Program Director

Overview

• Lead the establishment and operation of a Children's Health Home program, ensuring compliance with Medicaid regulations and delivering high-quality care coordination services.
• Develop workflows, policies, and procedures tailored to children, youth, and families, adapting proven systems from existing adult programs.
• Collaborate with senior leadership to achieve program growth, readiness milestones, and long-term sustainability goals.
• Oversee daily operations, including enrollment, care assignment, and service delivery, ensuring benchmarks are met.
• Implement quality management systems and ensure compliance with Medicaid Children’s Health Home regulations.
• Recruit, supervise, and mentor program staff, fostering a culture of accountability and continuous improvement.
• Build partnerships with networks, providers, and organizations to promote effective cross-system coordination.
• Represent the organization in external forums, advocating for children and families with complex needs.

Key Responsibilities & Duties

• Design and implement workflows, policies, and procedures for the Children’s Health Home program.
• Ensure program structure aligns with NYS DOH standards, including eligibility, consent, and care planning.
• Monitor caseloads, service utilization, and outcomes to meet regulatory benchmarks.
• Identify operational gaps and implement process improvements as the program scales.
• Conduct chart reviews, audits, and corrective action plans to maintain quality assurance.
• Recruit, train, and mentor care managers and program staff to meet performance expectations.
• Collaborate with stakeholders and networks to enhance service delivery and coordination.
• Prepare for and lead internal and external audits, ensuring compliance with regulations.

Job Requirements

• Master’s degree in Social Work, Public Health, or related field; clinical licensure preferred.
• Minimum 3 years of program management experience serving children and families with complex needs.
• At least 2 years of supervisory experience within Medicaid Health Home or similar models.
• Strong familiarity with Medicaid systems, Children’s Health Home models, and EHR platforms.
• Proven ability to translate policy and regulation into practice effectively.
• Comfort leading in a start-up or growth environment, with bilingual Spanish skills as a plus.
• Excellent organizational and operational leadership skills to drive program success.
• Strong communication skills to engage with staff, partners, and leadership effectively.