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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in leading long-term care services and supports (LTSS) program design and implementation, ensuring compliance with state and federal regulations while fostering strategic partnerships. Possesses strong analytical, problem-solving, and communication skills to enhance participant experience and program effectiveness.
Highest-signal resume keywords
LTSS Program DesignHealth Insurance KnowledgeLeadership ExperienceAnalytical SkillsChange Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Program ImplementationPolicy DevelopmentBudget ManagementCare ManagementCompliance Monitoring
Soft Skills
Effective CommunicationProblem-SolvingCritical ThinkingOrganizational SkillsIndependent Functioning
Certifications & Qualifications
Master's Degree in HealthcareMaster's Degree in NursingMaster's Degree in Social WorkMaster's Degree in Public Administration
Industry Keywords
Long-Term Care ServicesManaged CarePerson-Centered PhilosophyDisability ServicesHealthcare Regulations
About the role
Key responsibilities & impact- Lead strategy, program design, and implementation for all LTSS/HCBS requirements and functions of the Community HealthChoices agreement
- Support strategy and implementation of Geisinger Health Plan’s CHC program, including Service Coordination and Service Integration
- Develop and oversee strategic partnerships with LTSS providers, community organizations, advocacy groups, associations, vendors, and others
- Represent GHP as a CHC leader and LTSS subject matter expert in state DHS/OLTL forums
- Prepare GHP for CHC readiness reviews and routine audits
- Monitor, review, and recommend executive sign-off on contract-required reporting
- Develop policies and procedures for effective and efficient LTSS program delivery using a participant-centered approach
- Assess program effectiveness and participant experience and implement improvements
- Collaborate with the Geisinger Health Plan Leadership team on operational issues, staffing, resources, systems, and program needs
- Present solution action plans for issues
- Facilitate and participate in committees, task forces, work groups, and multidisciplinary teams
- Ensure compliance with state and federal regulations and CHC contractual obligations
- Manage budgets with Leadership team members
- Monitor industry trends, innovations, healthcare laws, and regulations and adjust programs and services accordingly
Requirements
What you’ll need- Must live in Pennsylvania
- Frequent travel to locations across Pennsylvania, including State meetings
- Master's Degree required in Healthcare, Nursing, Social Work, Public Administration, or related field
- Understanding of long-term care services and supports policies, practices, and regulations
- Minimum of 8 years of managerial/supervisory experience
- Minimum of 5 years of health insurance/managed care experience
- Familiarity with person-centered philosophies, concepts of independence, and/or self-determination
- Experience working with individuals with disabilities and older adults
- Strong analytical skills
- Effective problem-solving and change management skills
- Ability to function well independently in a busy environment
- Excellent verbal and written communication skills
- Effective critical thinking and decision-making skills
- Care management knowledge
- Health insurance knowledge
- Leadership and organizing skills
Benefits
Comp & perks- Healthcare benefits for full-time and part-time positions from day one
- Vision benefits
- Dental benefits
- Domestic partner benefits
- Collaborative, cooperative, and collegial work atmosphere