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Program Manager
2 months ago
Description:
Program Manager Sr This position supports the design, development, implementation, and evaluation of programs focused on improved CMS (Centers for Medicare & Medicaid Services) Star Ratings. Responsible for Medicare Star projects and programs, this position will work with leadership and cross-functional and cross-divisional teams to support the design and execution required to advance organizational or divisional strategic priorities. The selected resource will assist in the design process through implementation and outcomes measurement to ensure programs meet existing and emerging market, provider, and member requirements. The selected resource will be responsible to find resolution of complex business issues, identify business opportunities/requirements, and help the business effectively manage change. Incumbent will be a part of program teams that cross the organization and manage through programs with tight deadlines. The incumbent serves as the liaison between multiple departments within the organization. A Day in the Life: Develop detailed strategies and workplans to influence the success for operational change and performance for assigned Star measures. Use evidence-based and multi-component approaches to program strategy, design, and execution. Drive the development and documentation of design, requirements, and key milestones of required tactics to support increased and sustained Star ratings that achieve the organizational overall goal for assigned Star measures. Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design. May include vendor oversight. Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored. Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence. Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative. Continually update program or project plans, timelines and deliverables while coordinating multiple sub processes to expand and/or improve programs. Manage multiple communication plans in conjunction with leadership and support initiatives, including status and progress updates. Stay abreast of changes in the rapidly evolving health care marketplace, including CMS regulatory changes, to define what successful measure performance looks like. May perform other duties as assigned.
Skills:
Program management, Project management, medicare, Medicaid, CMS Star Ratings, Health plan, CMS regulatory
Top Skills Details:
Program management,Project management,medicare,Medicaid,CMS Star Ratings,Health plan
Additional Skills & Qualifications:
Nice to Have: Bachelor’s and/or master’s degree in business, nursing, public health, health sciences, health promotion, or related field. Must have strong knowledge wiith CMS Star Ratings measures (such as NCQA HEDIS®, CAHPS, PQA/Pharmacy, HOS, Operations, and CMS Display measures) and experience with the Medicare population preferred. Previous health plan experience. Experience in process improvement and driving clinical measures Content expertise in the reduction of health risk behavior. Experience working in/with diverse racial or ethnic groups and nations. Required Skills and Experiences: 5+ years of related professional All relevant experience including work, education, transferable skills, and military experience will be considered. Demonstrated organizational relationship management skills. Ability to thrive in ambiguity. Strong critical thinking skills and problem solving/conflict resolution skills. Excellent written and verbal communication skills with strong facilitation, negotiation, and presentation skills, adapting approach as needed. Attention to detail and time management skills. Self-motivated, ability to work independently, and demonstrated ability to work under tight time frames. Knowledge of the health care industry, payer business models, business segments and products. Proven ability to handle various assignments in a fast-paced and complex business environment. Proven ability to define problems, collect and analyze data, establish facts, and draw valid conclusions.
Experience Level:
Expert Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
