Program Manager. Long-Term Care Services
1 week ago
220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #1823
Friday, December 8, 2023
Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP
Status: Full Time, Exempt
In collaboration with the Director of LTSS and the VP of Provider Engagement and Care Management, this position is responsible for assisting in the leadership and development MVP's LTSS Product and Services. TheLTSS Product is a key offering to MVP's State Program customers and the management of it all aspects of the offering is essential to ensure customer needs are met and serviced, network access and accountabilities are aligned, and all policies and procedures are developed and compliant. The role will focus on facilitating and aligning product vision and execution with the overall LTSS strategies. This position will focus on the development of innovative capabilities to improve quality of care and meet emerging regulatory guidelines as well as refine processes for efficiency and return on investment. Additionally, the Product Manager will work very closely with Finance to ensure all components of the LTSS Product and Services are financially tracked and reported on, and emerging changes are executed on. The position requires a fast paced, organized, and driven candidate committed to improving member engagement and supporting the Clinical Care Teams in providing best-in-class care to our members. A successful candidate will achieve objectives by leading planning functions, understanding program requirements, preparing, and completing action plans, resolving/mitigating real/perceived problems, identifying care trends, determining clinical, operational, and financial improvement areas, and implementing change.
The position will:
- Align organization around end-to-end LTSS strategy, functions, policies, and procedures.
- Support the transformation of LTSS benefits program administration into a robust and financially sound Product.
- Work with a dedicated team to identify investment, ROI and planned lifecycle of the Product.
- Align the Product to deliver the right value to the customer.
- Monitor success measures derived from outcomes not output and lead recommended change execution.
- Will lead, under guidance of the Director, the Product's ability to iterate and improve the processes therefore enhancing service delivery with speed and agility.
The position requires the ability to represent the department, in the transformation of the LTSS Product which will require cross-departmental and cross-project dependencies which require development of Stakeholder communication to proactively mitigate operational, clinical and/or fiscal issues, as necessary. The candidate should be an independent thinker, curious, a strong collaborator, have excellent organizational skills and an ability to prioritize multiple demands in an aggressive paced environment.
The candidate should be able to coordinate and conduct research, analyze outcome/performance measures, and identify and mitigate root cause solutions and communicate industry trends/standards to all Stakeholders. The position will require a proficient level of analytical skill and comfort with technology, able to capture business requirements and perform as liaison with technical and analytical teams across the organization.
- Support the execution of the MVP LTSS Product strategy.
- Use critical thinking skills to assist in the definition of product planning scope and objectives, involving all relevant stakeholders and setting achievable timelines with appropriate interim milestones to mark progress.
- Support Corporate Project Management and Content Development, communicates project plans, project objectives and milestones, implementation plans to all stakeholders and other relevant parties.
- Work collaboratively with operational and clinical leadership to facilitate cross-stakeholder meeting discussions, engage all relevant stakeholders, and develop useful presentation materials with the goal of advancing and achieving the stated milestones and objectives and performance reporting.
- Manage Product evaluation and ongoing performance:
- Evaluate how changes may impact the organization both financially and operationally.
- Analyze operational and/or financial data to evaluate performance and identify improvement opportunities.
- Conduct and manage the research, documentation, and analysis, utilizing both internal and external sources of operational, financial, and benchmarking/best practice data.
- Stay abreast of current trends, best practice, and other information relevant to community health and health equity and specifically related to the projects and committee(s) s/he supports; researches and shares relevant information.
- Provide input to the stakeholders on additional analyses and key next steps for Communication and Collaboration
- Prepare concise, creative, professional summaries of analyses and plans for members of Senior Leadership and others, as appropriate.
- Effectively present findings to all levels of staff, targeting the presentation towards the knowledge level and needs of the audience.
- Provide timely and accurate progress reports on all current initiatives.
May include other responsibilities as assigned in support of Health Management initiatives.
Position Qualifications:
Minimum Education:
- Bachelor's Degree in Business Administration, Public Health or related field or relevant work experience.
- Master's degree in business administration, Health care Management, or related discipline, preferred.
Minimum Experience:
- Minimum of 5-8 years of relevant experience required.
- Experience in the healthcare industry with a clinical and Government Programs background
- Experience implementing product and program analytics supporting analysis of feature.
