Managed Health Services (MHS) · 13 hours ago
Program Manager II
United States
Full-time
Remote
Mid Level
$70K/yr - $126K/yr
3+ years expManaged Health Services (MHS), a Centene company, is dedicated to transforming the health of communities. The Program Manager will collaborate with stakeholders to ensure the integration of quality improvement initiatives like HEDIS and CAHPS, ultimately improving outcomes for members.
Health Care
No H1B
Responsibilities
Support business department initiatives that promote, quality, safety and cost of care opportunities related to CAHPS, HEDIS, NCQA and other quality initiatives
Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment
Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures
Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable
Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation
Communicate program status to management and key stakeholders
Identify resources, resolve issues, and mitigate risks
Identify requirements, procedures and problems to improve existing processes
Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives
Manage projects through the full project life cycle
Provide leadership and effectively communicate project status to all stakeholders
Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Applicants must reside in the state of Indiana to be considered
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Bachelor's Degree in related field or equivalent experience required
3+ years of quality improvement, program management or project management experience required
Preferred
Health care experience preferred
2+ years' experience working/service Medicaid beneficiaries highly preferred
3+ years in healthcare quality improvement with working knowledge of HEDIS, CAHPS, and NCQA highly preferred
3+ years' project and/or program management experience coordinating large complex engagements related highly preferred
3+ years' experience in strategy development and implementation preferred
Benefits
Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
Managed Health Services (MHS)
Managed Health Services (MHS) is a managed care entity that has been proudly serving Hoosiers for more than two decades through the Hoosier Healthwise (HHW) and Hoosier Care Connect Medicaid programs and the Healthy Indiana (HIP) Medicaid alternative program.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Kevin OToole
Chairman, President and CEO
Melissa B. Steever, CPA MBA
Plan Chief Financial Officer
Company data provided by crunchbase