Director of Managed Care Services at ICAN in Utica, NY

The Director of Managed Care Services provides strategic, operational and administrative leadership for the agency’s licensed and designated Medicaid programs and services, such as CMHRS (Children's Mental Health Rehabilitation Services) and CORE (Community Orientated Recovery and Empowerment) provided by Office of Mental Health and partnering Medicaid Managed Care Organizations (MCOs).

This role is responsible for the overall direction, quality, compliance, performance and sustainability of these OMH licensed and designated programs. In addition, promote individual and family empowerment, reduction of emergency room visits, individual and family stability through home and community-based services.

This position provides direct supervision to Program Managers as well as serves as an agency leader responsible for driving operational excellence, measurable outcomes, fiscal stewardship and strategic growth.

The Director of Managed Care services works in close partnership with the VP of Integrated Services and collaborates cross functionally with other programs and operations teams to strengthen systems, implement strategic initiatives, maintain compliance and support agency growth while preserving a strong commitment to quality services and meaningful outcomes.

Duties and Responsibilities include the following. Other duties may be assigned.

Strategic Leadership & Program Oversight:

1. Translate agency strategy into integrated program operations, workflows, and implementation priorities across Medicaid/OMH based service areas.
2. Directly supervise, coach, and support Program Managers to ensure accountability, strong leadership, quality implementation, staff development, and consistent program performance.
3. Ensure CMHRS and CORE programs are implemented effectively and achieve intended outcomes while maintaining a strong commitment to family and individual-centered, strengths-based, and trauma-informed practices.

Contract Management, Partnerships & Community Engagement:

1. Represent the agency and department in the broader community, including coalitions, planning efforts, task forces, and interagency collaborations.
2. Ensure contractual obligations, reporting requirements, and performance expectations are achieved.
3. Support and maintain collaborative relationships with stakeholders to improve continuity of care, service access, and systems coordination.

Data, Quality Improvement & Compliance:

1. Utilize programmatic data analytics to identify trends, gaps, opportunities, and emerging community needs and implement strategies to improve outcomes and quality performance.
2. Maintain oversight of program compliance, incident management, quality assurance activities, documentation standards, audits, and corrective action planning in partnership with the Vice President of Integrated Services and Quality Improvement team.
3. Ensure adherence to agency policies, contractual requirements, and applicable state, and federal regulations.
4. Present program accomplishments, risks, needs, and improvement opportunities to senior leadership through data-informed reporting.

Fiscal Stewardship & Operational Management:

1. Monitor program expenditures, staffing patterns, contract utilization, and resource allocation to support financial sustainability and quality service delivery.
2. Participate in budget planning, contract implementation, and program sustainability efforts.
3. Make operational and staffing recommendations to maintain fiscal responsibility while achieving contractual and programmatic goals.

Workforce Leadership, Human Resources & Culture:

1. Foster leadership development among Program Managers and support succession planning efforts.
2. Serve as a culture ambassador by proactively supporting, protecting, reinforcing, and modeling agency mission, values, and culture across teams and departments.
3. Promote a culture of accountability, collaboration, inclusion, professionalism, continuous improvement, and psychological safety.
4. Participate actively in agency-wide initiatives, strategic planning efforts, and cross-department collaboration to strengthen organizational alignment.

Qualifications: