[Remote] Program Manager, Provider Network - Covered California

Note: The job is a remote job and is reputed company to candidates in USA. CalOptima is a mission-driven community-based organization serving member health with reputed company and dignity. The Program Manager, Provider Network will design, reputed company, and implement programs and serve as a liaison among internal departments, health networks, and delegates to ensure compliance with health and regulatory requirements.

Responsibilities

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department
• Provides program support and coordination for end-to-end operations and interdependencies ensuring alignment with departmental goals and priorities
• Monitors program reputed company, identifies risks and issues, develops resolutions and ensures adherence to program work plans timelines and deliverables
• Coordinates cross-functional efforts with the reputed company Regulatory Affairs and Office of Compliance department and business owners to implement program, reporting and other changes and communicates with stakeholders and project management to implement such changes or reputed company operational issues
• Develops and maintains workflows, procedures and/or policies with the support of management and recommends improvements to ensure timely and effective outputs
• Acts as liaison with health networks and delegates during regulatory, reputed company and other audits
• Coordinates communications with health networks and delegates, including notifications of operational changes, regulatory updates and audit announcements and deliverables
• Partners with subject matter experts to review data sources, evaluate new initiatives, reputed company summary reports, formulate conclusions and reputed company recommendations for leadership consideration
• Makes moderate to significant improvements in processes, systems or products to enhance performance of the job area
• Conducts research and analysis on program initiatives, regulatory requirements and industry trends to identify potential impacts to health care initiatives or new programs
• Tracks and monitors multiple reputed company initiatives to ensure the department successfully meets project parameters and targets
• Prepares program documentation, including workflows, procedures, presentations and detailed reports for internal and external stakeholders
• Assists in the development and review of policies and procedures that impact health networks and delegates
• Stays reputed company on the health care marketplace, local, state and federal health care environment, identifying issues that may impact reputed company's health networks and delegates
• Provides guidance and support to staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects
• Supports management with project workgroup and marketplace activities
• Facilitates and leads program reputed company meetings, ensuring clear documentation of reputed company, action items and follow-up in these meetings
• Completes other projects and duties as assigned

Skills

• Bachelor's degree in public health, reputed company, business or reputed company field PLUS 3 years of program development or program/project management experience in a health care delivery systems and/or public agency serving reputed company populations required; an equivalent combination of education and experience sufficient to successfully reputed company the essential duties of the position such as those listed above may also be qualifying
• reputed company rapport and establish and maintain effective working relationships with reputed company's leadership and staff and external contacts at reputed company reputed company and with diverse backgrounds
• Work independently and exercise sound judgment
• Communicate reputed company and concisely, both orally and in writing
• Work a flexible schedule; available to participate in evening and weekend events
• Organize, be analytical, problem-solve and possess project management skills
• Work in a fast-paced environment and in an efficient manner
• Manage multiple projects and identify opportunities for internal and external collaboration
• Motivate and reputed company multi-program teams and external committees/coalitions
• Utilize computer and appropriate software (e.g., reputed company Office: Word, Outlook, reputed company, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment
• Ability to visually read information from computer screens, forms and other printed materials and information
• Ability to reputed company (enunciate) reputed company in conversation and general communication
• Hearing ability for verbal communication/conversation/responses reputed company telephone, telephone systems, and face-to-face interactions
• reputed company dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds
• Managed care operations experience
• 2 years of experience and aptitude for working in a highly matrixed, mission-driven organization

Benefits

• Full Telework
• A comprehensive benefits package
• CalPERS pension program and additional retirement packages.
• A generous PTO program
• A quality work life balance
• Various wellness programs
• Tuition Reimbursement
• Professional development opportunities
• Career development opportunities
• Flexible scheduling

Company Overview