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Program Manager Clinical, Principal
Location:
Woodland Hills, CA
Description:
Your Role The Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our team. In this role, the candidate will provide comprehensive support and collaborate effectively with stakeholders across various departments. The ideal candidate must possess extensive care management experience and be a subject matter expert in compliance and regulatory requirements, particularly with a strong understanding of NCQA (National Committee for Quality Assurance) standards. The Clinical Program Manager, Principle will report to the Director of Care Management. In this role you will provide oversight for clinical programs, ensuring alignment with organizational goals and objectives. Your Work In this role, you will: Operate at a strategic business level to ensures projects/programs are in line with Blue Shield of California strategic goals Consult with all levels including senior management, make recommendations, and influence decision-making Leverage cross-functional internal and external relationships to drive initiatives forward Plan and implement multiple and extremely complex projects/programs spanning across business areas Determine key business issues, develop effective action plans and implement to successful conclusion Analyze program data and metrics to identify trends, opportunities for improvement, and areas of risk. Assist with monitoring completion of regulatory activities Lead initiatives to enhance the quality, efficiency, and effectiveness of clinical programs. Your Knowledge and Experience Requires a bachelors degree or equivalent experience Requires at least 10 years of prior relevant experience Requires excellent analytical skills, with the ability to interpret complex data and make data-driven decisions Requires 3-5 years Care Management experience in a health plan or other managed care setting In-depth knowledge of compliance and regulatory requirements, with specific expertise in NCQA standards desired Requires exceptional communication skills, both verbal and written Requires a valid California RN licensePay Range:The pay range for this role is: $ 136400.00 to $ 204600.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
Company:
Hispanic Technology Executive Council
Posted:
April 22 on TopUSAJobs
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More About this Listing: Program Manager Clinical, Principal
Program Manager Clinical, Principal is a Executive Program Manager Job at Hispanic Technology Executive Council located in Woodland Hills CA. Find other listings like Program Manager Clinical, Principal by searching Oodle for Executive Program Manager Jobs.
Program Manager Clinical, Principal is a Executive Program Manager Job at Hispanic Technology Executive Council located in Woodland Hills CA. Find other listings like Program Manager Clinical, Principal by searching Oodle for Executive Program Manager Jobs.