Program Manager VI, Strategy Execution - Healthcare Technology Management - Biomedical Equipment
Senior project manager job at Kaiser Permanente
Program Manager VI, Strategy Execution, Healthcare Technology Management - Biomedical Equipment This position can be remote, but you must reside in any of the following states: HI, CA, OR, WA, CO, GA, MD, VA, D.C The Program Manager VI, Strategy Execution, Healthcare Technology Management - Biomedical Equipment will report to the Vice President Health Care Technology Management, works in collaboration with Executive Directors and regional leaders to implement Enterprise standards for the maintenance and management of General Biomedical Technology. Acts as a subject matter expert for General Biomedical Technology for KPs HTM team related to Capital Technology Planning and Refresh, Service and Maintenance Strategies, Vendor relations and escalation, and Total Cost of Ownership.
Job Summary:
In addition to the responsibilities listed below, this senior technical functional leader is also responsible for managing strategic, enterprise-wide, cross-regional, and/or multi-disciplinary programs to drive exceptional business value for KP; managing evolving strategic priorities and providing strategic planning within and across programs to drive and ensure alignment and performance across the organization. This includes regularly monitoring the progress of initiatives across the program and proactively identifying risks and opportunities of strategic business value; raising visibility on critical issues to ensure effective resolution; and identifying, gathering and evaluating data and key performance drivers to understand strategy performance and any gaps. This position is also responsible for providing design plans and supporting the development and execution of change management strategies during key program or organizational changes and transitions; working in a variety of dynamic situations requiring expert level consulting, internal influence, conflict management, and resource/team management; proactively conducting external research to identify and implement market leading practices; embracing a can-do strategic approach with sound business acumen; and advising and partnering with senior leaders while operating within a fast-paced environment.
Essential Responsibilities:
+ Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.
+ Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.
+ Oversees the delivery of large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open ended time frame. Analyzes, integrates, and manages program plans for the most complex program initiatives which include scope identification and management, schedules, inter-dependencies, and resource forecasts. Manages and monitors the program financials of large, high profile, dynamic program initiatives. Monitors program performance to ensure programs effectively deliver maximum long term value or benefit to the organization, and makes adjustments as needed in an uncertain environment where scope may be fluid. Leads program activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the program. Assists in the establishment and management of proper program management practices in regard to allocation of resources, schedules and task assignments. This role may perform project management duties in addition to program management responsibilities.
+ Drives the completion of the work of multiple program teams. Evaluates internal and/or external resources and provides feedback on team composition based on the alignment of team member skills and program demands. Creates and communicates a clear vision of program goals and objectives to the team. Provides guidance and feedback to team members.
+ Proactively monitors, identifies, and mitigates program risks, issues, and trigger events across multiple interdependent programs by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
+ Monitors adherence of program activities to policies and procedures by ensuring program plans and team members follow KP, departmental, and/or business line policies and procedures.
+ Ensures the alignment, buy-in, engagement and support of diverse program stakeholders by building and maintaining relationships as well as communicating appropriately with internal customers, third party vendors, executive management, and business leaders; and clarifying accountability and authority across stakeholders. Identifies and works closely with key stakeholders based on their level of influence and decision making and ensures all appropriate stakeholders are represented and included. Determines program goals, influences the prioritization of deliverables, coordinates all business processes (e.g. program change management, communication) and facilitates decisions necessary for program delivery by partnering with program sponsors and/or review boards. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering formal presentations, and providing reports to executive audiences. Engages with executive stakeholders to identify long term value to the organization and define success.
+ Reviews vendor performance to provide direction for service improvements or revisions to strategy. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Facilitates contract negotiations with vendors, and reviews and resolves issues with vendor invoices.
Minimum Qualifications:
+ Minimum five (5) years experience working with senior leadership to deliver cross-regional or multi-disciplinary strategic program management.
+ Minimum five (5) years experience in a leadership role with or without direct reports.
+ Bachelors degree from an accredited college or university and minimum twelve (12) years experience in project management or a directly related field, including minimum seven (7) years program management experience OR Minimum fifteen (15) years experience in project management or a directly related field including minimum seven (7) years program management experience.
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Change Management; Negotiation; Applied Data Analysis; Financial Acumen; Business Relationship Management; Conflict Resolution; Managing Diverse Relationships; Project Management; Project Management Tools; Risk Assessment; Quality Assurance Process; Service Focus; Strategic Program Management
COMPANY: KAISER
TITLE: Program Manager VI, Strategy Execution - Healthcare Technology Management - Biomedical Equipment
LOCATION: Oakland, California
REQNUMBER: 1390688
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Project Manager II, Behavioral Health
Senior project manager job at Kaiser Permanente
Manages small projects or components of larger projects with oversight from more senior project managers. Leads the work of project team members with guidance from more senior project members by requesting internal and/or external resources. Supports the management and proactive mitigation of project risks by assisting in the analysis/resolution of trigger events. Provides support to project personnel by regularly communicating with project team members and working closely with key stakeholders.
Essential Responsibilities:
+ Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
+ Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
+ Manages small projects or components of larger projects with oversight from more senior project managers. Develop and executes project plans independently or under the direction of others. Assists with project financials by monitoring financial aspects for assigned project initiatives. Monitors project performance (e.g., on time, on budget, within scope, and with quality) against plan under the guidance of from more senior project managers. Assists with project activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the project. Allocates resources, establishes schedules, and makes task assignments.
+ Leads the work of project team members with guidance from more senior project managers. Requests internal or external resources to support completion of project activities and changes in schedule, scope, and budget. Promotes project vision and objectives with project team.
+ Supports the management and proactive mitigation of project issues and risks by assisting in the analysis and resolution of trigger events.
+ Supports policy and procedure adherence of project plans by following KP, departmental, and/or business line policies and procedures.
+ Provides ongoing support to project personnel by regularly communicating with project team members to ensure schedule data and changes are accurately interpreted and accounted for. Works closely with key stakeholders. Provides real-time updates to project managers regarding scheduling conflicts and budget disparities.
