Director, Outreach Operations (Director III)

CalOptima Health is seeking a highly motivated an experienced Director, Outreach Operations (Director III) to join our team. The Director III (Outreach Operations) will lead the development and execution of strategic outreach and service delivery programs for vulnerable populations, including CalOptima’s Street Medicine Program and the Department of Healthcare Services’ (DHCS) Justice-Involved Reentry Initiative, ensuring alignment with CalOptima’s mission and the CalAIM Initiative. The incumbent will oversee all operational aspects of these programs, coordinating with internal teams and external stakeholders through regular meetings to ensure effective execution and continuous improvement. The incumbent will collaborate with senior leadership to implement programs that meet organizational priorities and regulatory requirements while optimizing resources. In addition to overseeing the program, the incumbent will be tasked with implementing new outreach initiatives in response to DHCS directives and maintaining strong relationships with city officials and community partners. The incumbent will also create and maintain operations manuals, document best practices for program consistency and excellence, onboard CalAIM providers and provide education and outreach to stakeholders on the CalAIM Initiative.

Position Information

• Department: Medi-Cal & CalAIM
• Salary Grade: 322 - $192,386 - $307,817 ($92.49 - $147.9891)
• Work Arrangement: Full Office
• This position is eligible for telework in California.**
  
  

Duties & Responsibilities

• 50% - Leadership Functions
• Cultivates and promotes a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short and long-term goals/priorities for the department.
• Partners with leadership to set initiative, execution and approach, and mobilize resources across all phases of delivery.
• Serves as a thought leader and contributor to program approach, planning, change management and delivery.
• Accountable for program-level planning, issue/risk management, master project plan management and leading assigned project resources.
• Manages multiple complex challenging projects at the program level.
• Recruits, trains and mentors staff to build a skilled and compassionate team.
• Leads regular team meetings and debriefings to ensure ongoing staff education and development.
• Coordinates with other support resources/teams as needed for key operational deliverables.
• Ensures timelines, requests for qualifications (RFQs) and requests for proposals (RFPs) are provided and completed.
• Oversees the monitoring of compliance with federal and state contracts, grant requirements and other requirements set forth by regulatory agencies or funding sources.
• Works closely with CalOptima Health’s leadership team to leverage opportunities for program enhancement and growth in the context of CalOptima Health’s strategic plan.
• Hires, manages, trains, reviews and sets goals for assigned staff.
• Provides direction and oversight of the Street Medicine Program including planning, organizing and directing all activities, staffing, reporting and performance improvement.
• Provides leadership to the multidisciplinary Street Medicine teams.
• Oversees staffing model, budget plan and monitoring of resource allocation for the Street Medicine Program.
• Develops and/or maintains policies, procedures and standards for the Street Medicine Program.
• Develops, reviews and updates departmental policies and procedures to support compliance with Medicaid state regulations, Centers for Medicaid and Medicare (CMS) requirements, National Committee for Quality Assurance (NCQA) standards and DHCS’s Population Health Management (PHM) program.
• Supports the executive relationship between CalOptima Health and Street Medicine partners, ensuring adherence and cultivation of CalOptima Health’s vision for street medicine for its members.
• Participates in strategic planning efforts to expand and enhance CalOptima Health’s Street Medicine Program and additional service programs that serve our most vulnerable members.
• Responsible for the implementation and operations of the Justice-Involved Reentry Initiative including developing training protocol, best practices and providing leadership to contracted providers.
• 45% - Program Oversight
• Oversees the development and execution of outreach and service delivery programs for vulnerable populations, including CalOptima Health’s Street Medicine Program, ensuring alignment with CalOptima Health’s mission and the CalAIM Initiative.
• Oversees the implementation and operation of the Justice-Involved Reentry Initiative in partnership with the county of Orange ensuring alignment with CalOptima Health’s mission and the CalAIM Initiative.
• Implements new service delivery initiatives launched by DHCS including the design of how the program will be implemented.
• Oversees all non-clinical operations within the Street Medicine Program, ensuring the delivery of high-quality, compassionate care to patients in non-traditional settings.
• Identifies opportunities for program growth and innovation, including new partnerships within the CalAIM department.
• Manages all operational aspects of CalAIM outreach programs, ensuring seamless execution through coordination with internal teams and external stakeholders via regular meetings.
• Collaborates with the Quality Improvement department to develop and implement quality improvement initiatives to enhance patient care and service delivery, and ensure we are in alignment with the organization’s quality goals.
• Partners with the Government Relations department on policy considerations and advocacy strategies related to strategic opportunities.
• Collects, analyzes and reports on clinical data to track program performance, identify trends, measure outcomes and guide decision-making.
• Promotes and measures improvements in health outcomes.
• Works with other CalOptima Health staff to regularly evaluate the Street Medicine Program and the Justice-Involved Reentry Initiative.
• Develops and maintains a budget for program implementation, management and support.
• Interacts with regulatory agencies, contractors, associations and key stakeholders.
• Serves as a resource for CalOptima Health and all its contracted entities (as applicable).
• Onboard CalAIM providers and deliver education and outreach to stakeholders on the CalAIM Initiative to ensure understanding and alignment with program goals.
• Facilitates interactions and synergies between department directors regarding CalAIM and ensures accountability and successful implementation(s).
• Serves as ambassador and liaison with external stakeholder groups including government entities, academic institutions, community-based organizations, hospitals, community collaboratives/workgroups and others to ensure comprehensive support for our members.
• 5% - Completes other projects and duties as assigned.
  

Minimum Qualifications

• Bachelor’s degree PLUS 7 years of experience in program/project management leadership role involving large-scale, complex projects/programs and initiatives required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
• 5 years of experience successfully leading others and completing projects required.
• Experience in new program development for vulnerable populations, including strategic planning for a start-up program and implementing the program required.
• Successful experience in developing sound and responsible business plans and financial models required.
• Proven success in portfolio management and large-scale, cross-functional program delivery from strategy to execution required.
• Experience and aptitude for working in a highly matrixed, mission-driven public agency required.
  
  

Preferred Qualifications

• Experience working in health plan organizations within Medicaid and Medicare.
• Experience in a government or public environment.
  
  

Required Licensure / Certifications

• n/a
  
  

Knowledge & Abilities

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
  
  

Physical Requirements (With Or Without Accommodations)

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds
  
  

Work Environment

If located at the 500, 505 Building or a remote work location:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• There are no harmful environmental conditions present for this job.
• The noise level in this work environment is usually moderate.
  
  

If Located At PACE

• Work is typically indoors in a clinical setting serving the frail and elderly.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.
  
  

If Located In The Community

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• Employee will occasionally work outdoors in varied temperatures.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.
  
  

About CalOptima Health

CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto — "Better. Together.” — is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community’s health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County’s best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay!

About Our Benefits & Wellness Options

At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2025 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package.

IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS

Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is January 16, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.

The selection process may include, but is not limited to, a skills assessment, phone screen and interview.

The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet.

Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application.

CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together.

CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.