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LTSS and Dual Eligible Program Manager

Role overview

Qualifications

  • Bachelor's degree in project management, Business, Computer Science or related field required
  • Three (3) years program management experience required
  • Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook
  • Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare

Responsibilities

  • Responsible for successful delivery of LTSS and Dual Eligible programs
  • Ensure program milestone deliverables are completed and approved at every stage of the program lifecycle
  • Collaborate with functional owners on the identification and assignment of resources
  • Track, compile and report program metrics and budget

Key facts

Other skills

  • Program Management
  • Microsoft Office
  • Analytical Skills
  • Decision Making
  • Problem Solving
  • Social Skills
  • Verbal Communication Skills
  • Customer Service
  • Team Leadership
  • Collaboration
  • Relationship Building
  • Time Management

About the company

CareSource logo

CareSource

Health Insurance (Payers)

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码。

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Job Summary:

The LTSS and Dual Eligible Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects.

Essential Functions:

  • Responsible for successful delivery of LTSS and Dual Eligible programs

  • Understand the LTSS and Dual Eligible programs to ensure effective cross functional coordination throughout the organization

  • Ensure program milestone deliverables are completed and approved at every stage of the program lifecycle

  • Assist with the continuous improvement of program / project management best practices, processes, and tools

  • Responsible for ensuring program closure activities are completed

  • Lead stakeholders in the refinement of the program design

  • Collaborate with functional owners on the identification and assignment of resources

  • Collaborate with IT and EPMO on the identification and assignment of IT resources

  • Ensure compliance to LTSS requirements

  • Capture and consolidate LTSS Program KPIs

  • Assess, manage, and control program scope, schedule, and change impacts

  • Work closely with business executives to ensure assigned programs aligns with business strategy and are properly funded, resourced, and managed

  • Maintain program stakeholder matrix

  • Drive cross-functional communication between impacted business

  • Work with Talent Development and Communications to develop project communication and training plans

  • Ensure effective communication across project managers and business analysts

  • Facilitate and drive Program Stakeholder meetings

  • Represent program in governance meetings

  • Review and approved program meeting minutes

  • Provide regular reporting and maintain ongoing communications to senior management, stakeholders and executive sponsors

  • Track, compile and report program metrics and budget

  • Identify, log, and manage risk, implement mitigation strategies, contingency plans, and communicate/escalate to stakeholders

  • Maintain program RAID

  • Identify, log, assign and resolve or escalate program issues, hindrances, and blockers using company best practices

  • Responsible for quality or program SharePoint site and program document repository

  • Produce detailed reports, business decision documents, meeting minutes, and notification on assigned program

  • Develop program operations and support plan

  • Performs any other job related duties as requested.


Education and Experience:

  • Bachelor's degree in project management, Business, Computer Science or related field required

  • Master's degree in related field preferred

  • Equivalent years of relevant work experience may be accepted in lieu of required education

  • Three (3) years program management experience required

Competencies, Knowledge and Skills:

  • Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.

  • Experience working in project management software is required

  • Demonstrates excellent analysis and reporting skills

  • Excellent decision making/problem solving skills

  • Exceptional interpersonal and relationship building skills

  • Excellent critical listening and thinking skills

  • Proven ability to effectively interact with all levels of the organization of management within and externally to the organization

  • Excellent written and verbal communication skills

  • Customer service oriented

  • Ability to shape the approach to needed results and gain consensus of the approach

  • Ability to proactively, effectively and efficiently lead a project team of 20+ core members and multiple vendors

  • Experience managing a project of up to $10M+ in budget

  • Proven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders expectations

  • Demonstrates a sense of urgency

  • Deep understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile)

  • Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare

Licensure and Certification:

  • None required

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

  • Travel is not typically required

Compensation Range:

$113,000.00 - $197,700.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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Marcus Rivera

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