Integrated Care Program Operations Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist the Duals team with ongoing projects and facilitate their completion.

• Support enhancements to programs, including their development, execution, implementation, and continuous design and standardization for Dual eligible and LTSS models.

• Collaborate with various markets to implement business strategies and operational plans that support LTSS (HCBS and NH) models.

• Translate the business and program vision and strategy into actionable operational tactics while building organizational support and infrastructure.

• Assist in post-implementation strategies and objectives to reduce program risks.

• Assess the effectiveness of operational processes and manage process improvement initiatives with market teams.

• Coordinate, interpret, and execute essential functional and operational requirements.

• Provide leadership and support for product expansion initiatives.

• Utilize industry-standard project management tools and techniques for market initiatives.

• Manage operational dependencies and risks across the portfolio of market operations initiatives through effective change and risk controls.

• Collaborate with leadership to establish, communicate, and uphold the corporate vision.

• Monitor performance across markets' LTSSS/HCBS programs to leverage best practices and enhance outcomes through evidence-based standardization.

• Assist the dual eligible President in tracking legislative and governmental activities, identifying opportunities and issues.

• Engage with Dual Eligible and LTSS program business partners to build relationships across different markets.

• Involve stakeholders to ensure alignment.

• Lead initiatives that yield high-quality, consistent results for members, providers, and program objectives.

• Perform additional job-related duties as requested.

• Work in a standard office environment, potentially sitting or standing for extended periods.

• Travel up to 15% based on departmental needs.

⛳️ Requirements

• High School diploma or GED is required.

• Bachelor's degree is preferred.

• A minimum of four (4) years of experience in clinical operations or healthcare administration is required.

• A minimum of four (4) years of experience driving performance and process improvements within the healthcare insurance sector is required.

• Three (3) years of experience with government-regulated (Federal and/or State) health insurance products, such as Medicaid, Managed Care Waiver, FFS, and Medicare is preferred.

• Three (3) years of experience implementing programs focused on integration is preferred.

• Three (3) years of project management experience is preferred.

• Ability to identify business challenges, assess proposed solutions, and understand the needs of business partners and stakeholders.

• Proficient communication skills across all levels of leadership.

• Strong organizational, time management, analytical, and problem-solving abilities.

• Capability to manage a project from inception to completion.

• Strong skills in relationship building and leadership qualities.

• Competence in training, teaching, and acting as a change agent.

• Ability to think critically and lead strategically.

• Comprehensive knowledge of Clinical Operations, Market Groups, Business Development, Network, and Operations.

• Proficient in Microsoft Office tools, including Project, Outlook, Word, PowerPoint, and Excel.

• Strong business acumen and political sensitivity to act with diplomacy and an appreciation for cultural diversity.

• No specific licensure or certification is required.

🏝️ Benefits

• Potential bonus linked to company and individual performance.

• Comprehensive and substantial total rewards package.

• An Equal Opportunity Employer environment that emphasizes belonging and supports individuals from all backgrounds.