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Job Title: Social Care Network (SCN) Community Health Worker

Reports to: SCN Screening and Navigation Hub Manager

Project Summary: The New York State Department of Health has established Social Care Networks (SCNs) as part of the 1115 Waiver Demonstration Amendment, and Forward Leading IPA (FLIPA) is the SCN Lead for the Finger Lakes Region. This region is comprised of 14 counties, including Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, and Yates. The SCN’s aim is to enhance the delivery of social care services to Medicaid members by coordinating efforts among community-based organizations (CBOs) and other health care partners to create a more resilient, flexible, and accessible social care system that reduces health disparities and advances health equity. The SCN will collaborate with CBOs and other health care partners, leveraging shared data and technology to coordinate social care services for Medicaid members to improve access, ensure reliable and timely referrals, streamline and track navigation and completed referrals in closed loop systems and enhance collaboration between social care service providers and other regional partners.

Job Summary: This position systematically identifies, assesses, refers, and monitors high-need individuals to ensure access to essential services. By building and maintaining key service connections, the Community Health Worker utilizes a screening tool to identify the health and social needs of Medicaid recipients. This role is pivotal in identifying individuals eligible for Enhanced Health-Related Social Needs (HRSN) Services, facilitating appropriate referrals, and ensuring necessary linkages and support systems are in place. This position is grant-funded through March 2027.

Organizational Overview: Forward Leading IPA (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality integrated healthcare to historically underserved populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care, behavioral health, and social care needs. Our growing membership serves individuals across Upstate NY and includes federally qualified health centers (FQHCs), behavioral health providers, and a rural health network consisting of eight county public health departments.   

Equal Employment Opportunity Statement: At Forward Leading IPA (FLIPA), we value individuals’ unique backgrounds, experiences, and perspectives. We are committed to fostering an environment where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that building a strong team starts with hiring individuals whose skills and perspectives reflect the communities we serve. We actively promote opportunity for all and strive to ensure that each team member’s talents and potential are recognized and valued. Our hiring decisions are based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By encouraging different viewpoints and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us in making a meaningful impact.

Security Level: Standard - WLC

Duties/Responsibilities:

Client Services and Goal Achievement

• Engages directly with individuals seeking assistance.
• Administers the Health-Related Social Needs Screening Tool to identify needed areas of support.
• Short Term involvement with no ongoing caseload.
• Referral and Coordination:
  • Facilitate referrals to appropriate community resources and healthcare providers.
  • Collaborate with the Care Team to ensure timely follow-up and service linkage.
  • Use online referral systems and databases to track and manage client referrals.

Client Advocacy and Support

• Advocate on behalf of clients to access necessary services and address barriers to care.
• Educate clients about available community resources and assist them in navigating healthcare and social service systems.
• Data Management and Reporting:
  • Accurately document screening results, referrals, and client interactions in electronic systems.
  • Maintain detailed and organized records in compliance with organizational policies and standards.

Collaboration and Team Integration

• Work closely with the Care Team, including care coordinators and other healthcare professionals, to ensure holistic client care.
• Participate in regular team meetings and contribute insights on client progress and community resources.

Community Outreach and Engagement

• Engage with community organizations to strengthen service networks and improve referral pathways.
• Represent the organization at community events and provide outreach to identify individuals in need of services.
• Provide information to community partners on mental health and substance use issues and resources.
• Build relationships with community organizations and service providers.
• Conduct outreach to identify individuals in need of services.
• Represent the organization at community events and stakeholder meetings.

Other duties as assigned

Education & Experience:

• Minimum of High School Diploma or GED.
• Associate's degree in human services, Social Work or other related degree preferred.
• Equivalent experience in lieu of education may be considered.
• Minimum of 1-3 years' human services experience.

Skills, Knowledge, and Abilities:

• Possess excellent verbal and written communication skills.
• Exceptional customer service skills with commitment to helping others.
• Ability to quickly adapt and be flexible in approach to job tasks and challenges and maintain emotional control under stress.
• Excellent time management skills with exceptional attention to detail and the ability to multi-task and manage multiple priorities with competing deadlines.
• Capability to work cooperatively with culturally diverse clients, staff, and community service providers.
• Basic computer literacy, including the ability to use email, conduct online research, and create basic documents (MS Office Suite including Excel, Outlook and Word).
• NYS motor vehicle license, safe driving record and availability of personal vehicle for work.
• Holds self and others responsible and accountable to meet commitments.

Salary Range:

• Salary is commensurate to education and experience with a range of $38,000-$60,000

Additional information:

• This position will be primarily remote. However, given the nature of the role, approximately 50% of the workday is anticipated to include regular travel and in-community work within the Finger Lakes region for community convenings and relationship building. Occasional travel across New York State is also expected for on-site meetings or training. 
• Residency within the Finger Lakes region of New York State is required.  