- Experience in long-term care services a plus
- Understanding health equity and inclusion models within the private sector, preferred
- Experience in developing, managing, and measuring the impact of cross-sector partnerships, including a successful track record of working with not-for-profit entities on impact-oriented efforts.
- Experience conducting stakeholder mapping and needs assessments, defining and executing a strategic roadmap.
Required Skills:
- Ability to work and influence across a matrixed environment and to manage Product performance.
- Excellent interpersonal skills in areas such as teamwork, facilitation, and negotiation
- Ability to present to both internal and external stakeholders.
- Excellent planning, facilitation, and organizational skills
- Proficiency of the product management discipline
- Ability to understand the long-term ("big picture") and short-term perspectives of situations
- Ability to be innovative, creative and think "outside the box."
- Ability to translate customer needs into desired product capabilities.
- Ability to plan for and coordinate dependencies across teams.
- Passionate about customer success and customer results
- Strong attention to detail and process development acumen
About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors , including but not limited to geographic location ; relevant experience, education, and training; and the nature of and demand for the role.
In addition, we offer a comprehensive benefits package that includes:
- Considerable paid time away from work including PTO (Paid Time Off), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , allowing you to take time off when it suits you best.
- Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
- Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
- Life insurance and disability coverage to ensure financial security for you and your dependents.
- An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
- Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
- A best-in-class employee Well-Being program to support all dimensions of your health and wellness.
MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
Please apply and learn more - including how you may become a proud member of our team.
Other details
- Job Family Medical Management/Clinical
- Pay Type Salary
- Min Hiring Rate $75,870.00
- Max Hiring Rate $148,930.00
-
Case Manager, Medicaid Long Term Support Program
2 weeks ago
Rochester, United States MVP Health Care Full timeCase Manager, Medicaid Long Term Support Program220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #2152Tuesday, August 20, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous...
-
Social Worker, Medicaid Long Term Support Program
3 months ago
Rochester, United States MVP Health Care Full timeSocial Worker, Medicaid Long Term Support Program220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #2152Tuesday, August 20, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous...
-
Case Manager, Medicaid Long Term Support Program
6 months ago
Rochester, United States MVP Health Care Full timeCase Manager, Medicaid Long Term Support Program625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA Req #1769Tuesday, October 17, 2023Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning...
-
Rochester, New York, United States MVP Health Care Full timeJob SummaryMVP Health Care is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will be responsible for utilizing an integrated utilization management and case management model to meet the needs of medically complex Medicaid members.Key ResponsibilitiesIdentify medical and psycho-social needs of designated members and...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
CNA - Long Term Care
4 months ago
Rochester, United States Clinical Staffing Resources New York Full timeBenefits Health Insurance Vision insurance Dental Insurance Flexible Schedule Referral program Weekly Direct Deposit Competitive Pay, Flexible Schedule, exp in LTC required Clinical Staffing Resources is currently seeking per diem LTC Certified Nursing Assistants (CNA) to...
-
Long-Term Care Healthcare Leader
3 weeks ago
Rochester, New York, United States Health Dimensions Group Full timeJob Summary: At Health Dimensions Group, we are seeking a highly skilled and experienced Long-Term Care Healthcare Leader to oversee the management of our healthcare facilities. This role requires a unique blend of leadership, operational, and strategic expertise to drive the success of our programs and achieve our mission.Key Responsibilities:Develop and...
-
LPN - Long Term Care
4 weeks ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
Nurse Specialist
1 month ago
Rochester, New York, United States KurzSolutions Full timeAbout the RoleThe Registered Nurse - Long Term Care shall provide services in the long-term care division comprised of 3 long-term care units: long-term, short-stay, hospice/palliative care residents.Responsibilities include assessing, planning, implementing, and evaluating care based on age-specific components.Key responsibilities include patient activities...
-
LPN- Long Term Care
3 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
6 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
3 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
6 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN - Long Term Care
6 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Sign-On Bonuses up to $20,000 for Experienced LPNsSame Day Pay through DailyPayPaid Vacation &...
-
LPN - Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Sign-On Bonuses up to $20,000 for Experienced LPNsSame Day Pay through DailyPayPaid Vacation &...
-
LPN - Long Term Care
2 weeks ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN - Long Term Care
4 weeks ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
