Program Manager, Provider Network - Covered California

About the role

The Program Manager, Provider Network - Covered California will play a vital role in the program design, development and implementation of programs/benefits and serve as the liaison among internal departments, health networks and delegates. This position has been approved to be Full Telework.

Responsibilities

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Provides program support and coordination for end-to-end operations and interdependencies ensuring alignment with departmental goals and priorities.
• Makes moderate to significant improvements in processes, systems or products to enhance performance of the job area.
• Develops and maintains workflows, procedures and/or policies with the support of management and recommends improvements to ensure timely and effective outputs.
• Coordinates cross-functional efforts with the CalOptima Health Regulatory Affairs and Office of Compliance department and business owners to implement program, reporting and other changes and communicates with stakeholders and project management to implement such changes or related operational issues.
• Tracks and monitors multiple concurrent initiatives to ensure the department successfully meets project parameters and targets.
• Prepares program documentation, including workflows, procedures, presentations and detailed reports for internal and external stakeholders.
• Stays current on the health care marketplace, local, state and federal health care environment, identifying issues that may impact CalOptima Health's health networks and delegates.

Requirements

• Bachelor's degree in public health, healthcare, business or related field PLUS 3 years of program development or program/project management experience in a health care delivery systems and/or public agency serving related populations required.
• Managed care operations experience.
• Experience and aptitude for working in a highly matrixed, mission-driven organization.

Qualifications

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Ability to manage multiple projects and identify opportunities for internal and external collaboration.
• Ability to work independently and exercise sound judgment.
• Ability to communicate clearly and concisely, both orally and in writing.
• Ability to work a flexible schedule; available to participate in evening and weekend events.
• Ability to organize, be analytical, problem-solve and possess project management skills.
• Ability to manage multiple projects and identify opportunities for internal and external collaboration.
• Ability to motivate and lead multi-program teams and external committees/coalitions.
• Ability to utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Skills

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Benefits

• A comprehensive benefits package including CalPERS pension program and additional retirement packages.
• A generous PTO program.
• Quality work life balance.
• Variety of wellness programs.
• Tuition Reimbursement.
• Professional development opportunities.
• Career development opportunities.
• Flexible scheduling.

Pay

The current salary range for this role is Pay Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947).

Schedule

This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**).