PACE OPERATIONS SPECIALIST

Job PurposeThe PACE Operations Specialist is responsible for supporting the operational aspects of the PACE (Program of All-Inclusive Care for the Elderly) program, ensuring that services for elderly participants are delivered efficiently and in accordance with all regulatory and organizational requirements. This position focuses on coordination, reporting, compliance, and administrative tasks necessary for the successful operation of the PACE program, with a strong emphasis on improving operational performance, participant satisfaction, and healthcare delivery.Duties and Responsibilities

• Operational Support :
• Assist with the day-to-day operations of the PACE program, including managing participant admissions, enrollment, and care planning.
• Ensure that all necessary documentation for participants is complete, accurate, and compliant with PACE guidelines and regulations.
• Coordinate with healthcare providers, social workers, and multidisciplinary teams to ensure timely service delivery for PACE participants.
• Track and report on program metrics, such as participant health outcomes, satisfaction, and service delivery efficiency.
• Compliance and Quality Assurance :
• Monitor adherence to all regulatory requirements set forth by federal, state, and local agencies.
• Conduct audits and reviews of participant records to ensure quality assurance standards are met.
• Collaborate with other departments to ensure continuous improvement in program compliance and quality of care.
• Communication & Collaboration :
• Serve as a liaison between healthcare teams, administrative staff, and external stakeholders such as Medicare, Medicaid, and other partners.
• Provide training and support to staff regarding operational procedures and PACE guidelines.
• Communicate program updates and changes to stakeholders as needed to maintain alignment with PACE goals.
• Data Management & Reporting :
• Maintain accurate data on participant health, service usage, and operational performance.
• Prepare reports and assist in data analysis to help track program performance, outcomes, and trends.
• Assist in preparing materials for regulatory and accreditation reviews.
• Problem-Solving and Issue Resolution :
• Address operational challenges, including participant service concerns, staffing issues, and logistical problems.
• Proactively identify potential issues and work with cross-functional teams to resolve them promptly.
• Continuous Improvement :
• Recommend improvements to operational processes based on program performance and participant feedback.
• Participate in project teams or task forces to improve program efficiency and effectiveness.QualificationsEducation :
• Bachelor's degree in healthcare administration, social work, nursing, or a related field (preferred).
• Relevant certifications or training related to healthcare operations or senior care is a plus.Experience :
• At least 2-3 years of experience in healthcare operations, senior care, or program management (experience in PACE or similar programs preferred).
• Strong knowledge of the healthcare system, particularly in managed care or long-term care services.Skills and Knowledge :
• Excellent communication, organizational, and time-management skills.
• Strong attention to detail and problem-solving abilities.
• Proficient in using electronic health records (EHR) systems, Microsoft Office Suite, and other relevant software.
• Knowledge of Medicare and Medicaid regulations as they pertain to elderly care services.Other :
• Must be able to work required schedule.
• Requires physical strength to perform essential functions of the job.
• Occasional travel between sites, nursing / group homes and to members' homes required.
• Requires use of personal vehicle.
• Requires valid driver's license.
• Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage : $100,000 / $300,000 personal liability and $100,000 property damage.
• May require use of personal cell phone for business purposes (may be eligible for stipend)Physical Demands
• Must be able to remain in a stationary position 50% of the time.
• Ability to occasionally move about inside the office to access file cabinets, office machinery, etc.
• Able to operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
• Able to constantly position yourself to maintain files in file cabinets such as reaching with hands and arms, kneeling, crouching, etc.
• The ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information is crucial for this role.Compliance with the Americans with Disabilities Act (ADA)Our center is dedicated to fostering an environment that is inclusive and accessible, welcoming everyone with open arms. We strictly follow the guidelines outlined by the Americans with Disabilities Act (ADA), which includes a prohibition on discrimination in employment practices and other terms and conditions of employment.By joining us, you will become part of an organization that cherishes diversity, inclusivity, and equal opportunity. Together, we can make a meaningful difference in our community and positively influence the lives of those we serve. Learn More

Salary : $100,000