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, and LTD insurance; retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; and more.

How To Apply:

Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via fax: (650) 616-8039. File by: Continuous until filled. The Health Plan of San Mateo is proud to be an Equal Opportunity Employer and encourages minority candidates of all backgrounds to apply.
Submissions without a Cover Letter and Salary Expectations may not be considered.

Position Description »