What are the responsibilities and job description for the PROGRAM MANAGER - HEALTH PLAN SERVICES position at Cook County Health & Hospitals System?
The final salary and offer components are subject to additional approvals based on Cook County Health (CCH) policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at CCH. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
Location: Health Plan Services
Hours: 8:30 AM - 4:30 PM
Job Title
Program Manager, Health Plan Services
Department
Health Plan Services
This position is exempt from Career Service under the CCH Personnel Rules.
Job Summary
The Program Manager of Health Plan Services is responsible for the successful delivery of programs that support the wellbeing and health of membership and efficient operations with the Health Plan. This includes working with the Project Management and Operational Excellence department, Clinical Services, Project Management Office and other business leads, partners, and vendors to oversee programs and facilitate and foster effective communication between vendors, Cook County Health (CCH) and Health Plan Services.
Typical Duties
- Develops and implements new programs that aligns with CountyCare's strategic goals and mission
- Manages established programs to ensure the program is meeting key performance metrics.
- Oversees Program Coordinators' day-to-day activities
- Implements medical cost action plan within programs based on the leadership approved strategic goals. Serves as the key liaison between vendors, the health plan and CCH to develop a communication plan and materials to promote programs to members and providers
- Serves as the escalation point for program concerns and questions from various business leads and works with internal cross functional staff to resolve issues and create risk mitigation plans
- Drives program-level reporting and auditing. Develops accurate and timely monitoring and auditing tools, monitors program results and trends
- Analyze and interpret data in order to drive growth, retention, and engagement of membership of various programs by population and product (Medicaid, Medicare etc.)
- Analyzes and inventories program risks and presents to leadership when necessary
- Prepares reports to present to senior leadership and partners for oversight and data driven adjustments to the programs. Leverages results to increase program visibility and proactively optimizer performance
- Develops quarterly reviews with strategic partners to analyze performance, cost benefit and new opportunities
- Implements and manages changes and interventions to ensure program goals are achieved.
- Ensures appropriate communication of program changes to identify and implement process improvements as necessary
- Engages internal and external partners to effectively coordinate and streamline information flow, service delivery and performance improvement initiatives; maintains key contact lists for programs
- Creates and manages policies and documents program management activities
- Ensures follow-up on assigned tasks, tracks, and ensures timely submission of key program documents/reports.
- Prioritizes tasks in accordance with urgency and complexity, tightly manage time for those involved in programs and pivot focus as needed Performs other duties as assigned
Minimum Qualifications
- Bachelor's degree from an accredited college or university is req uired (must provide official transcripts at time of interview)
- Three (3) years of program management, program coordination, or project implementation experience is required
- Two (2) years of experience working in a hospital, other healthcare, Managed Care Organization (Medicaid or Medicare) or academic health program is required
- Intermediate proficiency with Microsoft Outlook, Word, Excel, and PowerPoint. is required (MS Office testing will be administered; 70% minimum proficiency rate is required )
- Strong experience and proficiency using SharePoint is required
- Proficient experience with data collection, qualitative and quantitative analysis, or reporting is required
Preferred Qualifications
- Master's degree from an accredited college or university is preferred
- Two (2) years of experience supervising staff is preferred
- Two (2) years of experience in Managed Care Organization is preferred
- Project Management Certification from PMI institute is preferred
- Experience working in Medicaid or Medicare managed care organization is preferred
- Proficient in Microsoft Visio is preferred
Knowledge, Skills, Abilities and Other Characteristics
- Excellent written and verbal communication skills
- Excellent organizational skills and ability to prioritize, plan, and organize projects and tasks to meet deadlines in a fast-paced and stressful environment.
- Advanced Ability to work in a matrixed environment
- Advanced demonstrated interpersonal skills
- Ability to be resourceful and skilled at addressing challenges, excellent customer service.
- Ability to take initiative as well as direction within a diverse team.
- Ability to adapt to shifting priorities.
- Detail oriented and ability to achieve high standards of accuracy.
- Strong facilitation and presentation skills
- Advanced other demonstrated program management skill
- Demonstrates time management expert who can prioritize tasks in accordance with urgency and complexity as well as pivot focus as needed
- Meet the minimum qualifications for the position.
- Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
- Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable.
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION
BENEFITS PACKAGE
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Pension Plan
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
Full-time Shift Start Time: 8:30 A.M. Shift End Time: 4:30 P.M.
Collective Bargaining Unit None
Posting Salary: $92,922 - $113,220
Organization: Health and Hospital Systems
Salary : $92,922 - $113,220
