Medical Director & Associate Dean, Medicaid Services

Job Summary

This position entails graduated responsibility leading CU Medicine and School of Medicine (SOM) services that enable success in relationships and activities that support the patient population insured by Health First Colorado (Medicaid). This includes the CMSS, Supplemental Payment Program, also known as Upper Payment Limit (UPL), and engagement with external partners including Colorado Department of Health Care Policy & Finance, Regional Accountable Entities, and local Health Care Alliances.

• Supplemental Payment Program - Individual will play a key contributing role in management of the Medicaid supplemental funding program. Responsibilities will include, but are not limited to:
  • Work collaboratively with the Colorado Department of Health Care Policy & Finance (HCPF) UPL team
  • Fulfill requirements of the Interagency Agreement (IA) and oversee periodic revisions to the IA
  • Support development of annual Scopes of Work (SOW) and provide direct oversight of SOW management, inclusive of deliverables tied to “at risk” funding
  • Provide clinical expertise and insight crucial to continued Colorado Department of Health Care Policy and Financing partnership
  • Participate in HCPF/CUSOM annual review meeting
  • Provide clinical leadership to CU Medicine UPL team
  • Lead contributor on specialty care environmental scan reporting and SWOT analysis
  • Provide clinical expertise and insight crucial to program administration
  • Attend and contribute to monthly HCPF/CU Medicine combined workgroup meetings and related bodies of work
  • Partner with Program Director on budgeting and general fiscal stewardship
  • Partner with Program Director on development of reporting analytics
  • Attend frequent ad hoc HCPF meetings to provide clinical insight and expertise
  • Review reports prior to submission
  • Site visit PowerPoint decks
  • SOW deliverables
  • Semi-annual reports
  • Legislative Request for Information (LRFI)
  • Directly engage with current and potential SOM department UPL project leadership teams
  • Understand current project focus, structure, and performance
  • Meet with department/project leadership as needed to interface with overall UPL activities
  • Gather information needed for specialty care environmental scan reporting and SWOT analyses
  • Review performance and identify opportunities for improvement
  • Assist with project renewal process
  • Identify and coordinate development of new opportunities to improve quality and efficiency for Health First Colorado members and UPL projects and programs
  • Provide representation for internal and external stakeholder committees and initiatives including but not limited to:
    • Promotion of eConsult utilization in collaboration with the University of Colorado Care Collaborative
    • Coordinate University of Colorado Governmental Affairs review of LRFI and participation in HCPF annual review
    • Participate in Colorado Access activities including the Integrated Network Provider Advisory Committee and Quality Improvement Committee
    • Participate in Aurora Health Alliance meetings and subgroups

Year One reports directly to Sr. Medical Director, CU Medicine/Associate Dean, University of Colorado School of Medicine. Subsequent direct report to Senior Associate Dean, Administration & Finance, University of Colorado School of Medicine/Executive Director, CU Medicine. Works collaboratively as a leadership dyad partner with the CU Medicine Director, Office of Value Based Performance & Strategy. Works collaboratively with all members of the CU Medicine executive leadership team, including other medical directors.

Year 1: 0.3 FTE. Subsequent Years: 0.4 FTE. Onsite – this role is expected to work onsite and is located in Aurora, Colorado.

• University of Colorado…