Program Manager – Provider Services

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Program Manager. The Program manager will be responsible for program development, integration, and execution in support of departmental and cross departmental processes, operations and administrative efficiency. This role will focus on driving the success of programs related to end-of-life care and care for some of San Mateo County’s most medically vulnerable residents. HPSM is seeking a deeply mission driven leader who is committed to achieving better health outcomes for our county’s underserved. Are you energized by opportunities to design new, innovative healthcare solutions from the ground up? Are you a creative, collaborative problem solver with rigorous analytical skills? If so, this role may be an excellent fit for you.

The essential duties & 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
•Analyze new or updated regulations, laws and contract language and implement appropriate changes to internal policies, procedures and workflows.


Education and Experience: Bachelor’s Degree in Business Administration, Health Care Management or Public Policy required. MBA, MPH or MPP preferred, Minimum three (3) years of managed care experience preferably with Medicare/Medi-Cal experience, Experience with quality improvement/process improvement techniques required, Previous project/program management experience required.
Knowledge of: Quantitative reasoning (financial analysis, return on investment analysis, statistics, utilization metrics), Healthcare Policy (different delivery systems, payment models, and Government Programs), Raw Data and Analytic capabilities, Relationship Building and Interpersonal Skills, Financial/Quantitative Acumen, Change management, process improvement and redesign, Organizational behavior skills with a focus on driving for results, Project management, program evaluation and consulting skills, Knowledge of accrediting/regulatory body requirements, Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.

Ability to: Confidently present to large groups, 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, Think critically and make informed decisions.

Compensation & Benefits:

Starting Compensation Range: depending on experience.

Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s Medical, Dental and Vision coverage. Employee pays a small portion of the dependent premiums (5%) for medical and dental benefits. Additional HPSM benefits include fully paid life, AD&D, and LTD insurance; retirement plan (HPSM contributes equivalent of 10% of annual compensation); holiday and vacation pay; tuition reimbursement plan; onsite fitness center 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.

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