CareOregon

Making health care work for everyone.

Program Manager – Clinical Cost and Utilization

Full TimeRemoteTeam 501-1,000Since 1994Company SiteLinkedIn

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

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