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Health Plan of San Mateo (HPSM) · 2 days ago

Program Manager, Enhanced Care Management

California, United States

Full-time

Onsite

Senior Level

5+ years exp

Health Plan of San Mateo (HPSM) is responsible for providing health care services to its members, and they are seeking a Program Manager for Enhanced Care Management. This role involves collaborating with stakeholders to develop and oversee ECM and Community Supports programs, with a focus on supporting justice-involved populations and ensuring quality and accessibility in care delivery.

Health CareMedicalNon Profit

Comp. & Benefits

Responsibilities

Manage programs from initiation through delivery and monitor for continuous improvement

Plan, execute, and evaluate program initiatives to improve performance, delivering results to a wide range of audiences

Apply an iterative approach to process development and implementation, continuously refining strategies based on feedback and outcomes

Utilize critical thinking and creative problem-solving skills to proactively respond to dynamic and rapidly evolving program landscapes

Continuously align program goals with departmental and enterprise-wide objectives

Function as the main point of contact with external partners and internal stakeholders to support collaboration and program delivery

Lead onboarding and serve as primary liaison with external partners and vendors

Educate and work with external partners to identify innovations that improve outcomes

Participate in cross-functional business planning to support initiatives focused on member care and compliance

Work interdepartmentally to support CalAIM and related operational activities

Function as an organizational subject matter expert on CalAIM Enhanced Care Management and Community Supports operations, regulatory environment, and financial structure

Utilize key performance indicator dashboards to assess and communicate program impact

Support development and implementation of process improvements and best practices by leading collaborative workgroups

Align stakeholders to deliverables, help contributors be accountable for deliverables, and escalate concerns as needed

Adhere to work performance norms and attendance expectations

Perform other duties as assigned

Qualification

Program managementCalAIM experienceProject managementQuality improvement techniquesResearchEvaluationMicrosoft Office proficiencyInterpersonal dynamicsVerbal communicationWritten communicationTeam collaborationAdaptability

Required

Bachelor's degree in business administration, public health, health care management, or public policy required and five (5) to seven (7) years of experience as a program/project manager

Advanced project and program management skills, including independent execution and cross-functional coordination

Advanced verbal and written communication skills, with the ability to engage clearly and effectively across audiences and organizational levels

Advanced quality improvement/process improvement techniques skills

Intermediate proficiency with Microsoft Office applications for reporting and analysis

Intermediate skills in designing, conducting, and interpreting research and evaluation activities

Extensive knowledge of social determinants of health and public health policy issues

Extensive knowledge of interpersonal dynamics and relationship-building strategies

Working knowledge of financial principles, quantitative analysis, and contracting processes

Working knowledge of organizational behavior with a focus on achieving results

Working knowledge of both quantitative and qualitative research and evaluation methods

Extensive knowledge of regulatory and accrediting body requirements for Medicaid

Ability to work cooperatively with others and support team decisions

Ability to adapt to changes in requirements and priorities

Preferred

Master's Degree (MBA, MPH, or MPP) preferred

Experience with CalAIM, correctional health, and justice-involved populations preferred

Company

Health Plan of San Mateo (HPSM)

The Health Plan of San Mateo (HPSM) is a local non-profit health care plan that offers health coverage and a provider network to San Mateo County's under-insured population.

Founded in 1987

South San Francisco, California, USA

201-500 employees