Director, Ambulatory Care Management and Operations - Value Based Service Organization - Full Time 8 Hour Days (Exempt) (Non-Union)
The Director, Ambulatory Care Management and Operations, is responsible for the leadership, operational oversight, and overall performance of the Value Based Services Organization's care management team and clinical programs across a matrix organziation. This role ensures full compliance with all regulatory and program requirements while advancing initiatives that improve patient outcomes, optimize resource utilization, enhance care coordination, and support organizational growth. The Director provides leadership and direction to ensure safe, efficient, therapeutic, and ethical care management practices, fostering a collaborative environment among clinical, operational, and administrative teams. The Director has full supervisory responsibility for Ambulatory Care Management Managers and other designated staff, including recruitment, hiring, termination, performance management, mentoring, and professional development. This role collaborates with senior leaders in the development of departmental goals and strategic initiatives and oversees the implementation and continuous improvement of ambulatory care management programs. The Director ensures that care management models are supported by robust clinical content, evidence-based guidelines, and standardized processes, including assessments, care planning, patient education, and outcome measurement. Leveraging advanced clinical expertise and strong operational leadership, the Director integrates case management, utilization management, quality management, discharge planning, and post-acute coordination into a cohesive, patient-centered strategy. The role ensures medical services, across inpatient, outpatient, and post-acute settings, are delivered at the most appropriate level of care based on patient needs, while reducing care gaps, eliminating unnecessary duplication of services, and controlling costs without compromising quality. In collaboration with physicians, care managers, interdisciplinary teams, and USC Employee Health Plan partners, the Director ensures timely and effective care transitions, drives measurable improvement in key performance metrics, and supports value-based care initiatives (ACO, HMO, Employee Health Plan, Etc.). This role also serves as a subject matter expert and consultant to leadership and clinical teams, ensuring ambulatory care management strategies are aligned with organizational priorities, regulatory standards, and emerging best practices.Departmental Specific SummaryEssential DutiesResponsible for overall program development and implementation: -Serves as a senior leader resource in collaborating with executives to establish program objectives and develop enterprise-level ambulatory care management strategies and solutions. -Contributes to the development of business requirements for each ambulatory care management program, ensuring alignment with organizational goals and compliance with regulatory standards. -Defines, documents, and refines key processes neces...