Minimum Qualifications:
+ Bachelors degree from an accredited college or university OR Minimum three (3) years experience in project management or a directly related field.
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Applied Data Analysis; Financial Acumen; Quality Assurance Process; Service Focus
COMPANY: KAISER
TITLE: Project Manager II, Behavioral Health
LOCATION: Thousand Oaks, California
REQNUMBER: 1392507
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Senior Manager of Donor Engagement- Concord, CA (Hybrid)
Concord, CA jobs
Planned Parenthood Northern California (PPNorCal) is seeking a Senior Manager of Donor Engagement in our Concord Administrative Office. This role is full-time, 40 hours per week with a hybrid schedule of two remote days and three in-office days per week. This role at Planned Parenthood Northern California (PPNorCal) offers a comprehensive benefits package, including 100% employer-paid medical insurance for full-time employees, 75% coverage for dependent children, 25% coverage for spouses/domestic partners, dental and vision insurance, employer-paid life and long-term disability coverage, earned time off (ETO) and paid sick time accrued based on hours worked, a 403(b) retirement plan with up to 4% employer match after 12 months, and 10 paid holidays plus 2 floating holidays each year.
Work Schedule
Monday: 9:00 AM - 5:00 PM
Tuesday: 9:00 AM - 5:00 PM
Wednesday: 9:00 AM - 5:00 PM
Thursday: 9:00 AM - 5:00 PM
Friday: 9:00 AM - 5:00 PM
SUMMARY
The Senior Manager of Donor Engagement plays a key role in cultivating, stewarding, and expanding relationships with individual donors to advance the mission of PPNorCal. This position leads front-line fundraising efforts in the San Francisco Bay Area, serving as a primary contact for mid-level and major donors in the region, and designs thoughtful engagement strategies to deepen donor connections. The Senior Manager oversees one direct report, the Events and Stewardship Coordinator, and together they plan and execute donor events, stewardship activities, and personalized touchpoints that inspire giving and strengthen loyalty. Reporting to the Director of Individual Giving, this role combines strategic relationship management with hands-on execution, ensuring a donor-centered approach that drives both revenue growth and long-term partnership.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Strengthen donor relationships across the Bay Area through thoughtful, personalized outreach and engagement, and manage a portfolio of 100-125 qualified major donors, along with approximately 25 discovery prospects, creating tailored cultivation, solicitation, and stewardship strategies for each.
Collaborate with the Director of Individual Giving to set portfolio goals and strategies that drive donor satisfaction and revenue growth.
Serve as a key collaborator in strategic campaign planning, contributing donor insights and engagement strategies to help shape goals, priorities, and execution.
Lead efforts to integrate deferred and legacy giving into donor engagement, partnering with development staff to identify prospects, incorporate planned giving opportunities into cultivation strategies, and ensure consistent follow-up and stewardship.
Partner with the development team to strengthen corporate giving, cultivating relationships with corporate partners, identifying sponsorship opportunities, and supporting employee engagement initiatives that align with PPNorCal's mission.
Lead cultivation and fundraising events that build community and deepen donor connection in collaboration with the Events and Stewardship Specialist.
Create and contribute to tailored donor communications that reflect organizational values and inspire giving, including proposals, updates, and thank-yous.
Train and prepare senior leadership, CEO, and board volunteers for donor engagement opportunities.
Collaborate with volunteer leaders and advisory groups to expand the pipeline of major and planned gift prospects.
Foster close, collaborative communication with internal program teams, health center staff, and administrative teams to surface meaningful donor communications.
Track all portfolio activity, touchpoints, and movement using Raiser's Edge; maintain data integrity and contribute to reporting and analysis.
Actively support and embody PPNorCal's commitment to Diversity, Equity, and Inclusion in all aspects of donor and colleague relationships.
Regularly travel within the Bay Area to meet with donors, represent PPNorCal at regional engagement activities, and provide support for donor events, including occasional evenings and weekends as needed.
SUPERVISORY RESPONSIBILITIES
Provide direct supervision, guidance, and support to the Events and Stewardship Specialist, fostering professional growth and development.
Set clear goals, priorities, and performance expectations, and provide regular feedback through check-ins and annual reviews.
Delegate assignments and ensure projects are completed on time, within budget, and aligned with organizational standards.
Encourage a collaborative, inclusive, and mission-driven team culture.
Identify opportunities for training, mentorship, and skill-building to support the Specialist's career growth.
Model strong fundraising and donor engagement practices, offering coaching and support to strengthen the team's impact.
Ensure alignment of the Specialist's work with broader departmental and organizational goals.
QUALIFICATIONS
Education and Experience:
Bachelor's degree required.
Minimum of five years of progressive experience in front-line fundraising, with a strong track record in individual giving and major gifts. Experience with a variety of gift types a plus
Demonstrated success in managing donor relationships and securing major gifts.
Strong understanding of donor-centered fundraising and strategic philanthropy.
Experience working in reproductive health, healthcare, or social justice organizations is a plus.
Management experience is a plus.
Skills and Abilities:
Strong relationship-building skills, with the ability to engage and influence high-level donors and stakeholders.
Excellent written and verbal communication skills, including donor proposals, impact reports, and presentations.
Proficiency in fundraising software (Raiser's Edge NXT preferred) and Microsoft Office Suite.
High level of professionalism, integrity, and commitment to the mission of PPNorCal.
Ability to manage multiple priorities and deadlines in a fast-paced environment.
Commitment to diversity, equity, and inclusion in all aspects of fundraising.
PHYSICAL DEMANDS & WORK ENVIRONMENT
Duties regularly require sitting, handling objects, reaching, and effectively communicating through speaking and listening.
Occasional travel required for donor meetings, events, and professional development.
Must have reliable transportation and a valid California Driver's License.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
REVISION
This job description is not an exhaustive list of all responsibilities, duties, or requirements. The organization reserves the right to revise or require additional tasks based on evolving needs.
