5 Program Manager, Federal Plan Jobs in Honolulu, HI
SORT BY
R
M
H
H
P
Program Manager, Federal Plan
$134k-178k (estimate)
Full Time | Ambulatory Healthcare Services
3 Months Ago
HMSA is Hiring a Program Manager, Federal Plan Near Honolulu, HI
- Program and Project Management:
- Responsible for strategic and tactical planning of HMSA's approach to delivering excellent performance and value for Federal Plan 87 and providing clear leadership, training, guidance, and coordination to all HMSA and partner/vendor resources supporting Federal Plan 87.
- Responsible for managing and cultivating HMSA's relationship with OPM, and training and mentoring other HMSA employees who must also communicate directly with OPM. Develops and promotes a collaborative partnership between HMSA and OPM through proactive, open, and honest communication that ensures strong mutual understanding, awareness, and support of shared priorities.
- Responsible for all outgoing correspondence and communications with OPM and advising and coordinating all responses to OPM for any inquiries, issues, and/or requirements that arise.
- Manages and provides direction on all internal requirements, regulatory, compliance requirements and initiatives related to benefits, contractual obligations, or any activity related to or affecting the Federal Plan.
- Annual Call Letter & Renewal:
- Manages, leads, and is responsible for the efficient and effective management of the company-wide matrixed effort to both respond to the annual OPM Call Letter (Request for Proposal) and to meet all operational requirements once the contract is secured. This includes coordinating efforts among virtually every major function within the organization and with our partners/vendors.
- Responsible for all activities related to the research, analysis, and coordination of required plan changes, benefit proposals and changes, rate and financial calculations and adjustments, Federal brochure revisions and updates, and impact to all internal departments.
- Meets with senior executives and secures their approval of HMSA's bids and also any subsequent commitments and/or responses due to the government. Submits those documents to OPM for their review and approval and responds to any inquiries they may have. Works with appropriate areas including legal on the annual contract review/approval process.
- Responsible for the accurate and timely implementation of all plan and benefit changes with all affected departments.
- Standard Reporting Management & Oversight:
- Coordinates and oversees various contractual requirements for Federal Plan 87, such as the "Standard Reporting" requirements (HEDIS and NCQA requirements, Performance Standard reports, and Fraud and Abuse semiannual report).
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Job Summary
JOB TYPE
Full Time
INDUSTRY
Ambulatory Healthcare Services
SALARY
$134k-178k (estimate)
POST DATE
02/26/2024
EXPIRATION DATE
05/23/2024
WEBSITE
hmsa.com
HEADQUARTERS
LIHUE, HI
SIZE
1,000 - 3,000
FOUNDED
1938
TYPE
NGO/NPO/NFP/Organization/Association
CEO
BENNETT JACOBY
REVENUE
$1B - $3B
INDUSTRY
Ambulatory Healthcare Services
Related Companies
About HMSA
Hawaii Medical Service is a health insurer service provider.
Show more
Similar Jobs
Popular Articles
Top 10 Things to Avoid Putting on a Job Application
Read Article
How to Describe Your Education in a Resume
Read Article
How to Write a Memorable Cover Letter in 5 Ways
Read Article
4 Personal Finance Tips to Make During Job Transition
Read Article
4 Best Camera Setups for Interview
Read Article
Keeping a Job Search Journal: 9 Types of Journaling You Can Do
Read Article