Job Title: Senior Data Analyst 

Reports To: Chief Clinical Officer

Job Summary: This position is responsible for supporting FLIPA in the successful development, implementation, validation, and maintenance of a multi-input data warehouse leveraged to create dynamic visualizations and actionable analytics.  The Senior Data Analyst will regularly communicate with consultants/vendor(s) regarding input and output, the FLIPA team and FLIPA member organizations regarding assigned analytic projects, project summaries, workplan progress, and timelines. This role is also responsible for the identification of data integrity and communication to the Leadership Team and to liaise with members and vendors to support the remediation of identified issues.

Organizational Overview: Forward Leading Independent Provider Association (FLIPA) is a nonprofit membership association of safety net providers working in partnership to provide the highest quality healthcare to the most vulnerable populations in Upstate New York since 2017. FLIPA is renowned for its commitment to the integration of primary care, behavioral health and social care needs. Our growing membership includes a combination of federally qualified health centers (FQHCs), behavioral health providers, and a rural health network across more than 27 counties.

Equal Employment Opportunity Statement: At FLIPA, we deeply value diversity in background, experience, and thought. We are committed to creating an environment of belonging where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.

We believe that fostering spaces of belonging and advancing health equity begins with a workforce that reflects the diverse communities we serve. We actively promote equity of opportunity and strive to ensure that each team member’s unique skills, talents, and potential are recognized and valued. We are dedicated to supporting and welcoming a wide range of candidates, making hiring decisions based solely on individual merit.

FLIPA is committed to prioritizing the human element in healthcare. By embracing diverse perspectives and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us on this journey and contribute to a mission that makes a meaningful impact.

Security Level: Analyst 

Duties/ Responsibilities:

• Identify, aggregate, and integrate data from disparate sources across the network, including electronic medical records, health information exchanges, adjudicated claims data, etc.  
• Maintain expertise with current state data source files and regularly update documentation describing these
• Develop and optimize ETL processes to integrate data from multiple sources and formats
• Perform data validation and quality assurance to ensure data accuracy and reliability
• Partner with FLIPA data resources to review population health management platform modules for accuracy and functionality.
• Has experience supporting the design and implementation of data warehouse infrastructure to enable scalable, efficient, and automated reporting
• Delve into data to identify discrepancies and patterns as well as risks and opportunities for FLIPA and member organizations.
• Build visually accessible and functional dashboards and models using Excel and Power BI for internal and partner use. 
• Prepare and present reports and visualizations that effectively communicate key findings and facilitate data-driven decision-making. 
• Collaboratively design and implement data solutions to key questions about FLIPA performance, special populations, and program evaluation efforts
• Apply continuous quality improvement to drive changes to enhance the functionality and usability of the data warehouse and other data feeds.
• Support the analysis of complex datasets using statistical techniques, predictive modeling, and other advanced analytics methodologies. 
• Develop and manage a detailed project schedule and work plan with data-related vendors and hold vendors accountable for project plan performance.
• Provide analytical support and insights to help address specific issues and drive performance improvement. 
• Report identified risks to management; provide recommendations for mitigation of risk.
• Support deployment of tool(s) and initiatives to member organizations.
• Serve as expert for member organizations in interpretation and usability of available data, including maintaining expert knowledge of data sources, key indicators, use cases, and functionality.
• Utilize industry best practices, techniques, and standards throughout entire project execution.
• Evaluate and recommend new tools, techniques, and methodologies to enhance FLIPA's data analytics capabilities. 
• Other duties as assigned.

Education & Experience:

• Bachelor’s degree in a related field, such as computer science or engineering, information, technology, business, mathematics, analytics, or equivalent experience 
• 5-7 years’ experience as a Data Analyst or Business Data Analyst 
• Experience within the New York State health care system (population health, behavioral health, Federally Qualified Health Centers, or similar) required
• Experience in SQL and related programming languages
• Experience with population health analytics including claims data and quality measures (e.g., HEDIS), trending and predictive modeling
• Experience working with data warehouses and databases, including writing complex queries, optimizing performance, and managing data models

Skills, Knowledge, and Abilities:

• Excellent organizational skills, detail oriented to support follow through across a variety of projects and processes at once
• Technical expertise related to data modeling, database design and development, data mining and segmentation techniques
• Strong knowledge of and experience with reporting packages (Power BI, etc.), databases (SQL, etc), and programming (XML, Java, Python, etc.)
• Knowledge of statistics and experience using basic and dedicated statistical packages for analyzing datasets (Excel Analysis ToolPak, SPSS, SAS, etc.)
• Strong analytical skills with the ability to collect, organize, analyze and disseminate significant amounts of information in both written and oral communication
• Ability to manage multiple priorities effectively with minimal supervision 
• Proficient with Microsoft Office Suite, including Microsoft Teams, Excel and Power BI
• Flexible, adaptable style that takes in stride last minute changes and project pivots
• Thrives on creative problem-solving
• Strong interpersonal skills, independently resourceful and thrives in a fully remote environment
• Proven ability to complete projects according to defined timelines and objectives

Salary Range:

• Salary is commensurate to education and experience with a range of $70,000-$95,000

Additional information:

• This position will be remote with periodically required in-person meetings.
• This position is required to perform all job functions within the United States during EST/EDT typical business hours.