Project Manager, Payor Strategic Initiatives

5 - 7 years experience  •  Business Services

Salary depends on experience
Posted on 02/21/18
Irwindale, CA
5 - 7 years experience
Business Services
Salary depends on experience
Posted on 02/21/18

Position Summary:

As a member of the Managed Care team, the Project Manager is dedicated to key payor strategic initiatives throughout the enterprise.  This role is focused on City of Hope expansion of payor networks and managed care programs and products throughout the enterprise as a result of expansion and growth efforts.  The Project Manager sees projects through their entire life cycle and will directly impact organizational growth and access to care for more patients. The position will build relationships across the organization with other business areas, lead implementation work efforts to drive growth, payor strategy efficacy and efficiency and will utilize strong project and program management skill sets to achieve department objectives.

Essential Functions:

  • Effectively manage enterprise activities stemming from payor strategic initiatives in flight and future opportunities including other critical strategic projects/initiatives; Leads strategic payor initiative program and efforts
  • Supports the VP, Managed Care (as Chair of the Payor Advisory Committee); Including material development and preparation, operation, agenda, minutes, status updates, action items and follow up.
  • Schedule and facilitates meetings with key initiative leads and provide consultative support and advice on driving efforts to completion; ongoing follow up, program, development and maintenance.  Identifies opportunities for improvement and actively works with key personnel to resolve, as appropriate.
  • Create, manage and execute payor strategy work plans and revise as appropriate to meet changing needs and requirements.
  • Works directly alongside external advisors to coordinate all related analysis needed; identifies resources needed for each initiative.
  • Manage day-to-day operational aspects of payor strategy programs and initiatives.
  • Review deliverables prepared by supporting personnel.
  • Develop payor work specific methodology, documentation and standards.
  • Manage the development of complex, payor related data analysis through integration of data from a variety of internal and external information sources. Analyzes and synthesizes available information to assist in decision-making.
  • Minimize exposure and risk associated work efforts.
  • Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise.
  • Keeps abreast of current healthcare issues, payor market trends and changes and finance by attending appropriate meetings and reviewing current literature.

Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan.  Practices a high level of integrity and honesty in maintaining confidentiality.

Performs other related duties as assigned or requested.

The following shared, organization-wide competencies describe the desired behaviors that will facilitate success at City of Hope:

  • Communication - Expresses ideas clearly and constructively (written and spoken, upward and downward, one-on-one and with groups).
  • Customer Service - Seeks to understand customer needs and works to exceed customer expectations (internal and external).
  • Initiative - Looks for opportunities to improve performance; manages time, work, and relationships effectively and efficiently.
  • Professionalism - Treats others with respect; abides by the institutional values; displays a positive and cooperative attitude; adheres to the workplace Code of Conduct and compliance policies.
  • Stewardship - Identifies efficiencies to reduce redundancy and/or elimination of tasks resulting in savings of cost, resources, and or/time.
  • Teamwork - Works proactively and collaboratively with others to streamline work and achieve mutual goals.

Position Qualifications:

Minimum Education:

  • Bachelor’s Degree, preferably in Health Administration, Public Health, or Business

Minimum Experience:

  • 5-7 years of experience in a healthcare setting, hospital, health system, medical group/IPA with prior experience in project management.  Project management experience within the payor sector (managed care, health plan, hospital, medical groups/IPAs) preferred.  
  • Prior experience demonstrating effective communication skills and interpersonal relation skills required.

Required Courses/Training:

Req. Certification/Licensure:

Preferred Education:

  • Master’s Degree, preferably in Health Administration, Public Health, or Business

Preferred Courses/Training:

Pref. Certification/Licensure:

Preferred Experience:

Skills/Abilities:

  • Demonstrated skill in establishing and maintaining effective working relationships with enterprise senior leaders, and other key stakeholders. This position requires superior program and project management, with the ability to oversee multiple active payor initiative efforts in varying size. 
  • Strong interpersonal, communication and presentation skills are required. In addition, the position requires an incumbent who employs tact and discretion and is motivated, self-directed, confident and a self-starter.  
  • Demonstrated skill in establishing and maintaining effective working relationships with executives, senior leaders across the enterprise and other key stakeholders.
  • Superior project and program management, interpersonal, communication and presentation skills. 
  • Employs tact and discretion and is motivated, self-directed, confident and a self-starter.

Software:

  • Microsoft Office Suite

Machines/Equipment:

  • Personal computer; Computer peripheral equipment

Working / Environmental Conditions:

  • Atmosphere and environment associated with an office setting
  • Occasional pressure due to deadlines requirements

Physical Demands:

  • Light physical effort (lift/carry up to 10lbs.)
  • Mostly sedentary work
  • Occasional standing/walking
  • Occasional reaching, stooping, bending, kneeling, crouching
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