Pay Range: The wage scale reflects the compensation that a new employee can expect to receive if offered employment. The wage scale for this position is $88,700 to $125,000 annualized salary, based on relevant professional years of experience.
Planned Parenthood Northern California PPNorCal is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. PPNorCal is committed to providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact Human Resources to make arrangements.
We provide healthcare and education services to 137,000 adults and youth every year at 17 health centers located throughout 20 Northern California counties. Planned Parenthood Northern California offers high-quality, affordable health care to all, regardless of income, insurance, or immigration status. We care. No matter what! Our experienced and caring medical staff gives each patient honest information and personal attention. We provide a full range of services, including birth control, breast exams, cancer screenings, medication and in-clinic abortion, pregnancy testing and counseling, prenatal care, PrEP, and nPEP to prevent HIV infection, STI screening and treatment, vasectomy and infertility services, gender-affirming hormone therapy, and more.
Auto-ApplyProvider Engagement Manager (Remote in New York)
New York, NY jobs
The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures Health Plan's largest, most impactful providers with the most complex Value-Based Care contracts have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through regular meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using standard tools, facilitates data exchanges, and supports training and problem resolution for the Provider Engagement team. Communicates effectively with healthcare professionals and maintains compliance with policies.
**Job Duties**
- Ensures assigned Tier 1 providers have a Provider Engagement plan to meet annual quality & risk adjustment performance goals. May engage Tier 2 providers as needed by Health Plan.
- Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
- Addresses challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health outcomes.
- Drives provider participation in Molina risk adjustment and quality efforts (e.g. Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider Collaboration Portal.
- Tracks all engagement and training activities using standard Molina Provider Engagement tools to measure effectiveness both within and across Molina Health Plans.
- Serves as a Provider Engagement subject matter expert; works collaboratively within the Health Plan and with shared service partners to ensure alignment to business goals.
- Mentors and assists Provider Engagement Sr. Specialists and Specialists with training and problem escalation.
- Accountable for use of standard Molina Provider Engagement reports and training materials.
- Facilitates connectivity to internal partners to support appropriate data exchanges, documentation education and patient engagement activities.
- Develops, organizes, analyzes, documents and implements processes and procedures as prescribed by Plan and Corporate policies.
- Communicates comfortably and effectively with Physician Leaders, Providers, Practice Managers, Medical Assistants within assigned provider practices.
- Maintains the highest level of compliance.
- This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
- Bachelor's degree in Business, Healthcare, Nursing or related field or equivalent combination of education and relevant experience
- Min 5 years experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience.
- Experience with various managed healthcare provider compensation methodologies including but not limited to: fee-for service, value-based care, and capitation
- Strong working knowledge of Quality metrics and risk adjustment practices across all business lines
- Demonstrates data analytic skills
- Operational knowledge and experience with PowerPoint, Excel, Visio
- Effective communication skills
- Strong leadership skills
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJCorp
\#LI-AC1
Pay Range: $66,456 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
AI/ML Senior Project Manager, PMO - Remote
Houston, TX jobs
Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES**
+ Deep understanding of effective project approach(es) for a variety of projects, including projects with a high degree of complexity spanning multiple areas. Able to organize complexity into successfully manageable work plans, estimate staffing requirements (e.g. resource skills & team assembly).
+ Expert knowledge of methods and techniques involved in project management initiatives. Able to develop detailed project plans, communication plans, schedules, role definition, risk management and assumptions.
+ Complete mastery of standard applications and project specific software. Able to learn new software with little to no instruction within a short timeframe and instruct others on its functionality.
+ Proactively assesses projects for potential problem areas. Investigates, develops, and evaluates solutions to a wide range of complex problems spanning across multiple projects. processes, procedures, and tools to increase efficiency. Projects may have broad cross functional impact and team organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's degree and at least 1 PM course required.
**Required Experience**
4-7 years of relevant work experience in business, engineering or a related field in lieu of degree acceptable.
**Preferred Education**
Additional formal training in PM preferred.
**Preferred License, Certification, Association**
PMP or Six Sigma Green Belt Certification desired.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Program Manager, Medicare Stars (Remote)
Houston, TX jobs
Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management for Stars Program and Quality improvement activities, as week as the application of expertise in a specialized functional field of knowledge.
**Job Duties**
- Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
- Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction.
- Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings.
- Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs.
- Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities
- Leads Health plan leadership discussions to provide recommendations, performance results and opportunity assessments for improvement.
- Works with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star Ratings
- Plans and directs schedules Program initiatives, as well as program budgets.
- Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation
through delivery through outcomes measurement.
- Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs.
**Job Qualifications**
**REQUIRED EDUCATION** :
Bachelor's Degree or equivalent combination of education and experience
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
4-6 years of Medicare Stars Program and project management experience
Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs
Medicare experience
Excellent presentation and communication skills
Experience partnering with different level of leadership across the organization
**PREFERRED EXPERIENCE** :
7+ years of Medicare Stars Program experience
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :
Six Sigma Black Belt Certification, ITIL Certification desired
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,412 - $188,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Program Manager, Medicare Stars (Remote)
Long Beach, CA jobs
Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management for Stars Program and Quality improvement activities, as week as the application of expertise in a specialized functional field of knowledge.
Job Duties
• Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
• Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction.
• Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings.
• Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs.
• Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities
• Leads Health plan leadership discussions to provide recommendations, performance results and opportunity assessments for improvement.
• Works with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star Ratings
• Plans and directs schedules Program initiatives, as well as program budgets.
• Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation
through delivery through outcomes measurement.
• Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
4-6 years of Medicare Stars Program and project management experience
Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs
Medicare experience
Excellent presentation and communication skills
Experience partnering with different level of leadership across the organization
PREFERRED EXPERIENCE:
7+ years of Medicare Stars Program experience
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Six Sigma Black Belt Certification, ITIL Certification desired
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Auto-ApplyProgram Manager, Facilities IV, Energy Management
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-Valley Works autonomously within diverse settings and situations to manage and support the implementation of various complex projects related to energy sourcing, energy use optimization, lighting modifications, analytics-based smart building solutions, and mechanical systems modifications to improve energy performance and reduce costs. Manages and supports energy reduction and utility cost savings initiatives, project management of mechanical, electrical facility system, and energy procurement initiatives already planned to include scheduling, budgeting, vendor selection, contract management, and technical support of the program implementation. Implements energy procurement strategies. With the facility management teams, implements low-cost projects designed to reduce energy consumption.
Job Description:
EDUCATION:
Bachelor's: engineering, energy management, facility management, project management, business or related field or equivalent experience/education
Other: Advanced Project Management, Finance or Technology (based on area of work focus) training and certification from business acknowledged organizations
TYPICAL EXPERIENCE:
8 years of recent experience.
SKILLS AND KNOWLEDGE:
In-depth knowledge of energy markets and procurement principles.
In-depth familiarity with the energy management field's principles, theories, concepts, practices, processes and procedures, including plug load optimization, heat recovery, HVAC replacements and sources of renewable energy.
Knowledge of licensing requirements
Familiarity of OSHPD permitting requirements.
General knowledge of real estate energy accounting practices.
Verbal and written communication skills, solid interpersonal and conflict resolution abilities and work group facilitation skills.
Demonstrated human resource management skills including the ability to attract, retain, motivate, develop and manage performance of staff.
Demonstrated negotiation skills balancing attention to details with an ability to operate strategically.
Leadership skills and the ability to initiate and maintain clear communications.
Demonstrated ability to lead teams, delegate tasks, manage and balance multiple interests, and resolve conflicts.
Consultative skills to gather needs and translate requests into potential solutions.
Client relationship management skills to maintain positive relations between fpd and affiliate leadership.
Familiarity with word processing, spreadsheet, presentation and business communications computer software programs, Microsoft Word, Project, Excel, Yardi and/or other real estate asset management software is preferred.
Skills in identifying, researching/ analyzing and creatively resolving problems.
Great vendor management skills
An appreciation for order with a healthy dose of flexibility
Excellent independent decision making skills and obsessive attention to detail
Excellent customer service
Can-do attitude and the ability to solve a wide variety of problems creatively and quickly
Proficient in MS Office and possess strong written, verbal and people skills
Advanced skills in area of focus technology including, Bluebeam, CAD, Tableau, ERP systems (Lawson), or similar tools
Advanced skills in reading and articulating architectural plans (when in area of focus)
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $60.70 to $91.05 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Auto-ApplyProgram Manager, Facilities IV, Energy Management
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Works autonomously within diverse settings and situations to manage and support the implementation of various complex projects related to energy sourcing, energy use optimization, lighting modifications, analytics-based smart building solutions, and mechanical systems modifications to improve energy performance and reduce costs. Manages and supports energy reduction and utility cost savings initiatives, project management of mechanical, electrical facility system, and energy procurement initiatives already planned to include scheduling, budgeting, vendor selection, contract management, and technical support of the program implementation. Implements energy procurement strategies. With the facility management teams, implements low-cost projects designed to reduce energy consumption.
Job Description:
EDUCATION:
* Bachelor's: engineering, energy management, facility management, project management, business or related field or equivalent experience/education
* Other: Advanced Project Management, Finance or Technology (based on area of work focus) training and certification from business acknowledged organizations
TYPICAL EXPERIENCE:
* 8 years of recent experience.
SKILLS AND KNOWLEDGE:
* In-depth knowledge of energy markets and procurement principles.
* In-depth familiarity with the energy management field's principles, theories, concepts, practices, processes and procedures, including plug load optimization, heat recovery, HVAC replacements and sources of renewable energy.
* Knowledge of licensing requirements
* Familiarity of OSHPD permitting requirements.
* General knowledge of real estate energy accounting practices.
* Verbal and written communication skills, solid interpersonal and conflict resolution abilities and work group facilitation skills.
* Demonstrated human resource management skills including the ability to attract, retain, motivate, develop and manage performance of staff.
* Demonstrated negotiation skills balancing attention to details with an ability to operate strategically.
* Leadership skills and the ability to initiate and maintain clear communications.
* Demonstrated ability to lead teams, delegate tasks, manage and balance multiple interests, and resolve conflicts.
* Consultative skills to gather needs and translate requests into potential solutions.
* Client relationship management skills to maintain positive relations between fpd and affiliate leadership.
* Familiarity with word processing, spreadsheet, presentation and business communications computer software programs, Microsoft Word, Project, Excel, Yardi and/or other real estate asset management software is preferred.
* Skills in identifying, researching/ analyzing and creatively resolving problems.
* Great vendor management skills
* An appreciation for order with a healthy dose of flexibility
* Excellent independent decision making skills and obsessive attention to detail
* Excellent customer service
* Can-do attitude and the ability to solve a wide variety of problems creatively and quickly
* Proficient in MS Office and possess strong written, verbal and people skills
* Advanced skills in area of focus technology including, Bluebeam, CAD, Tableau, ERP systems (Lawson), or similar tools
* Advanced skills in reading and articulating architectural plans (when in area of focus)
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $60.70 to $91.05 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Manager, Growth & Community Engagement (Southern New Mexico)
Long Beach, CA jobs
Molina Healthcare is hiring for a Manager of Growth & Community Engagement in southern New Mexico.
This position will work alongside leadership and the other Managers to ensure team and department goals are met. They will work closely to lead and execute Molina signature events, manage the day-to-day activities and support the team. They will interact with public officials, external organizations, and internal departments.
If you have passion and enthusiasm for building relationships within the community that foster growth all while improving the health and lives of the community, we want to talk with YOU!
This position is fast paced and requires someone who is versatile, creative, and can lead by example. They will be a mentor, a leader and need to be hands on.
