Program Manager – Medical Management

Role Overview

• Responsible for the development, evaluation, coordination, implementation, and monitoring of all PI initiatives across the health plan.
• Oversees and drives all aspects and outcomes of PI through strategic matrixed relationships.
• Ensures initiatives are appropriately communicated and prioritized across stakeholders.
• Detailed tracking of initiatives with established data and expected ROI savings estimates.
• Creation of manual and automated workflow pathways, plan policy development, and regulatory, contract, and benefit vetting.
• Responsible for setting and driving accountability through the Plan PI Committee, including identification and escalation of roadblocks.

Requirements

• Bachelor's Degree
• 3 years Healthcare experience in project coordination encompassing operations analysis, outcomes measurement methodology, data management and quality improvement process design.
• 3 years Experience with performance improvement/organizational change tools.
• 3 years Change management experience.
• Experience in Six Sigma and/or Lean methodology

Benefits

• Health care benefits (medical, dental, vision)
• 401(k) Savings Plan with employer matching
• Life insurance
• Disability insurance
• Paid time-off benefits (paid parental leave, vacations, holidays)
• Well-being resources
• Additional compensation may be available such as shift differentials, overtime, premiums, extra shift incentives, or bonuses