Program administration manager job description

Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary
The Program Manager's scope would include Tufts Health Together (Medicaid), Tufts Health Unify, serving the under-65 dually eligible (Medicare and Medicaid) population, and Tufts Health Direct (individual and small group plans sold on and off-exchange).

Responsibilities will include, but not be limited to, the following:

*Is responsible for supporting the development and implementation of project requirements to ensure compliance with all contractual requirements in conjunction with the Business areas

* Will serve as a product subject matter expert on cross-functional teams, with regard to product strategy, benefit design and regulatory requirements.

* Will assist with the implementation, and ongoing oversight, of process improvement and/or regulatory initiatives that are core to the products' performance.

* Will help monitor product performance from an administrative perspective, including assisting in the design and management of key performance indicators

The Program Manager needs to demonstrate strong professional judgment and possess process engineering skills as well as to be able to understand root cause analyses.

Key Responsibilities/Duties - what you will be doing
Oversee the data quality of reports and agency filings
Provide support as Product SME to other departments in response to contractual issues
Assist with design, development and content of support workflows and documentation for process improvement initiatives
Assist with Tufts Health Direct annual plan development and implementation process
Undertake investigations of regulatory and compliance inquiries, prepare reports and monitor remediation
Facilitate workgroups, prepare agendas and hold business stakeholders accountable for feedback and follow-up
Develop and implement policies, procedures and practices designed to ensure compliance with the requirements of State and Federal health care regulations
Represent the departments on regulatory and compliance related work groups and committees as appropriate.
Work collaboratively with departments across the organization on various initiatives
Serve as a partner to Product Strategy and the respective business owner(s) for issues pertaining to contractual compliance Managing regulatory submissions
Assist in the coordination of materials and reports and provide updates to the appropriate and relevant agency
Support Business owners to assess and respond to escalated business issues
Other duties as assigned

Qualifications - what you need to perform the job
A Bachelor's Degree is required, preferably in health care management, business, or related field (equivalent experience may be considered).
5-8year experience in a health care setting or related field. Compliance experience is a plus.

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Commitment to Diversity, Equity & Inclusion
Point32Health is committed to making diversity, equity, and inclusion part of everything we do-from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

COVID Policy
Please note: As of January 18, 2022, all employees - including remote employees - must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

66232BRJob Posting Title:Program Administration Manager II-Hawthorne, NY Clinic-OnsiteDepartment:OphthalmologyAutoReqId:66232BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:AdministrationJob Posting Description:
This position is Located in Hawthorne, NY, onsite 4 days per week.

Program Administration Manager-Hawthorne, NY Clinic

This Program Administration Manager II will be responsible for:

● Collaborates with Senior Management to plan and implement program goals and objectives of Boston Children's Health Physicians to provide patient satisfaction.

● Provides budget proposals and establishes a budget control system for expenditures in accordance with budget allocations.

● Business change management, including business process redesign, training, and SOPs.

● Manages project scope and timeline through formal change management processes, and project issues and risks through standard issue/risk process.

● Contributes to the hiring process by selecting and training staff on department operations, goals and objectives.

● Responsible for evaluating the effectiveness and efficiency of staff by organizing annual reviews.

● Performs need assessments, evaluates and analyzes individual programs; implements appropriate procedures to ensure efficiency and accuracy to fulfill the unit or department and campus mission.

● Manages and oversees the development of internal systems and materials to deliver programs and services.

● Providing technical advice, policy interpretation, and guidance for the application of appropriate procedures to staff, students, and administrators.

● Advances and oversees the development and facilitation of workshops, seminars, and orientations.

● Oversees the development of information flyers, internal forms, and various materials to facilitate unit or department programs and services.

● Serve as the primary administrative contact for the practice to BCHP leadership by attending all quarterly managers' meetings and interacts and maintains liaison with staff, faculty, and outside/community agencies in facilitating program objectives.

● Maintains up-to-date training and licenses associated with job duties by continuing education curriculum, and ensures physicians and staff are fully credentialed with updated licenses and certifications. Assists physicians with medical and fellowship appointments, and calendars by arranging meetings.

● Responsible for the preparation and approval of weekly time sheets, staff scheduling for adequate coverage, distribution of clinical and physician schedules, supply ordering, and maintenance of equipment and projects.

● Ensures all medical billing reconciliation is completed and tracked in accordance with established procedures and investigates missing charges and outstanding bills, while also checking co-payments, obtaining prior authorizations, and other points of service collections are processed and deposited to the bank account in accordance with established procedures.

● Communicates HIPAA and corporate compliance while remaining in compliance with regulations at the local, state, and federal level

● Schedules, manages, and trains staff on practices, such as confidentiality, and the patient-centered medical home transition, including keeping updated reports and supporting the staff throughout the transition.

● Schedules and attends meetings, such as monthly office medical home meetings, pre-visit planning, and bi-monthly mock code meetings within the office.

● Other duties as assigned.

To qualify, you must have:

● A Bachelor's degree and a minimum of 6 years experience. Associate's with a minimum of 8 year experience. Master's degree preferred.

● Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.

● Ability to work with diverse internal and external constituencies.

Boston Children's Health offers competitive compensation and unmatched benefits, including affordable health, vision, and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, cell phone plan discounts, and discounted rates on T-passes (50% off). Flexible schedule (if applicable).

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Office/Site Location:BostonRegular, Temporary, Per Diem:Regular

ABOUT PATH
Since its foundation in 1984, PATH (People Assisting The Homeless) has pioneered bold and effective approaches to assist people experiencing homelessness. PATH operates services throughout California, connecting our clients to a comprehensive continuum of homelessness prevention, street outreach, employment preparation and placement assistance, individualized case management, supportive services, interim housing, and permanent supportive housing.

JR 2764
Program Manager - SSVF Administration
Los Angeles, CA 90064
Salary: Starting at $62,400 annually DOE
Full Time
Exempt
Driving Required

PATH is seeking candidates with supervisory experience to join our SSVF team as a Program Manager.

ABOUT OUR SSVF PROGRAM
PATH's SSVF Program works to promote housing stability among very low-income Veteran families who reside in or are transitioning into permanent housing. The SSVF program focuses heavily on linking Veterans to resources provided by the Department of Housing and Urban Development (HUD) Veterans Affairs Supportive Housing (VASH) program.

WHAT IS A PROGRAM MANAGER?
The Program Manager for SSVF Administration supports the SSVF Team and Program Directors and manages the Administrative Associate(s). Responsibilities include:

• Supervising and coordinating the day-to-day operations of the administrative team.
• Assigning individual tasks and projects to admin team, review progress, and performance.
• Serving as a point of contact between the admin team, Program Managers, management, and the finance team.
• Participating in the calls and meetings on behalf of the admin team and provide updates on the team's workload and performance.
• Interviewing, hiring, training, and evaluating the performance of the admin team staff.
• Assisting in the development of forms, procedures, and manuals for the Administration team.
• Monitoring the day-to-day workload such as, high-priority tasks, temporary financial assistance requests, Instacart orders, motel placements, and target household item orders.

WHAT YOU BRING
We're looking for candidates that:

• Strong proficiency in Microsoft Office (Outlook, Work, Excel, PowerPoint, Teams).
• Strong organizational skills that reflect the ability to perform and prioritize multiple tasks seamlessly with acute attention to detail.
• Excellent communications skills including both written and verbal communication.
• Dedication to timely follow-through for all tasks and projects.
• Adaptable to various competing demands and demonstrate the highest level of customer service and response. Versatility, flexibility, and a willingness to work within constantly changing priorities.
• Very strong interpersonal skills and the ability to build relationships with stakeholders, including Executive Leadership, staff, external parties, etc.
• Demonstrated proactive approaches to problem-solving with strong-decision-making capability.

PREFERRED QUALIFICATIONS
An excellent candidate for this role will:

• Hold a Bachelor's degree in Business Administration, Communications, or related field

MINIMUM QUALIFICATIONS
To be considered for this position, we require all candidates:

• Have Three to five years' experience supporting the operations of a program, executive leadership, office management, preferably in a non-profit organization.

MANDATORY REQUIREMENTS
Regardless of qualifications, candidates must:

• Be able and willing to provide community and in-home based services on a regular basis
• Be able and willing to work flexible hours which may include evenings or weekends
• Have employment eligibility verification
• Have or be able and willing to obtain CPR/First Aid training
• Provide proof of full COVID-19 vaccination
• Successfully complete the following as a condition of hire:
  • Tuberculosis Test
  • Background Screening
  • Drug Test

DRIVING
Driving is an essential function of this position. To meet the employment requirements for this role, all candidates must:

• Have reliable transportation
• A valid driver's license
• Proof of insurance and ownership for personal vehicles used during work duties
• The ability to qualify for PATH's insurance coverage

COVID-19 VACCINATION
Effective 11/01/2021 PATH will require all employees to be fully vaccinated for COVID-19. All prospective hires will be expected to provide proof of full vaccination as part of the pre-employment credentialing process.

FLEXIBLE WORK
PATH is a California employer. Therefore, all regular and customary work must be performed within the state. Approval for work outside of the office, does not establish approval for work to be conducted outside of California.

WHAT WE OFFER
In addition to a rewarding work environment, we offer our employees a competitive benefits package that includes medical, dental and vision coverage, vacation and sick time, paid holidays, and a retirement plan.

READY TO MAKE A DIFFERENCE THROUGH ACTION?
If this position sounds like a fit, please submit your application today. A resume is required.

PATH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PATH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

PATH will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

PATH is dedicated to racial and social justice by centering equity in our service delivery and maintaining a diverse and inclusive work environment for the communities we serve. We seek awareness and insight from witnessing the stories of our clients and learning from the experiences of our staff to ensure impactful systems change. If people are empowered, they can bring their authentic, whole selves to work and when people feel like they belong, they can become part of a unified effort of ending homelessness for all.