Coordinated Care · 1 week ago
Senior Health Equity Specialist
Washington, IN
Full-time
Hybrid
Senior Level
$70K/yr - $126K/yr
5+ years expCoordinated Care is a diversified, national organization committed to providing culturally and linguistically appropriate services. The Senior Health Equity Specialist is responsible for maintaining compliance with health equity regulations and implementing health equity initiatives to enhance member access to care.
Health CareInsuranceMedical
Responsibilities
Implements and manages programs in compliance with contracts and regulations and monitors ongoing program performance to maintain compliance
Develops strategies and policies to deliver C&L services and maintain compliance with regulatory and contractual obligations
Develops, interprets and communicates policies, procedures, regulations and standards
Develops California State Health Programs (Medi-Cal) contract content for C&L services, for Medi-Cal, Healthy Families, and Healthy Kids products
Prepares P&P’s for committee adoption
Implements activities to meet regulatory obligations
Monitors compliance with California regulations and State Health Programs contractual obligations
Assesses operational gaps compared to new standards and makes recommendations to senior management
Represents Health net to Regulators and Accreditation Agencies, demonstrating the provision of culturally & linguistically appropriate health care services
Liaisons between community coalitions, California and local regulators, vendors, accrediting bodies and Health Net senior management to increase knowledge of new C&L standards and ensures contract requirements, goals and regulatory are met
Monitors/evaluates translation services and interpreter services
Evaluates externally translated materials from vendors and provides recommendations to vendor management/contracting
Identifies and resolves compliance issues/quality issues related to translating material
Identifies and resolves compliance issues/quality issues related to the provision of interpreter services
Reviews the translation process and translated materials for improvement opportunities
Manages Community Advisory Committees
Develops regional goals, outcomes and objectives for Committees
Represents and articulates local or regional needs to senior management committees
Develops C&L programs to enhance access to care for members and providers based on geographic, cultural, and linguistic data
Develops teaching to standard modules for associates
Develops teaching to standard modules for providers
Reviews member and provider material for cultural and linguistic appropriateness
Monitors grievance and appeals processes for C&L issues
Proactively identifies areas of improvement for the department and participates in development of improvement plans
Qualification
Required
Bachelor's in Cultural Anthropology, Social Work, Medical Anthropology, Public Health or related field required
5+ years of experience in government, health, or community programs
Preferred
Masters preferred
Experience in managed care preferred
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Company
Coordinated Care
Coordinated Care is a brokerage firm that provides a wide selection of insurance and healthcare plans to its customers.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jimmy Chandler
Chief Operating Officer
Company data provided by crunchbase