The duties will range from doing ride-a-longs with team members (Community Engagement Reps), leading and facilitating meetings, events, and department activities. This position will interact with other department management and leads. This position is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare.
This role will lead by example, working alongside their team. There may be evening and weekend events that the Manager will be needed at.
Prior experience working with the community in some capacity is highly desired
***Must live in Southern New Mexico***
***NM State Driver's License and Reliable Transportation Required**
KNOWLEDGE/SKILLS/ABILITIES
Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages.
Works closely with the AVP/Director to develop and execute the enrollment growth strategy for a specific area, while also being accountable to achieve assigned membership growth targets.
Accountable for achieving established goals with the primary responsibility for improving the plan's overall “choice” rate. In addition, works collaboratively with other key departments to increase Medicaid assignment percentages for Molina.
Responsible for day-to-day operations and management of team members, including hiring, training, developing, coaching and mentoring, etc. Creates and regularly reviews team performance metrics/scorecards to ensure team performance contributes to overall enrollment growth, while providing clear direction and intermittent steps to achieve success.
Contributes to the development, implementation, and evaluation of the enrollment growth plan for assigned territory; plans enrollment activities to promote membership growth.
Collaborates with other Lines of Business' sales teams to identify growth opportunities focused on key providers and Community Based Organizations.
Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs) and how to move them through the enrollment pipeline.
Directs the coordination, development and approval of State/Federal guidelines for all marketing and promotional materials for all product lines.
Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc
JOB QUALIFICATIONS
REQUIRED EDUCATION: Bachelor's Degree or equivalent experience.
PREFERRED EDUCATION: Bachelor's degree in marketing or healthcare administration.
REQUIRED EXPERIENCE:
5-10 years' experience in business development, community relations or health care related activities.
3 years Managed-Care, Medicaid experience; knowledge of advertising requirements pertaining to the Medicaid and Medicare media campaigns.
Prior work experience in a supervisory capacity, demonstrating excellent organizational, prioritizing, and motivational skills.
Experience in negotiation, sales or marketing techniques.
Must live in San Diego County
PREFERRED EXPERIENCE:
Previous healthcare enrollment, marketing and/or sales experience.
Fluency in a second language is highly desirable.
Prior demonstrated work experience in a managerial capacity.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Completion of Molina /DHS/MRMIB Marketing Certification Program
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Active Life & Health Insurance
Marketplace Certified
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
Key Words: Medicare, Medicaid, Managed Care, Manager, Leader, Marketing, Duals, Enroll, Enrollees, Coverage, #LI-TR1, NY York State, NY State Department of Health, Star Plus, Reimbursement, community, health coach, community health advisor, nonprofit, non-profit, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, NY Care, community lead, HMO, PPO, community advocate, nonprofit, non-profit, social worker, housing counselor, human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager, Supervisor, Leader, Management, Medicare Advantage
Auto-ApplyAI/ML Senior Project Manager, PMO
Long Beach, CA jobs
Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management.
KNOWLEDGE/SKILLS/ABILITIES
Deep understanding of effective project approach(es) for a variety of projects, including projects with a high degree of complexity spanning multiple areas. Able to organize complexity into successfully manageable work plans, estimate staffing requirements (e.g. resource skills & team assembly).
Expert knowledge of methods and techniques involved in project management initiatives. Able to develop detailed project plans, communication plans, schedules, role definition, risk management and assumptions.
Complete mastery of standard applications and project specific software. Able to learn new software with little to no instruction within a short timeframe and instruct others on its functionality.
Proactively assesses projects for potential problem areas. Investigates, develops, and evaluates solutions to a wide range of complex problems spanning across multiple projects. processes, procedures, and tools to increase efficiency. Projects may have broad cross functional impact and team organization.
JOB QUALIFICATIONS
Required Education
Bachelor's degree and at least 1 PM course required.
Required Experience
4-7 years of relevant work experience in business, engineering or a related field in lieu of degree acceptable.
Preferred Education
Additional formal training in PM preferred.
Preferred License, Certification, Association
PMP or Six Sigma Green Belt Certification desired.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Auto-ApplyManager, Applications
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Coordinates and manages cross-functional teams, staff, and resources throughout Information Services (IS) and Sutter Health and its regional affiliates in the implementation and support IS projects. Is responsible for: new applications, modules, software installations, interface, integration, hardware upgrades, major application upgrades, and day-to-day support work. Oversees projects or portions of projects as well as participates in the development of the departmental budget while managing and monitoring the approved budget.
* Epic Hospital Billing or Professional Billing Certification is highly desired.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
Bachelor's: Computer Science, Information Technology, or related field
TYPICAL EXPERIENCE:
8 years recent relevant experience
SKILLS AND KNOWLEDGE
Expert knowledge of specifying user requirements.
Advanced knowledge of industry standards to better support business requirements.
Advanced knowledge of healthcare operations and structure.
Advanced knowledge of the lifecycle of application environments.
In-depth understanding of hospital inpatient and clinic outpatient operations.
Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner.
Analyze information, problems, situations, practices, or procedures in order to identify patterns, tendencies, and relationships resulting in the formulation of logical and objective conclusions.
Establish and maintain cooperative working relationships with audiences across all areas and levels within Sutter Health as well as external organizations.
Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts.
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $77.70 to $124.32 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Manager, Applications
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-Valley Coordinates and manages cross-functional teams, staff, and resources throughout Information Services (IS) and Sutter Health and its regional affiliates in the implementation and support IS projects. Is responsible for: new applications, modules, software installations, interface, integration, hardware upgrades, major application upgrades, and day-to-day support work. Oversees projects or portions of projects as well as participates in the development of the departmental budget while managing and monitoring the approved budget.
*Epic Hospital Billing or Professional Billing Certification is highly desired.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
Bachelor's: Computer Science, Information Technology, or related field
TYPICAL EXPERIENCE:
8 years recent relevant experience
SKILLS AND KNOWLEDGE
Expert knowledge of specifying user requirements.
