Program Manager - Adult Programs

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Program Manager to engage with internal and external stakeholders to develop, manage, and improve programs related to HPSM’s Medicare-Medicaid Plan (MMP), serving dual-eligible beneficiaries. The Program Manager integrates and executes cross-functional program operations and conducts data analysis in support of departmental processes and organizational goals.

The essential duties and responsibilities will include the following: 

• Manage program(s) from initiation through delivery and monitor for continuous improvement.
• Provide input into designing strategies for alignment with functional unit goals and objectives.
• Develop methods, techniques, and evaluation criterion for obtaining results.
• Plan, execute, and evaluate program initiatives to improve performance.
• Participate cross-functionally in business planning to support business unit strategy.
• Contribute to project teams, assigning and monitoring work of team members and providing guidance and leadership.
• May act as the business unit liaison to corporate initiatives and projects.
• Educate and work with external partners and participating practices as needed to identify innovation opportunities and adopt improvement actions.
• Analyzes data and develops reporting specifications to support business requirements/strategies
• Functions as an organizational subject matter expert on regulatory operating environment and payment policies related to HPSM’s Medicare and/or Medicaid line(s) of business
• Perform other duties as assigned.

Requirements

Education and Experience: Bachelor’s Degree required; MBA, MPH or MPP strongly preferred. Business or Healthcare Management, Policy or Administration, Public Health, Finance, or related field preferred. Minimum 3 years or project/program management experience and experience with process/quality improvement techniques required. Medicare and/or Medicaid managed care exposure strongly preferred.

Knowledge of: Interpersonal skills and cross-functional relationship building; change management, process improvement and redesign; project management, program evaluation, and consulting methodologies; financial, quantitative, and contracting acumen; quantitative and qualitative research and evaluation methods.

Ability to:  Think critically and make informed and/or data-driven decisions. Work cooperatively with others. Work as part of a team and support team decisions. Communicate effectively, both verbally and in writing. Adapt to changes in requirements/priorities for daily and specialized tasks

Compensation & Benefits

Starting Compensation Range: Depends on Experience

Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s coverage in the medical HMO plan and majority of PPO medical cost.  Employee pays a small portion (5%) of the dependent premiums for medical and dental benefits.  Additional HPSM benefits include fully paid vision, life, AD&D, STD, and LTD insurance; retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; and more.