SDOH PROGRAM COORDINATOR - 64232

Executive Service

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need.

You may review the specific expectations with our hiring team.

This position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Who we are and what we do:

TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview:

The Quality Improvement Division is an integral team within the Medical Office that is responsible for monitoring, reporting, and leading innovative strategies focused on improving clinical quality and health outcomes. Operationally, the Quality Improvement Division works closely with several TennCare divisions to lead the development and execution of a comprehensive quality strategy. Additionally, the Quality Improvement team plays a strategic role in TennCare initiatives focused on improving clinical care and outcomes for TennCare members, including efforts to address social risk factors that impact health outcomes, primary care transformation and population health. Externally, the Quality Improvement Division works closely with TennCare's contracted managed care organizations (MCOs) and other state agencies to provide oversight of quality performance and data reporting for TennCare members.

The Quality Improvement Division leads TennCare's Health Starts Initiative. The Health Starts Initiative is TennCare's comprehensive effort to address social risk factors that have an outsized impact in driving poor health outcomes for TennCare members. This is a new and innovative effort that was recently included in the Governor's budget to further catalyze TennCare's work. The Health Starts Initiative focuses on implementing evidence-based clinical supports, resources, and technological enhancements to meet social risk needs consistently for all members. The Social Determinants of Health Program Coordinator will work directly with the Director of Social Determinants of Health and SDOH Program Manager to support implementation activities for the Health Starts Initiative and other agency health equity efforts.

Key Responsibilities:

• Provide daily program oversight to MCOs and other external partners on Health Starts Workforce Development efforts.
• Workforce Development focuses on supporting TennCare members through non-traditional providers such as community health workers (CHWs) and doulas.
• Oversee the development and operations and lead continuous improvement of Workforce Development efforts specifically community health workers and doulas
• Develop and communicate guidance and timelines to MCOs and provider and community partners for deliverables associated with the CHW and doula efforts
• Maintain project management plan and ensure accountability for program milestones
• Maintain and provide quality assurance support for program documents (i.e., report templates, planning documents, and program governance documents etc.)
• Serve as business owner and review all Health Starts deliverables from contracted organizations
• Serve as point of contact for MCOs, providers, and community partners, and contractors regarding the CHWs and Doulas Support design and implementation of additional Health Starts workstreams
• Support during the design, development, and implementation of the Closed-Loop Referral System (CLRS) supporting the TennCare team, external providers, and the CLRS vendor
• Document key milestones and learnings gleaned throughout the lifecycle of Health Starts programs and lead efforts to share best practices
• Participate in the Health Starts Provider Partnerships workstream and lead key tasks and projects as assigned
• Contribute to the development of new program strategies, structure, and deliverables to launch new Health Starts Initiative programs Conduct research, analysis, and literature reviews to identify new and emerging best practices to integrate into the Health Starts initiative and long-term health equity strategy
• Attend webinars, conferences, and workgroups as needed to advance knowledge and awareness of social determinants of health efforts
• Review new publications, innovative models, and CMS guidance to identify new avenues to drive impact for TennCare members in addressing social risk factors
• Participate in design sessions as a thought partner to support the continued evolution and growth of the 5-year Health Starts strategy Engage with and maintain strong working relationships with stakeholders and external constituents
• Lead outreach efforts and feedback sessions including providers, vendors, managed care staff, and external groups to identify continued opportunities for improvement
• Develop and present content for stakeholder meetings and calls Support high priority clinical and quality improvement initiatives
• Assist in ad hoc projects, data development and strategies, and problem solve in partnership with other teams
• Collaborate with internal staff from other TennCare initiatives and programs as needed - Handle special projects as assigned by Chief Quality Officer or SDOH Director

Minimum Qualifications:

Graduation from an accredited college or university with a bachelor's degree and experience equivalent to substantial (five or more years of) full-time relevant experience or an equivalent combination of education and work experience may be considered.

Desirable qualifications:

• A master's degree in public health, healthcare administration, or related field and at least one-year full time professional experience in a healthcare setting or coordinating the implementation of health programs
• Experience with health equity, health care delivery, health policy, or value-based payment preferred;
• Ability to work independently and collaborate and communicate with important stakeholders;
• Proficiency in Microsoft Office software including Word, Excel, and PowerPoint;
• Demonstrated time management skills and proven ability to manage multiple tasks simultaneously while completing work within allocated time frames.

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.