Care Transformation Program Manager jobs in United States
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Banner Health · 1 day ago

Care Transformation Program Manager

Banner Health is an innovative leader in healthcare solutions, seeking a Care Transformation Program Manager to enhance network performance. The role involves analyzing performance data, creating operational solutions, and supporting leadership in improving departmental efficiency.

Health CareInsuranceNon Profit
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H1B Sponsor Likelynote

Responsibilities

Serves as an example to peers for both behaviors and performance of job functions. Provides Managerial Care Transformation experience and training to Care Transformation representatives, and acts as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases
Provides coaching, training, staff development, mentoring and overall support to assigned staff. Participation and responsibilities related to performance evaluation, performance improvement, coaching, training, mentoring, and time card processes. Creates a strong culture of engagement, inclusiveness, creativity, knowledge sharing to support the provider relations team and department
Provides collaborative approach with leadership, partner departments and contracted providers in leading this work
Create, develop, and manage communication materials, letters, content for provider newsletters, power point presentations, and other Care Transformation or provider communication resources as required
Oversee, coordinate, and support provider engagement, and communications. Maintains all levels of communication with network providers, informing them of any operational, procedural, and contractual changes and updates
Support Directors to consistently meet monthly goals as determined by management. Assists Directors with network development in various geographic regions within the organization, negotiates, implements and maintains managed care initiatives with payers and providers
Works cohesively with appropriate parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution, in a positive work environment, that supports the department’s ongoing goals and objectives
Works on special projects as assigned
Assists in the development and maintenance of a comprehensive provider network for Banner Networks. The incumbent must have a thorough understanding of managed care, medical office procedure, provider relations experience, medical claims and contracting. In addition, the incumbent must have excellent verbal and written communication skills, determine work priorities and is expected to accomplish all tasks with minimal supervision and instruction. Experience required in direct supervision and coaching of assigned teams. Analytical knowledge required

Qualification

Data analyticsExcelPowerBIHealthcare knowledgeCPT codingICD-10 codingHEDIS knowledgeSTARS knowledgeCustomer serviceProject managementNegotiation skillsWritten communicationTeam leadership

Required

Must possess a strong knowledge of healthcare as normally obtained through the completion of a bachelor's degree in business, healthcare administration, or related work experience
Requires a proficiency level typically acquired through a minimum of four years of experience in healthcare operational/financial management or related field
Must have an excellent understanding of medical terminology and knowledge of CPT and ICD-10 coding
Must have an understanding of HEDIS, STARS and other value-based performance initiatives as required by government programs
Must have the ability to effectively communicate both verbally and in writing
Must know how or learn to program data retrieval utilities and queries
The incumbent must possess the ability to track and analyze statistical data
This position requires a mathematical aptitude, computer experience, typing skills and the ability to work on a variety of projects in an organized fashion
Adept at creating and communicating a clear and detailed program plan to internal/external stakeholders, effectively aligning resources and motivating multi-disciplinary teams to achieve goals and create partnership-style relationships
Demonstrated technical, organizational, project management and negotiation capabilities
Proficient in written communications, power point and presentations
Must be a self-starter with excellent ability to implement and execute
Ability to balance the big picture with the day-to-day delivery details, connecting key project needs and internal resources to prioritize the workload
Strong desire to improve the lives of patients, their care givers, and families
Possesses compassion and empathy coupled with accountability and execution
Requires proficiency in the use of sophisticated software programs

Preferred

Five to ten years of experience in the healthcare field preferred, preferably in a managerial or supervisory capacity
Two years of medical office and/or provider representative experience is preferable
Additional Related Education And/or Experience Preferred

Company

Banner Health

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Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,

H1B Sponsorship

Banner Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (85)
2024 (70)
2023 (35)
2022 (47)
2021 (51)
2020 (29)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Diane and Bruce Halle Foundation
2025-10-24Grant

Leadership Team

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Andy Kramer Petersen
President & CEO Banner Health Foundation
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Brian P. Kellar
Chief Executive Officer
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Company data provided by crunchbase