Senior Executive Director - Administration (Performance-Based Contracting and Pay-for Performance Systems)

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a Senior Executive Director - Administration (Performance-Based Contracting and Pay-for Performance Systems) to join our team. This is a full-time, exempt position (occasional travel required across participating states). Position Details: The Senior Executive Director - Administration (Performance-Based Contracting (PBC) and Pay-for-Performance (P4P) Systems) provides strategic leadership and operational oversight of outcome-based contracting initiatives across multiple states. This role ensures contractual compliance, drives data-informed decision-making, and fosters innovation in service delivery to improve outcomes for individuals supported by the organization. This position is accountable for aligning internal systems with evolving state and federal PBC frameworks-beginning with Pennsylvania and expanding to other states-while cultivating strong partnerships with regulatory agencies, internal leadership teams, and provider networks. The Senior Executive Director of Performance-Based Contracting (PBC) and Pay-for-Performance (P4P) Systems will:

• Lead strategic development and implementation of Performance-Based Contracting (PBC) and Pay-for-Performance (P4P) frameworks in alignment with organizational and state goals.
• Serve as the primary liaison to state regulatory bodies, offering expertise on performance metrics, outcomes, and policy compliance.
• Collaborate across departments to monitor data-driven performance indicators and guide quality improvement initiatives.
• Oversee the creation of dashboards, scorecards, and executive-level reporting to evaluate progress and inform decision-making.
• Coordinate multi-state PBC/P4P implementation, supporting local leaders and ensuring alignment with diverse regulatory environments.
• Lead stakeholder engagement efforts through steering committees, executive briefings, and capacity-building initiatives.
• Direct the organization's Quality Management Plans and Incident Management processes to ensure safety, compliance, and improved health outcomes.
• Ensure full compliance with contractual and regulatory standards while promoting operational excellence through policies rooted in best practices.

The Ideal candidate will possess:

• Experience working with Pennsylvania's ODP PBC initiative and/or other state-driven performance-based systems.
• Familiarity with credentialing systems like NADSP, HCBS quality metrics, and workforce performance indicators.
• Excellent organizational, planning, strategic, and analytical skills.
• Proficiency in interpreting data and leveraging it to drive performance improvement.
• Ability to build cross-functional teams and leading through influence.
• Excellent verbal and written communication; comfortable presenting to executive and regulatory audiences.
• Demonstrated ability to manage multiple complex projects across diverse geographies.

Benefits

Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including:

• Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
• Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
• DailyPay -- access your pay when you need it!
• On the Goga well-being platform, featuring self-care tools and resources.
• Access Care.com for backup childcare, elder care, and household services.
• Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
• Tuition reimbursement and educational partnerships.
• Employee discounts and savings programs on entertainment, travel, and lifestyle.
• Access to Pryor Online Learning for free online personal development classes.

Learn more about our full benefits package - https://www.merakey.org/careers/benefits About Merakey Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey. Merakey strictly follows a zero-tolerance policy for abuse. Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!

• Master's degree in Public Administration, Health Policy, Human Services, Business, or related field required.
• Minimum of 8-10 years of leadership experience in health and human services, with at least 3-5 years overseeing performance-based or outcomes-driven contracts.
• Proven track record implementing PBC, Value-Based Purchasing, or Pay-for-Performance systems in multi-site or multi-state settings.
• Strong knowledge of IDD systems, Medicaid waivers, managed care, and quality frameworks.

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