Advanced knowledge of industry standards to better support business requirements.
Advanced knowledge of healthcare operations and structure.
Advanced knowledge of the lifecycle of application environments.
In-depth understanding of hospital inpatient and clinic outpatient operations.
Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner.
Analyze information, problems, situations, practices, or procedures in order to identify patterns, tendencies, and relationships resulting in the formulation of logical and objective conclusions.
Establish and maintain cooperative working relationships with audiences across all areas and levels within Sutter Health as well as external organizations.
Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts.
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $77.70 to $124.32 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Auto-ApplyManager, Project Delivery, Sacramento Valley Region
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Represents Sutter Health in capital improvement projects, including new development, facility expansion, renovation and retrofitting. Coordinates, monitors, and reports on design and construction activities in accordance with the internal departmental project controls requirements. Responsible for administering consultant and construction agreements. Facilitates quality control, maintenance of design and construction schedules, construction management, and owner representative responsibilities. Manages small project delivery team staffs to provide coordinated expertise, standardized tools and project management advice to the internal stakeholders. Demonstrates a mastery of project management skills, works with a high degree of autonomy, and is responsible for delivering large scale projects with moderate to difficult complexity.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
* Bachelor's: Architecture, Engineering or Const. Management, or other closely related field
TYPICAL EXPERIENCE:
* 8 years recent relevant experience
SKILLS AND KNOWLEDGE:
* Demonstrated leadership and supervisory skills in the delivery of health care facilities including medical office buildings, acute care general hospitals, outpatient surgery centers and psychiatric hospitals from programming through facility activation.
* Must be familiar with health care construction building codes and regulations, space programming and allocation cost analysis, discretionary approval processes, construction means and methods, construction processes and procedures, and contract implementation.
* Must be familiar with the State of California building approval processes including OSHPD, the State Fire Marshall and municipal discretionary approvals, as well as TJC regulation.
* Must have expertise in project management techniques and software.
* Verbal and written communication skills as well as team skills to ensure appropriate communications and coordination across project delivery team, affiliate and vendors.
* Client relationship management skills to maintain positive relations between fps and affiliate leadership.
* Demonstration of leadership ability, including the management and delegation of appropriate tasks to technical and non-technical support staff.
* Expertise in project management from design through final completion and licensing on hospital projects is required.
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday, Variable
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $85.47 to $136.76 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Manager, Clinical Documentation Integrity
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley Responsible for coordinating the day-to-day operations and workflow of the program. Responsible for ensuring optimized staffing, productivity, and education efforts in their market to support overall program performance metrics. Responsible for new staff onboarding, periodic employee reviews including annual evaluations, and leave requests. Tracks the professional development and educational needs for all team members. Facilitates leadership initiatives through the creation and delivery of task force activities and serves an active role in departmental meetings with key system stakeholders. Demonstrates excellent working knowledge of CDI program metrics, experience with preparing reports, and designs and reports on departmental dashboards. Effectively communicates initiatives to executives, operational leaders, and front-line staff.
**Job Description** :
**EDUCATION:**
+ Bachelor's: Nursing
+ Master's in Healthcare (MPH, MHA, MS, MBA, etc.)
**CERTIFICATION & LICENSURE:**
+ RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR Foreign trained physician
+ CCS-Certified Coding Specialist within 1 year
+ CCDS-Certified Clinical Documentation Specialist OR CDIP-Certified Documentation Integrity Practitioner
**TYPICAL EXPERIENCE:**
+ 5 years recent management experience
**SKILLS AND KNOWLEDGE:**
+ Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical pre-employment test at a rate of 85% or better is required.
+ Knowledge of Federal regulatory rules regarding documentation and coding desirable.
+ Up-to-date knowledge of ICD-10 mandate and the impact of code set transition, including potential impact on data quality for prospective payments, utilization, and reimbursement. Knowledge of ICD-10 desirable.
+ Strong Organization and Quantitative Analysis skills including spreadsheet applications and statistics.
+ Excellent verbal and written communication skills required. Must be able to communicate effectively with a diverse group of individuals and departments, including members of the medical staff.
+ Dependable with a demonstrated ability to efficiently and independently manage own time and tasks with minimal supervision.
+ Willingness to act and dress in a professional manner at all times.
+ Able to manage multiple priorities and meet productivity targets
+ Critical thinking, problem solving and deductive reasoning skills
+ Demonstrated familiarity and adept use with software and technical applications including but not limited to: Microsoft Office products (Outlook, Excel, Word, PowerPoint) and Epic (Electronic Health Records).
+ Understand and support CDI documentation strategies
+ Ability to understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments (upon completion of training)
+ High degree of hospital coding knowledge, including but not limited to APR-DRG, MS-DRG, HCCs, Medicare, Medicaid & Managed Care, in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality, capture severity, assess acuity and determine risk of mortality.
+ Thorough knowledge of clinical documentation requirements, clinical procedures, disease processes, treatments, and the patient populations served.
+ Subject matter expertise regarding quality and reimbursement implications of clinical documentation and coding.
+ Provides constructive feedback and promotes team collaboration along with guidance and CDS mentorship.
+ Collaborate to perform root cause analysis and assist with ongoing opportunities for process improvement.
+ Reviews HAC/PSI database content weekly to support CDS account review
+ Works in tandem to provide clear communication and expectations.
+ Identify areas of improvement and communicate improvement strategies to hospital leadership.
+ Ability to provide leadership including innovation, relationship building, conflict management, and strategic thinking.
