2 часа назад
Health Plan Associate, Program Management (Healthcare)
67 000 - 87 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Health Plan Associate, Program Management (Healthcare): Coordinating cross-functional health plan projects, regulatory filings, and operational readiness for claims, authorizations, pharmacy, provider networks, and new center launches with an accent on project execution, compliance timelines, and risk management. Focus on maintaining regulatory calendars, tracking go-live milestones, resolving cross-functional dependencies, and protecting operational performance across health plan products.
Location: Remote, California; employment authorization in the United States is verified through E-Verify.
Salary: $67,000–$87,000 annually, plus a target annual bonus and potentially additional incentive compensation.
Company
provides integrated medical and social care for older adults through the Program of All-Inclusive Care for the Elderly (PACE), including support with meals, transportation, and in-home assistance.
What you will do
- Lead cross-functional healthcare projects and operational process improvements across claims, authorizations, pharmacy, provider networks, eligibility, census management, and member services.
- Maintain end-to-end work plans, project schedules, milestones, resource estimates, risks, dependencies, and operational metrics.
- Coordinate project meetings with internal stakeholders and external partners, follow up on open items, and escalate barriers to Health Plan leadership.
- Own regulatory filings, reporting submissions, and compliance deliverables, ensuring accuracy and timely completion.
- Maintain the master regulatory calendar and proactively manage response windows, due dates, and filing deadlines.
- Lead Health Plan go-live readiness for new center openings, tracking milestones and confirming operational readiness before launch.
Requirements
- 2–4 years of experience with project management techniques, concepts, principles, and standards.
- Specific healthcare and/or health plan experience.
- Strong written and verbal communication skills for collaboration with internal and external stakeholders.
- Ability to navigate external systems operated by Medicare and Medicaid.
- High proficiency with Microsoft applications, SharePoint, and Smartsheet.
- Ability to forecast project challenges and define solutions that protect compliance, quality, and schedules.
Nice to have
- Prior experience in PACE.
Culture & Benefits
- Medical, dental, and vision insurance.
- Paid parental leave, paid time off, and company-paid holidays.
- Short- and long-term disability coverage and life insurance.
- Flexible spending accounts.
- 401(k) savings plan with a company match.
- Vaccination, infection control, masking, and PPE requirements may apply to roles and work locations involving participant care settings; reasonable accommodations are available.
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