Population Health Program Manager

Profile

What You Will Do:
Population Health Program Manager
Full Time, M-F
Linthicum, MD
The Population Health Program Manager will work with payer contract management (commercial, Medicare, Medicaid), value-based contracts, and managed care.
Job Summary:
Under limited supervision, manage specific aspects of one or more programs, or multiple aspects of a single program within the organization for clinical programs for the population health services organization (PHSO). This includes organizing and managing teams, developing project plans and schedules, managing issues, risks, costs, managing to schedule and scope and communicating at all levels of the organization. Manage clinical and administrative staff during all aspects of the program life cycle. This role should function as a recognized mentor and technical role model.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
For programs consisting of multiple subprojects, directs the deployment and organization of resources, including the mentoring of project coordinators and project managers. Ensure development of timetables and targets and check progress against them. Direct the plans of activities; ensures a plan which streamlines the program process.
Collaborates with payers, hospitals, funding agencies, accrediting organizations, and community partners to improve the performance of UMMS on quality, utilization and other performance measures.
For complex projects or programs, direct the initiative using best-practice program management approaches to deliver against approved estimates for quality on-time and on-budget programs and projects.
Communicates the business value to the organizations executives. Directs Project Managers of sub-projects related to development and reports of supported metrics for complex projects or programs. Seek ways of improving existing quality assurance tools and processes.
Understands requirements of the Joint Commission, HRSA, National Committee of Quality Assurance (NCQA) and assists in ensuring compliance with the standards involving population health and quality improvement.
Direct the development and analysis of program interdependencies to effectively structure sub-projects and Project Managers. Develops and understands potential impacts communicating the impacts to executives and stakeholders.
Anticipate and identify complex issues, monitor and measure the risk factors. Communicate risk factors to executives and stakeholders. Direct sub-projects to ensure the implementation of continuous quality control of process and deliverables.
Provides recommendations to align quality and performance measures from payers (HEDIS), UDS, Patient Centered Medical Home (Joint Commission and NCQA) in order to streamline improvement activities.
Interfaces with Health Informatics and Information Technology staff to develop systems to collect data for reporting.
Build effective networks of internal and external subject matter expert contacts including executives. Contribute to the development of tools and capabilities.
Meet with stakeholders and executive to review solution and issues and to gain commitment on recommendations.
Direct project managers to use the commonalities/differences within the team members' goals, values and problem-solving styles to generate multiple alternatives in leading group to achieve a result and monitor for effectiveness. Ensure program impact does not negatively impact or interfere with others.
Provides presentations to Medical System staff, practices, providers and external partners regarding plans, progress, and status of population health and quality initiatives.
Provides monthly reports on progress with quality and performance improvement initiatives at UMMS.
Identify barriers to change and accept and manage ambiguity/complexity in programs/program, and effectively guide teams in dealing with change barriers and program constraints.
What You Need to Be Successful:
Education and Experience:
Master's degree or equivalent experience in business administration or related field from which comparable knowledge and abilities have been acquired.
Five years of Healthcare experience; clinical experience preferred.
Seven years program and/or project management experience is required.
Specialized certification is preferred (e.g. Change Management, Process Improvement, and Project Management).
Knowledge, Skills and Abilities:
Demonstrated ability to manage large scale project and/or program teams. Ability to set up, plan, manage, report and communicate medium size projects and direct the completion of projects within proper scope, budget and schedule.
Demonstrate ability to think strategically. Demonstrate sufficient understanding of some functions to structure and manage project work. Generate innovative and practical solutions to complex or unusual problems.
Support client relationship management and oversees clinical/population health project execution and reporting. Possesses excellent customer service skills.
Act as lead resource for dealing with project issues, ability to lead projects. Understands appropriate escalation process. Work with the team to make decisions considering the degree of impact on areas involved. Demonstrated ability to reach agreement and potential solutions through flexibility and compromise with peers, customer/client, and managers.
Proficiency in the use of personal computers and related peripheral equipment is required. Familiarity with Microsoft Office products and Microsoft Project is preferred.
Structure and manage projects to meet client expectations, deliver value and minimize potential obstacles and risks. Understand and manage stakeholder needs and build commitment to project solutions that deliver target business value.
Highly effective verbal and written communication skills are necessary in order to work with all levels within the organization, and produce clear and concise reports of relatively complicated issues.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Company info

Sign Up Now - ProjectManagementCrossing.com