SCAN · 4 hours ago
Program Manager, Cost of Care
Long Beach, CA
Full-time
Remote
Mid, Senior Level
$92K/yr - $148K/yr
5+ years exp
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Responsibilities
Analyzes cost of care trends: Utilizes available data to identify cost drivers, assess utilization patterns, and uncover opportunities for SCAN to enhance quality and reduce expenditures, focusing on high-impact areas. Leverages prior experience to suggest additional reporting or analytics tools that would improve performance.
Develops cost-saving strategies: Formulates strategic initiatives with a focus on Medicare Advantage by collaborating with finance, network management, and clinical teams to address high-cost areas, yielding measurable cost reductions.
Manages performance of value-based provider contracts: Collaborates on the development, negotiation, and implementation of value-based provider contracts, ensuring alignment with SCAN’s mission, to improve outcomes while controlling costs.
Facilitates cross-functional collaboration: Coordinates with clinical, operational, compliance, and finance teams to drive effective implementation of cost of care programs, focusing on scalability, operational excellence, and maximizing value-based contract performance.
Monitors program performance metrics: Tracks key performance indicators (KPIs) for SCAN’s at-risk book of business, value-based contracts, and clinical programs, identifying improvement areas and providing concise, actionable report outs to senior leadership.
Conducts financial impact and ROI analysis: Partners with the finance department to analyze the financial and return-on-investment (ROI) impact of value-based contracting and clinical initiatives, supporting budgeting and forecasting for ongoing and new projects.
Prepares and presents program reports: Creates detailed reports and presentations for stakeholders, summarizing program impacts, cost trends, and strategic recommendations to address plan challenges.
Leads strategic problem solving and continuous process improvement: Drives efforts to refine cost management practices within SCAN, fostering a culture of continuous improvement through innovative solutions and data-informed strategic problem solving. Supports development of playbooks for performance improvement based on identified areas of opportunity using KPIs.
All other duties as assigned.
Qualification
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Required
Bachelor's Degree or equivalent experience
Previous experience in a health plan or Accountable Care Organization (ACO) managing cost of care trends.
5 years of experience in a provider performance management role.
2-3 years of leadership experience.
Familiarity with healthcare and managed care required.
Leadership - Skilled to develops others
Problem Solving - Good problem-solving skills
Optimizes Work Processes - Identifies and creates processes necessary to get work done
Self-starter who can initiate and lead projects as well as navigate different environments.
Strong Analytic, Quantitative, And Problem-solving Skills Required.
Strong verbal and written communication skills required.
Preferred
Familiarity with healthcare markets of support, preferred.
Benefits
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
Company
SCAN
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.
1,001-5,000 employees
H1B Sponsorship
SCAN 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
2023 (5)
2022 (5)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageLeadership Team
Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
Sachin H. Jain, MD, MBA
President and CEO, Board Director
Recent News
2022-12-16
Company data provided by crunchbase
