Provider Program Manager - Provider Strat Value Base Care

About the role

The Provider Program Manager oversees the design, implementation, and delivery of processes, programs, and policies in an assigned functional area within the provider services departments. This role collaborates with C-Suite executives and other stakeholders to ensure strategic, enterprise-wide programs are well-defined, planned, tracked, and communicated in a consistent manner.

Responsibilities

• Develops effective collaborative relationships with TriWest’s inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure TriWest meets contractual requirements and fulfills organizational objectives.
• Works closely with assigned team’s leadership and respective team members to ensure projects and programs are well defined, planned, executed, tracked, and communicated in a transparent, consistent, and effective manner.
• Acts as the lead on business requirement development.
• Tracks, analyzes, and summarizes data for reporting, decision making, and follow-up action plans.
• Works with stakeholders and other subject matter experts to build documents and tools to support goals.
• Prepares meeting agendas to include meeting summaries and due-outs.
• Builds project schedules and tracking templates to monitor progress.
• Facilitates solution design sessions and creates follow-up action plans.
• Performs first-level primary research and discovery to scale and optimize current operations.
• Pairs with enterprise QPI team to develop project methodologies, processes, tools, and standards in support of maturing capabilities.
• Other duties as assigned.

Requirements

• Bachelor's Degree in Business, Healthcare Administration, or other related field, or equivalent experience.
• U.S. Citizenship.
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
• 7+ years of managing projects and/or programs at an enterprise level with at least 5 years in a healthcare related industry and specifically in alternative payment models, provider credentialing, or provider education.
• Demonstrated success in designing, implementing, and delivering provider programs.
• Advanced verbal and written communication skills, with ability to lead and motivate diverse teams.
• Experience managing vendor/partner relationships.
• Experience utilizing Microsoft Office Suite (Word, Excel, PowerPoint, Project, Access).

Qualifications

• Master's Degree in Business, Healthcare Administration, or other related field.
• Project Management Professional (PMP) certification.
• Program Management Professional (PgMP) Certification.
• Experience working with Department of Veterans Affairs and/or Military Health System/TRICARE.

Skills

• Communication / People Skills.
• Computer Literacy.
• Creativity / Innovation.
• Delegation Skills.
• Empathy / Customer Service.
• Leadership.
• Multi-Tasking / Time Management.
• Organizational Skills.
• Problem Solving / Analysis.
• Technical Skills.

Benefits

We offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage.
• Paid time off.
• 401(k) Retirement Savings Plan (with matching).
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
• Tuition reimbursement.
• Paid volunteer time.

Pay

$128,000 - $140,000 per year.

Schedule

Regular and reliable attendance is required. Availability to work non-regular hours and long shifts as required.

Company Overview

Taking Care of Our Nation’s Heroes. It’s Who We Are. It’s What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply.