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Extensive expertise in managed care principles and practices, with a strong focus on utilization management, case management, and discharge planning.
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Deep understanding of healthcare, economic, and policy-related issues affecting Medi-Cal and/or Medicare populations, providers, and underserved communities, particularly in Santa Barbara, San Luis Obispo Counties, and surrounding regions.
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Foundational knowledge of government-sponsored managed healthcare programs, including Medicaid.
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Skilled in identifying, implementing, monitoring, and analyzing key metrics and models to design and execute effective, data-driven interventions.
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Thorough understanding of healthcare contract structures, language, and key components.
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Strong knowledge of audit, control, and monitoring methodologies, with the ability to implement and sustain effective compliance processes.
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Familiarity with population health strategies and the social determinants of health impacting access and outcomes.
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Exceptional skills in facilitation, conflict resolution, and problem-solving.
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Demonstrated success in developing, executing, and tracking strategic and operational business plans.
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Highly collaborative, with a proven ability to foster team-oriented environments, build and lead high-performing teams, and strategically align resources to overcome challenges and pursue business opportunities.
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Excellent interpersonal abilities, capable of building and maintaining strong relationships across all organizational levels and with external stakeholders; skilled in promoting teamwork and building consensus.
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Outstanding verbal and written communication skills, with the ability to deliver messages clearly, persuasively, and professionally to diverse audiences, both internally and externally.
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Strong public speaking and presentation skills, with the ability to tailor content effectively to varied audiences and engage large groups confidently.
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Committed to upholding and modeling organizational values in leadership practices and fostering their integration throughout the team.
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Proven track record of delivering exceptional customer service.
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Strong project management skills, with the ability to plan, execute, and manage initiatives to successful outcomes.
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Proficient in Microsoft Word and Excel.
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Effective leadership skills, with the ability to supervise staff, support team development, and drive employee performance to meet business goals.
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Fluent in spoken English, with clear and effective verbal communication.
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Trusted to handle sensitive and confidential information with the highest level of discretion and integrity.