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Job DescriptionDescription: Senior Program Manager, Primary Care Consulting & Cardiovascular Health Improvement Lead Preferably New York Tri-state Primary Care Development Corporation (PCDC): Catalyzing Excellence in Primary Care Quality primary care is transformative and a cornerstone of healthy, thriving communities. PCDC, a nationally recognized 501(c)(3) community development financial institution (CDFI), provides capital financing, expertise, and advocacy to expand primary care access and advance health equity in communities that need it most. We offer capital financing products (loans, tax credits, etc.) and consulting services to health care providers to enable them to expand their reach, impact, and sustainability. Our two primary business lines focus on Federally Qualified Health Centers (FQHCs), independent health care practices, behavioral health providers, and hospitals and health systems. Built on its 30 years of experience, PCDC is a statewide convener and primary care expert that brings safety net providers together to develop the care models and business practices necessary to remain longstanding, viable businesses with measurable impact. In addition, we continue to support providers to succeed in various State and Federal-led transformation initiatives (e.g., AHEAD, the NY 1115 Medicaid Waiver, Patient-Centered Medical Home, etc.). To build on this momentum, we’re seeking a results-driven, well-established Senior Program Manager to drive improvement in practices’ quality, operations, and financial viability. This position will primarily support a NYC cardiovascular health improvement initiative - bringing together diverse stakeholders to drive improvement at a collective and practice level. Position is contingent upon continued funding for this three-year initiative. For consideration, send a thoughtful cover letter and resume by August 20, 2025. Work environment: Hybrid with business travel (10-15%) Staff should be based in the greater New York City metro area. Travel to the PCDC office will be 1-2 days/ week , remote the rest of the week with business travel to target market regions including upstate New York and industry conferences throughout the year as required.. Annual Salary Range: $110,000 to $125,000 depending on experience. Position Description: The Senior Program Manager / Cardiovascular Improvement Lead, reporting to Director of the NY Consulting Portfolio[LC1] ,[LC2] [IK3] works directly with primary care, behavioral health, and other healthcare delivery settings to improve their operations, quality, and financial viability. The position will work with practices to 1) scope consulting engagements with measurable improvements as the end point and 2) deliver direct coaching and training that achieves those improvements. In addition, the Senior Program Manager will be responsible for managing large, complex projects, bringing together organizations in learning collaboratives and other convening structures, and managing reporting to funders. The candidate should have experience with both the clinical operations and financial management (i.e., revenue cycle management, budgeting, financial planning, and analysis) of primary care and/or outpatient settings. Position Responsibilities (other duties may be assigned): 1. Direct Consultation and Client Services (85%) a. Drive NYC-wide, collaborative cardiovascular improvement initiative, bringing together health systems, FQHCs, city government, payers, CBOs, and other critical stakeholders to drive changes in health outcomes. Maintain accurate reporting to demonstrate impact. b. Plan and implement financial operations and clinical capacity building and improvement programs with independent practices, FQHCs, community-based behavioral health providers, health systems, departments of health, and health plans. Guide the collection of clinical, administrative, and financial data to inform client continuous quality improvement initiatives and PCDC evaluation activities. c. Develop and deliver virtual and in-person training, consultations, coaching and other modalities of capacity building. d. Facilitate, support and/or lead work through all components of project life cycle from initial scoping to close-out which may include assessment, workflow redesign, team building, evaluation, and other key pillars of project management and implementation. e. Manage resources to ensure goals are achieved on-time, on budget and within defined scope. f. Work with diverse teams – within PCDC, with the client and at health care organizations – to develop and execute improvement and implementation projects. g. Ensure positive client experience, mitigate risks, and inform potential scope and service revisions, including regular check-in with clients. h. Maintain current knowledge of trends and best practices in quality improvement, program development, integration of public health, SDoH, community health, home care, oral health, vision care, behavioral, sexual, and reproductive health, HIV prevention and care, and other related subjects. 2. Business Development & Portfolio Growth (15%) a. Participate in building the visibility and capacity of PCDC’s training and technical assistance efforts through partnership development and conference attendance and presentations. b. Increase PCDC’s reach, thought leadership (speaking engagements, presentations, committee participation, etc.), and relationship development to drive consulting engagements. c. Secure contracted engagements and revenue (mixture of grants, fee-for-service engagements, etc.); contribute to the achievement of departmental revenue goals. d. Monitor New York and industry trends (including evidence base, reimbursement reform, and delivery system transformation) and develop strategies that position PCDC as a key partner in supporting the safety net. e. Develop engagement scopes and foundation proposals, budgets, and contracts. Requirements: · Demonstrated subject matter expertise in current and emerging primary care delivery models, outpatient financial management/operations, practice transformation concepts, and community health: o Budgeting and financial modeling o Value-based Payment Models o Revenue Maximization/Billing Cycle Optimization o Quality Improvement and Performance Improvement Methodologies o Care Management • Demonstrated experience in project management, leading project teams through highly intensive, long-term, large-scale project work., • At least five years familiarity with New York and federal healthcare policy and program landscape including familiarity with the healthcare policy environment and payment reform initiatives., • Established relationships with healthcare policy, payer, and provider stakeholders across New York; demonstrated experience growing an organization’s presence and recognition with key stakeholders and decision makers across NY’s healthcare environment., • Demonstrated success writing proposals for fee-driven work, government procurement and grants, foundation support, or other revenue sources., • Able to work across a broad portfolio of transformation efforts. Works effectively both as a team member and on individual effort and timelines., • Effective communication skills, including the ability to create presentations, speak publicly, work with a wide array of client staff from executives to front-line staff., • Skilled in the use of software required to perform job duties, including Microsoft Office 365, Teams, and other software solutions, • Ability to travel throughout NY and CT. (up to 20%travel).

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Field position in the Bronx with Fidelis Care conducting UAS Assessments with members in their home setting. Applicants must reside in or near the Bronx. Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care. • Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome, • Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs, • Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services, • Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs, • Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable, • Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, • Reviews referrals information and intake assessments to develop appropriate care plans / service plans, • Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed, • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines, • Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits, • Acts as liaison and member advocate between the member/family, physician, and facilities/agencies, • Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living), • May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required, • Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner, • May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness, • May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice, • May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success, • Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness, • Performs other duties as assigned UAS experience preferred Part-time position License/Certification: Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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