**Job Shift:**
Days
**Schedule:**
Full Time
**Days of the Week:**
Monday - Friday
**Weekend Requirements:**
As Needed
**Benefits:**
Yes
**Unions:**
No
**Position Status:**
Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94.02 to $150.44 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _ _
Project Manager III - Pathology and Laboratory Medicine Analytics
Remote
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleProject Manager III - Pathology and Laboratory Medicine AnalyticsLocationClevelandFacilityRemote LocationDepartmentPathology Informatics Cpi-Diagnostics InstituteJob CodeT99116ShiftDaysSchedule8:30am-5:00pmJob SummaryJob Details
Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
As a Project Manager III, you will lead and manage various phases of complex projects, leveraging advanced tools and methodologies to drive results and meet organizational objectives. The projects led in this role are focused on initiatives that ultimately aim to improve patient care.
We offer excellent opportunities for professional development, including certifications in Beaker reporting tools, CITI training for research, leadership development programs, and ongoing mentorship.
The ideal candidate will have excellent communication and organizational skills, a strong ability to manage and drive team accountability and demonstrate high-level critical thinking and emotional intelligence. A proven track record of delivering results in a fast-paced, dynamic environment is essential for success in this role.
A caregiver in this position works 8:30am-5:00pm. This position is 100% remote.
A caregiver who excels in this role will:
Achieve operational objectives by contributing information and recommendations to strategic plans and reviews.
Identify project complexity and coordinate accordingly under the direction and guidance of the administrator of PLMI Analytics
Work closely with the administrator for PLMI Analytics to balance advanced analytic and operational workloads
Coordinate and manage all aspects of project workloads
Achieve operational objectives by contributing information and recommendations to strategic plans and reviews
Prepare and complete action plans for implementation, production, productivity, quality, and customer-service standards
Remove barriers to fulfilling strategic initiatives
Set and continually manage project expectations with team members and other stakeholders.
Contribute to the enhancement of department reputation
Conduct quality audits and root cause analyses
Implement production, productivity, quality and customer-service standards.
Determine system improvements and implement changes.
Meet financial objectives by participating in developing forecasting requirements.
Participate in preparing an annual budget and scheduling expenditures.
Analyze variances and initiate corrective actions.
Set and continually manage project expectations with team members and other stakeholders.
Enhance department and organization reputation by accepting ownership for accomplishing new and different requests.
Explore opportunities to add value to job accomplishments.
Minimum qualifications for the ideal future caregiver include:
Bachelor's Degree in Business or a related field and three years of project experience in an assigned area (i.e., progressively responsible experience supporting a clinical system and/or data and financial analysis)
OR Associate's Degree and five years of experience
OR Master's Degree and two years of experience
Preferred qualifications for the ideal future caregiver include:
Project Management Professional (PMP) Certification
Experience with Epic Cogito reporting tools such as Slicer Dicer, Radar, and Reporting Workbench
Ability to work under minimal supervision
Knowledge of pathology and/or laboratory operations
Familiarity with laboratory data preferred
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ********************************************
Physical Requirements:
Manual dexterity to operate office equipment.
May require periods of sitting, standing and the ability to walk to various locations throughout the health system to attend meetings.
Must have normal or corrected vision and be able to clearly communicate verbally by phone or in person.
Must have own transportation to travel to multiple sites.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Auto-ApplyManager, Clinical Documentation Integrity
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley Responsible for coordinating the day-to-day operations and workflow of the program. Responsible for ensuring optimized staffing, productivity, and education efforts in their market to support overall program performance metrics. Responsible for new staff onboarding, periodic employee reviews including annual evaluations, and leave requests. Tracks the professional development and educational needs for all team members. Facilitates leadership initiatives through the creation and delivery of task force activities and serves an active role in departmental meetings with key system stakeholders. Demonstrates excellent working knowledge of CDI program metrics, experience with preparing reports, and designs and reports on departmental dashboards. Effectively communicates initiatives to executives, operational leaders, and front-line staff.
**Job Description** :
**EDUCATION:**
+ Bachelor's: Nursing
+ Master's in Healthcare (MPH, MHA, MS, MBA, etc.)
**CERTIFICATION & LICENSURE:**
+ RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR Foreign trained physician
+ CCS-Certified Coding Specialist within 1 year
+ CCDS-Certified Clinical Documentation Specialist OR CDIP-Certified Documentation Integrity Practitioner
**TYPICAL EXPERIENCE:**
+ 5 years recent management experience
**SKILLS AND KNOWLEDGE:**
+ Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical pre-employment test at a rate of 85% or better is required.
+ Knowledge of Federal regulatory rules regarding documentation and coding desirable.
+ Up-to-date knowledge of ICD-10 mandate and the impact of code set transition, including potential impact on data quality for prospective payments, utilization, and reimbursement. Knowledge of ICD-10 desirable.
+ Strong Organization and Quantitative Analysis skills including spreadsheet applications and statistics.
+ Excellent verbal and written communication skills required. Must be able to communicate effectively with a diverse group of individuals and departments, including members of the medical staff.
+ Dependable with a demonstrated ability to efficiently and independently manage own time and tasks with minimal supervision.
+ Willingness to act and dress in a professional manner at all times.
+ Able to manage multiple priorities and meet productivity targets
+ Critical thinking, problem solving and deductive reasoning skills
+ Demonstrated familiarity and adept use with software and technical applications including but not limited to: Microsoft Office products (Outlook, Excel, Word, PowerPoint) and Epic (Electronic Health Records).
+ Understand and support CDI documentation strategies
+ Ability to understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments (upon completion of training)
+ High degree of hospital coding knowledge, including but not limited to APR-DRG, MS-DRG, HCCs, Medicare, Medicaid & Managed Care, in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality, capture severity, assess acuity and determine risk of mortality.
+ Thorough knowledge of clinical documentation requirements, clinical procedures, disease processes, treatments, and the patient populations served.
+ Subject matter expertise regarding quality and reimbursement implications of clinical documentation and coding.
+ Provides constructive feedback and promotes team collaboration along with guidance and CDS mentorship.
+ Collaborate to perform root cause analysis and assist with ongoing opportunities for process improvement.
+ Reviews HAC/PSI database content weekly to support CDS account review
+ Works in tandem to provide clear communication and expectations.
