Executive Director, Health Equity

Gold Coast Health Plan will not sponsor applicants for work visas.

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California.

POSITION SUMMARY

Under the direction of the Chief Medical Officer, the Executive Director Health Equity is responsible for leading the development and implementation of community outreach and member engagement strategies designed to address identified health inequities. The position will be responsible for developing, implementing, analyzing, and refining the Gold Coast Health Plan goals and objectives related to health equity (HE). The position will partner with functional leaders to strengthen the organization's commitment and strategy to advance health equity and reduce health disparities of our member population, as well as to remain a diverse, equitable, and inclusive organization. The role will assist in raising awareness of health inequities within our membership and establish plans to address them. The Executive Director, Health Equity will drive the imbedding and communication of health equity strategies across stakeholder groups, such as Gold Coast Health Plan Commission, employees, members, and the local community. The incumbent will build and maintain strong relationships with Gold Coast Health Plan employees, providers, and local stakeholders who will help to combat inequities.

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statements

•    Provides strategic leadership to ensure the development and implementation of community outreach and member engagement strategies designed to address identified health inequities 

•    Provides leadership in the design and implementation of organization strategies and programs to ensure Health Equity is prioritized and addressed 

•    Ensures all organization policy and procedures consider Health Inequities and are designed to promote Health Equity where possible, including, but not limited to: 

1.    Medical and other health services policies; 

2.    Member and provider outreach; 

3.    Community Advisory Committee; 

4.    Quality Improvement (QI) activities, including delivery system reforms; 

5.    Grievance and Appeals; and 

6.    Utilization Management (UM). 

•    Develops and implement policies and procedures aimed at improving Health Equity and reducing Health Disparities; 

•    Participates in state and industry work groups such as DHCS, DMHC, California Health Care Foundation (CHCF), National Committee for Quality Assurance (NCQA), Association for Community Affiliated Plans (ACAP), and California Association of Health Plans (CAHP)to expand influence on benefit design, regulations, and policy direction

•    Engages and collaborate with organization staff, Subcontractors, Downstream Subcontractors, Network Providers, and entities including, but not limited to, local community-based organizations, local health departments, Behavioral Health and social services, Child welfare systems and Members in Health Equity efforts and initiatives; 

•    Implements strategies designed to identify and address root causes of Health Inequities, which includes but is not limited to systemic racism, Social Drivers of Health (SDOH), and infrastructure barriers; 

•    Develops targeted interventions designed to eliminate Health Inequities; 

•    Develops quantifiable metrics that can track and evaluate the results of the targeted interventions designed to eliminate Health Inequities; 

•    Designs and implement culturally specific and responsive policies, programs and service delivery models, as well as standardized guidelines and criteria to ensure health equity is prioritized and addressed. 

•    Oversees regulatory compliance, including monitoring, implementing and reporting for all new regulatory requirements focused on health equity and disparities. Ensures compliance with contracted services and