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Habitat Health · 1 month ago

Health Plan Associate, Program Management

United States

Full-time

Remote

Entry, Mid Level

$67K/yr - $77K/yr

2+ years exp

Habitat Health is dedicated to enhancing the aging experience for older adults through coordinated healthcare services. The Health Plan Associate – Program Management will oversee cross-functional projects, ensuring that key initiatives and regulatory requirements are met efficiently across various domains.

Health CareMedicalNutritionPersonal Health

Responsibilities

Lead cross-functional healthcare projects and initiatives with varying levels of risk and/or complexity

Support Health Plan leadership in driving projects and initiatives that cut across multiple domains (e.g., new vendor implementations, regulatory audits, process standardization, data integrity efforts)

Develop, maintain, and monitor project schedules, milestones, and deliverables; track dependencies across teams

Prepare resource and timeline estimates, proactively identifying risks and constraints; recommend adjustments to keep work on target

Coordinate and facilitate project meetings with internal stakeholders and external partners; create and distribute agendas, meeting minutes, and status reports

Follow up with responsible parties to ensure timely completion of open items and escalation of barriers

Lead operational oversight and process-improvement processes for the Health Plan function including:

Establish and maintain end-to-end work plan for Health Plan operations from enrollment and authorizations through claims, pharmacy, and ongoing network performance management, identifying points of risk or inefficiency

Partner with subject-matter experts (e.g., Claims, Compliance, Provider Network, Data & Analytics) to document processes and design improvements aligned to regulatory and organizational goals

Track and reconcile project outcomes with operational metrics (e.g., timeliness, accuracy, compliance adherence)

Establish process and support reporting and communications across the Health Plan function:

Coordinates and facilitates both internal and external meetings

Creates and publishes agendas, meeting minutes, and necessary documentation

Monitors and controls all aspects of the project by measuring progress and correcting course when project goes beyond scope or is not meeting goals and objectives. Escalates issues appropriately and timely to Health Plan leadership when necessary to remove barriers and drive forward motion of projects

Qualification

Healthcare experienceProject managementMicrosoft applicationsCommunication skillsProcess improvementRisk identificationMeeting facilitationData integrityOperational readinessStakeholder management

Required

Aligns with our purpose and values and is excited about living those out in daily practice

2-4 years of demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Specific healthcare and/or health plan experience required

Excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams

Can skillfully navigate multiple external systems including those operated by Medicare and Medicaid

High proficiency with general Microsoft applications, including Share Point as well as Smartsheet's

Ability to forecast project challenges and define solutions to maintain compliance with policies and procedures, quality, and schedule

Must have reliable access to printing resource