+ Identify areas of improvement and communicate improvement strategies to hospital leadership.
+ Ability to provide leadership including innovation, relationship building, conflict management, and strategic thinking.
**Job Shift:**
Days
**Schedule:**
Full Time
**Days of the Week:**
Monday - Friday
**Weekend Requirements:**
As Needed
**Benefits:**
Yes
**Unions:**
Yes
**Position Status:**
Exempt
**Weekly Hours:**
40
**Employee Status:**
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $94.02 to $150.44 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _ _
Project Manager - RCM
Saint Louis, MO jobs
**City/State:** Saint Louis, Missouri **Categories:** Financial Services **Job Status:** Full-Time **Req ID** : 100565 **Pay Range:** $76,252.80 - $124,155.20 / year (Salary or hourly rate is based on job qualifications and relevant work experience) **Additional Information About the Role**
BJC is hiring for a Project Manager - Revenue Cycle Management. This person will be responsible for managing a team of 4 people. We are looking for candidates with a broad understanding of the Revenue Cycle. Epic knowledge is preferred. This is a remote position. (applicants must be in MO or IL)
**Overview**
**BJC HealthCare** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
**Preferred Qualifications**
**Role Purpose**
Utilizes project management processes and methodologies to ensure projects are delivered on time, within budget, adhere to high quality standards and meet customer expectations. Responsibilities may include leading an operations team responsible for the ongoing maintenance of business and clinical applications.
**Responsibilities**
+ Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
+ Leads teams of operational professionals responsible for overseeing application system availability, performance, and enhancements.
+ Consults around the planning and implementation of processes and procedures to achieve cash collection targets, days of credit outstanding and accounts receivable aging goals while maintaining budgeted staffing levels.
+ Implements systems and procedures to insure accurate and timely reimbursements.
+ Assembles project plans and teamwork assignments, directing and monitoring work efforts on a daily basis, identifying resource needs, performing quality review, and escalating issues appropriately.
+ Determines opportunity for operational improvement in patient account functional areas.
**Minimum Requirements**
**Education**
+ Bachelor's Degree
**Experience**
+ 5-10 years
**Supervisor Experience**
+ < 2 years
**Preferred Requirements**
**Licenses & Certifications**
+ Project Management Prof
**Benefits and Legal Statement**
**BJC Total Rewards**
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
+ Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
+ Disability insurance* paid for by BJC
+ Annual 4% BJC Automatic Retirement Contribution
+ 401(k) plan with BJC match
+ Tuition Assistance available on first day
+ BJC Institute for Learning and Development
+ Health Care and Dependent Care Flexible Spending Accounts
+ Paid Time Off benefit combines vacation, sick days, holidays and personal time
+ Adoption assistance
**To learn more, go to our Benefits Summary (*******************************************
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
Project Manager - RCM
Saint Louis, MO jobs
Additional Information About the Role BJC is hiring for a Project Manager - Revenue Cycle Management. This person will be responsible for managing a team of 4 people. We are looking for candidates with a broad understanding of the Revenue Cycle. Epic knowledge is preferred. This is a remote position. (applicants must be in MO or IL)
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred Qualifications
Role Purpose
Utilizes project management processes and methodologies to ensure projects are delivered on time, within budget, adhere to high quality standards and meet customer expectations. Responsibilities may include leading an operations team responsible for the ongoing maintenance of business and clinical applications.
Responsibilities
Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.Leads teams of operational professionals responsible for overseeing application system availability, performance, and enhancements.Consults around the planning and implementation of processes and procedures to achieve cash collection targets, days of credit outstanding and accounts receivable aging goals while maintaining budgeted staffing levels.Implements systems and procedures to insure accurate and timely reimbursements.Assembles project plans and teamwork assignments, directing and monitoring work efforts on a daily basis, identifying resource needs, performing quality review, and escalating issues appropriately.Determines opportunity for operational improvement in patient account functional areas.
Minimum Requirements
Education
Bachelor's Degree
Experience
5-10 years
Supervisor Experience
< 2 years
Preferred Requirements
Licenses & Certifications
Project Management Prof
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
* Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
* Disability insurance* paid for by BJC
* Annual 4% BJC Automatic Retirement Contribution
* 401(k) plan with BJC match
* Tuition Assistance available on first day
* BJC Institute for Learning and Development
* Health Care and Dependent Care Flexible Spending Accounts
* Paid Time Off benefit combines vacation, sick days, holidays and personal time
* Adoption assistance
To learn more, go to our Benefits Summary
* Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
Project Manager II, Behavioral Health
Senior project manager job at Kaiser Permanente
Manages small projects or components of larger projects with oversight from more senior project managers. Leads the work of project team members with guidance from more senior project members by requesting internal and/or external resources. Supports the management and proactive mitigation of project risks by assisting in the analysis/resolution of trigger events. Provides support to project personnel by regularly communicating with project team members and working closely with key stakeholders.
Essential Responsibilities:
* Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
* Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
* Manages small projects or components of larger projects with oversight from more senior project managers. Develop and executes project plans independently or under the direction of others. Assists with project financials by monitoring financial aspects for assigned project initiatives. Monitors project performance (e.g., on time, on budget, within scope, and with quality) against plan under the guidance of from more senior project managers. Assists with project activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the project. Allocates resources, establishes schedules, and makes task assignments.
* Leads the work of project team members with guidance from more senior project managers. Requests internal or external resources to support completion of project activities and changes in schedule, scope, and budget. Promotes project vision and objectives with project team.
* Supports the management and proactive mitigation of project issues and risks by assisting in the analysis and resolution of trigger events.
* Supports policy and procedure adherence of project plans by following KP, departmental, and/or business line policies and procedures.
* Provides ongoing support to project personnel by regularly communicating with project team members to ensure schedule data and changes are accurately interpreted and accounted for. Works closely with key stakeholders. Provides real-time updates to project managers regarding scheduling conflicts and budget disparities.