets., • Monitor and ensure performance against contractual deliverables and financial benchmarks, including HBR improvement targets., • Serve on internal strategic committees and advisory groups as assigned., • Perform additional responsibilities and projects as directed by senior leadership. SKILLS & QUALIFICATIONS • Minimum of 8 years of progressive leadership experience in clinical operations, population health, or care coordination., • Demonstrated success improving clinical outcomes and health plan performance metrics, including HBR., • Deep knowledge of Medicaid, Medicare Advantage, and value-based care models., • Strong familiarity with NCQA, URAC, and CMS regulatory frameworks., • Exceptional communication, data interpretation, and leadership skills., • Proficiency in EMR platforms (Salesforce preferred) and Microsoft Office Suite., • Ability and willingness to travel in- and out-of-state as needed. EDUCATION, LICENSES, & CERTIFICATION • Bachelor’s degree in nursing, public health, healthcare administration, or related field required., • Master’s degree preferred., • Active, unrestricted Registered Nurse (RN) license required in all contracted states. BENEFITS & TOTAL REWARDS • Paid Orientation and Training, • Insurance – Medical, Dental, Vision, and Life, • 401k Plan – 3% match, • Employee Assistance Program, • Tuition Reimbursement, • Continued Education Support, • Mileage Reimbursement (if applicable), • Referral Bonuses, • Paid Holidays (9 days), • Flexible Time Off, • Paid Volunteer Hours CHARACTER & COMPETENCIES • Courage – To have the courage to the right thing at the right time., • Ownership – To take ownership of every issue you touch., • Respect – To respect yourself, co-workers, and for those whom you care., • Excellence – To be excellent in all that you do., • Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce., • Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values., • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events., • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments., • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things., • Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions., • Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics., • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments., • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. PHYSICAL DEMANDS & WORK ENVIRONMENT • Occasionally required to stand., • Occasionally required to walk., • Continually required to sit., • Occasionally required to climb, balance, bend, stoop, kneel, or crawl., • Continually required to talk or hear., • While performing the duties of this job, the noise level in the work environment is usually moderate., • May occasionally lift and /or move more than 30 pounds., • Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing. EQUAL EMPLOYMENT OPPORTUNITY APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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