Program Manager (Clinical Strategic Programs) (Full Telework)

Job Description

Department(s): Medical Management

Reports to: Sr Manager I

FLSA status: Non-Exempt

Salary Grade: L - $77,000 - $127,094

Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Tuesday, January 16, 2023 at 11:59 PM.Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.

**This position is eligible for full telework in California.**

About CalOptima Health

Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you're looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health!

About the Position

Under the general direction of the Sr Manager I, the Program Manager (Clinical Strategic Programs) will collaborate and coordinate with leadership to design, implement and evaluate programs for the areas assigned by the Chief Medical Officer (CMO) or management. The incumbent will lead, coordinate, monitor and complete tasks supporting the development of new clinical programs. The incumbent will monitor cross functional clinical projects and other assignments, including those relating to department efficiency to ensure department strategic objectives and initiatives are met. The incumbent will interact with CalOptima Health's executives and management, legal counsel and state and federal regulatory agencies. The incumbent will also support CalOptima Health staff on related projects.

Duties & Responsibilities:

Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.

Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.

Supports with program design, development and implementation of clinical strategic programs.

Leads program development activities for various clinical programs, including innovation pilots.

Assists management in the development of specifications and scope of work for Request for Proposal (RFP), Request for Quotes (RFQ) or Request for Inquiry (RFI) to support new clinical program development.

Reviews evidence-based literature and other educational media for advancements and research in the health care field.

Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments.

Identifies clinical team to develop user requirements of technological tools to enhance and improve the efficiency of existing or new clinical programs.

Collaborates with other department analysts in the development of program measures of success and outcome reports for programs.

Maintains current knowledge of applicable regulations or clinical guidelines related to program development.

Stays current on the local, state and federal health care environment, identifies issues that may impact CalOptima Health's clinical programs.

Reviews and helps update policies and procedures and ensures knowledge related to assigned programs and projects.

Works with all CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.

Completes other projects and duties as assigned.

Experience & Education:

Bachelor's degree required.

3 years of health care related work experience in program development, including strategic planning for a start-up program, implementing the program and evaluating evidenced-based programs required.

Experience in developing sound and responsible business plans and financial models required.

Experience and aptitude for working in a highly matrixed, mission-driven organization required.

An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.

Preferred Qualifications:

Work independently and as an effective member of a team

Master's degree in Health Administration or related field.

Lean Six Sigma Green Belt.

Physical Demands and Work Environment:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting.

Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures.

About our Benefits & Wellness options:

At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.

CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together.

CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.

Job Location: Orange, California

Position Type:

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