CareOregon
Making health care work for everyone.
Program Manager – Clinical Cost and Utilization
Location
Idaho + 4 moreAll locations: Idaho, Oregon, Texas, Utah, Wisconsin
Posted
1 day ago
Salary
$100.4K - $122.7K / year
Bachelor Degree5 yrs expEnglish
Job Description
• Manage the clinical cost & utilization program’s operations
• Create and maintain policies and procedures for program operations
• Train staff and leadership on key processes and procedures
• Track, summarize, and communicate key information on the program’s health and needs through the development and maintenance of tracking tools and multiple reports to stakeholder audiences
• Manage the execution of program initiatives through careful oversight of individual initiatives’ progress and compliance with program best practices and standards
• Support initiative owners who need assistance in meeting key milestone dates and meeting program standards
• Support the development and execution of new initiatives in the clinical cost & utilization program
• Provide direct support for initiative owners as they describe and quantify cost & utilization concerns, potential solutions, and those solutions’ opportunity for potential impact
• Provide direct project management support to scope, plan, and implement initiatives where needed
• Collaborate and directly support feasibility and financial scoping of potential initiatives to ensure accurate forecasting of risks, resource needs, delivery costs, and potential net benefit
• Collaborate with data and financial stakeholders to ensure accurate monitoring systems effectively report initiatives’ impact to each line of business and to the organization overall
• Collaborate with organizational experts and stakeholders across the organization
• Develop strong communication and process pathways with analytics, quality, finance, and project management departments to ensure program initiatives receive needed support in a timely and comprehensive manner
• Develop strong communication and collaborative processes with line of business, benefit, and other stakeholders to ensure proactive information flows and aligned decision making
Job Requirements
- Minimum 5 years’ experience working in health care management, population health, cost and utilization, healthcare value, or similar fields, including at least 2 years in project or program management
- Experience managing complex programs or project portfolios
- Experience achieving impact through program or project management
- Knowledge of project and/or program management skills including ability to effectively review and organize systems and workflows
- Knowledge of principles, methods, and techniques of project and program management
- Detailed knowledge of healthcare finance and healthcare delivery systems
Benefits
- medical, dental, vision insurance
- life insurance
- AD&D insurance
- disability insurance
- health savings account
- flexible spending account(s)
- lifestyle spending account
- employee assistance program
- wellness program
- discounts
- multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)
- strong retirement plan with employer contributions
- PTO and Paid State Sick Time based on hours worked/scheduled hours and primary work state.
- paid holidays
- volunteer time
- jury duty
- bereavement leave