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Health care manager • irving tx
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Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Program Manager for Allied Health oversees the planning coordination and execution of all non-credit allied health training programs within UTAs Extension & Extended Campus ( EEC ).This rol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
CLA is a top 10 national professional services firm where.Even with more than 8,500 people, 130 U.CLA is dedicated to building a culture that invites different beliefs and perspectives to the table...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Empowering Care | Supportive Culture | Real Growth Opportunities.This Jobot Job is hosted by : Ben Eberly.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Technical / Functional Skills : .Clinicaland Benefit Testing SME.Has the ability tounderstand technical specifications and create test cases based on Clinical andbenefit plan understanding.Has unders...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Provides executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and compliance management of the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Program Consultant, Health Care.Since our founding in 1924, we've cut cardiovascular disease deaths in half, but there is still so much more to do.
To overcome today's biggest health challenges and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.
As a diversified, national organization, you’ll ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for a Care Planner Behavioral Health.Key Responsibilities Provide support to behavioral health clinical teams to enhance member engagement and care delivery Educate members ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
HKS Dallas is seeking a talented Project Manager to join our health team.A primary managerial position in a specific project and shares responsibility for project successes.Recognized ability to im...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Description Summary : The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge.The CM...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Health Care Consulting Director- Revenue Cycle.At Moss Adams, we champion authenticity.For us, that means fostering a culture of talented people who careabout you, about our clients, and about our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Program Manager Health Economics Value-Based Care- Health Plan.Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion.
As a world-renowned medical and research center, we st...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Hilton Anatole is looking for a Health Club Manager to join their amazing team! The Hilton Anatole in Dallas, TX is where you make your name for Hilton! With 1,600 + rooms and 600,000 square feet o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We are seeking a dynamic and experienced Health Care Marketer to join our team.The ideal candidate will be responsible for promoting our pulmonary, allergy, and sleep services across medical office...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge.
The CM ensures that the pat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives.
Not only will you build meaningful relationships wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Program Manager Health Economics Value-Based Care- Health Plan
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Program Manager Health Economics Value-Based Care- Health Plan
Parkland HealthDallas, TX, USjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionFour (4) years of experience in a health plan or Medicaid Managed Care Organization. Two (2) years of experience in medical / health economics, and network decision support. Experience with value based / accountable care data analytics is preferred. May have an equivalent combination of education and experience to substitute for both the education and the experience requirements Six Sigma or Project Management certification is preferred. Knowledge of managed care contracts and principles and concepts of statistical analysis. Must have demonstrated skill in complex modeling, pro forma, projections and metric reporting. Must have demonstrated ability to support and develop performance improvement strategies. Excellent verbal and written communication skills including the ability to influence, negotiate and interact effectively with a range of business stakeholders Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization. Excellent analytical and problem-solving skills. Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Ability to write clearly and succinctly with a high level of attention to detail. Proficient computer and Microsoft Office skills. Ability to learn new software programs. Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual is preferred. Develops standardized and ad-hoc models to support contract pricing and contract and network performance. Develops actionable data driven recommendations and supports the strategic decision-making process. Prepares, supports, and presents materials for the contract negotiation process. Supports and facilitates health plan budgeting, forecasting and cost-containment initiatives. Supports and facilitates new product and new network development initiatives. Develops and maintains the library of management information reports to support Network Development and Provider Relations. Monitors cost trends. Identifies performance improvement opportunities and facilitates initiates, both internally and externally. Creates and implements performance improvement initiatives for PCHP. Develops and maintains key performance indicators and performance measurement reports. Integrate health literacy principles into all communication including Members and Providers. Support strategies that meet clinical, quality and network improvement goals. Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and / or providers to promote and support evidence-based practices and care coordination. Ensures work is carried out in compliance with regulatory and / or accreditation standards as well as contractual requirements. Promotes and supports a culturally welcoming and inclusive work environment. Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicates ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee’s position, qualifications, and competencies. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars / workshops, reading professional journals, actively participating in professional organizations, and / or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission : the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.
Primary Purpose
Parkland Community Health Plan’s (PCHP’s) Health Economics Program Manager monitors cost trends, identifies performance improvement opportunities and develops strategies to support value-based care contracting initiatives across PCHP’s health plan networks. Develops contract pricing models, contract performance models, key performance indicators / metrics and other ad hoc analyses to support continuous network development and performance improvement.
Minimum Specifications
Education
- Bachelor's degree in Business Administration, Healthcare Administration, Healthcare Analytics, Finance, Statistics or a related field.
- Master’s degree in a related field is preferred.
Experience
Equivalent Education and / or Experience
Certification / Registration / Licensure
Skills or Special Abilities
Responsibilities
Operational Support
Reporting and Analysis
Quality and Performance Improvement
Regulatory
Professional Accountability
Job Accountabilities
Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.