Program Manager Health Connections

Job Description:

Select Health is a community health plan serving more than 1 million members. Select Health’s line of businesses include Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded Commercial Employer plans.

The Healthy Connections Program Manager reports to a line of business leader or department leader to help successfully manage the daily operations of a specific care management or utilization review program. This role is responsible for communicating and demonstrating the of value of SelectHealth programs to internal and external stakeholders and to members eligible for the program. The manager will serve as a subject matter expert in executing the program and adhering to any applicable regulatory requirements.
This position may lead a team of caregivers in their assigned role.

Essential Functions

• Promotes collaboration across functions and establishes effective interfaces with system stakeholders and members toward enhancing performance and program delivery
• Hires and manages performance of Care Managers, Care Navigators or Utilization Reviewers who support members enrolled in the program
• Assists in program development and serves as a SME/resource for clinical process and programmatic needs.
• Promotes a continuous improvement orientation- works to address gaps and promotes program adherence with requirements and monitoring of internal processes and related metrics
• Demonstrates a strong clinical understanding of all aspects of Care and Disease Management programs or utilization management programs, functions and processes.
• Creates and presents reports and other information for stakeholders regarding program performance, including outcome measure and return on investment.

Skills

• Leadership
• Communication
• Utilization review or care management
• Performance management
• Workflow optimization
• Process documentation
• Health plan operations

Qualifications

Minimum Qualifications

• Bachelor’s degree in clinical specialty (e.g., Nursing, Social Work, Physical Therapy, Occupational Therapy, Speech Therapy)
• Experience in insurance/managed care or care delivery settings
• Ability to work complex projects and manage deliverables
• Minimum 1-year experience in care management/navigation or closely related field including Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral health, quality, or patient educator job role.
• Strong written, verbal communication and conflict resolution skills
• Intermediate computer software and hardware skills, ability to customize computer settings and use multiple monitors and capable of independent troubleshooting internet and applications.

Preferred Qualifications

• Master’s Degree in a clinical, education or business specialty
• Project management and organization skills

Physical Requirements:

Physical Requirements

• Ongoing need for employees to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with colleagues and providers require employees to verbally communicate and hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May be expected to sit or stand in a stationary position for a long time.

Location:

SelectHealth - Broomfield, SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$43.67 - $67.41

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.