We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)
Job Summary
The Alternative Health Care Program Manager is responsible for managing the operational relationship between TriWest and its partners that offer alternative access points for care (e.g. telehealth, mobile care, etc.). The Program Manager will help to facilitate direction regarding network, communication, provider education and training, clinical quality, file exchange requirements (e.g. provider or eligibility files), claims integration and reporting. The Program Manager may assist with ensuring that the subcontractor fully understands and meets program requirements.
Education & Experience
Required:
• Bachelor's degree in Business Administration, Finance or Health Care Administration or similar degree; OR equivalent experience
• 3+ years’ related experience with alternative health care as part of program management approach or as component in network management
• Proven ability to execute across multiple locations and stakeholder groups
• Experience working on and influencing teams to produce desired outcomes
• Experience with data analysis, statistical analysis, process flow mapping and report design, including proficiency with database querying and the Microsoft Product Suite (specifically Word, Excel, PowerPoint, Project, and VISIO)
Preferred:
• MBA
• Experience with quality programs (Six Sigma, Total Quality Management, Continuous Quality Improvement or other quality concepts)
Key Responsibilities
• Serves as one of the key points of contact to address program implementation issues, network management, provider education and communication needs and system integration
• Manages relationship with the primary subcontractor and/or network partners related to network management and all related work streams (e.g. provider education)
• Collaborates, and coordinates support the subcontractor may need such as program education materials
• Determines the impact of government contract requirements and specific business initiatives on operations and communicates those impacts to primary subcontractor’s stakeholders
• Identifies and communicates opportunities for redefinition of operational and management processes based upon analyses of “lessons learned” in order to improve operations effectiveness and efficiency
• Creates, manages and executes action plans, developed in conjunction with the primary subcontractor, to improve operations and adherence to contract standards
• Communicates operational changes and training and program materials to primary subcontractor stakeholders for distribution to staff
• Assists with special projects and other duties, as assigned by TriWest Senior Leadership
Competencies
Communication / People Skills: Clearly presents information through spoken or written communication; Effectively reads others and adapts communication patterns to multiple individual styles; Demonstrates ability to influence or persuade others in positive or negative circumstances; Ability to listen critically for relevant information; Clearly demonstrate respect for others
Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications
Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required
Independent Thinking / Self-Initiative: Critical thinker with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources
Information Management: Ability to manage large amounts of complex information easily, communicates clearly, and draws sound conclusions
High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow
Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment
Organizational Skills: Detail-oriented; Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources
Team-Building / Team Player: Ability to influence the actions and opinions of others in a positive direction and build group commitment; Adapt to different styles; Listen critically; collaborate
Technical Skills: Advanced knowledge of Microsoft Word, Excel, and PowerPoint; Ability to function without direction to produce outcomes within timelines; Proficiency with project management skills, data analysis, and quality improvement concepts; Collaboration skills and team-oriented approach; Presentations and meeting facilitation skills
Working Conditions
Working Conditions:
• Availability to work non-regular hours, including weekends, as required
• Works within a standard office environment, with up to 50% travel
• Extensive computer work with long periods of sitting