Program Manager III, Risk Adjustment and Health Plan Surveys

at  Sutter Health

POSITION OVERVIEW:

Works on one or more programs of varying complexity with a focus on planning, administration and direction of assigned program(s). Oversees and ensures the effective coordination of activities and resources of the designated program(s) and projects that may impact operations, systems, other programs/departments and/or patients and their families. Helps develop effective performance objectives for program(s), including financial objectives, customer and resource management; monitors program performance and ensures program objectives are met. Ensures that program activities are well planned, organized, and follow regulatory guidelines. Helps develop and supports the development and implementation of department goals and objectives. Serve as a coach and mentor for other positions in the department and serves as liaison between the program and other affiliate departments.
Job Description:

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor’s: Business Administration, Healthcare Management or related field

TYPICAL EXPERIENCE:

• 5 years of recent relevant experience.

SKILLS AND KNOWLEDGE:

• Experience with program management in a healthcare or health plan setting.
• Knowledge of risk adjustment program management.
• Knowledge of health plan regulatory and accreditation surveys (e.g., Provider Satisfaction, After-Hours, Enrollee Experience, CAHPS).
• Lean, Process Improvement and/or Project Management experience.
• Advanced proficiency in MS Excel (Pivot Tables, Advanced Formulas).
• Development experience in Data Visualization Platforms (i.e. Tableau, Power BI) is a plus.
• Data-oriented, analytical, and detail-oriented with a passion for solving problems and understanding business processes.
• Effective cross-functional collaborator with the ability to effectively partner with teams through complex business situations to achieve program objectives.
• Organizational skills and the proven ability to manage multiple tasks and deadlines simultaneously.
• Superior oral and written communication skills with an innate attention to detail.
• Motivated and resourceful self-starter with the ability to anticipate needs, meet deadlines, and solve problems creatively, both independently and in team settings.
  Job Shift:
  Days
  Schedule:
  Full Time

WEEKEND REQUIREMENTS:

None

Please refer the Job description for details