Skills

Communication Leadership Critical Thinking Decision-making Data collection Training

Job Specifications

Position Summary:
The Clinical Services Program Manager will play a pivotal role in leading projects and driving initiatives within our Clinical Services team. This hands-on position involves collaborating with leadership to ensure seamless process development, procedural implementation, and driving engagement that contributes to the success of Healthmap Solutions. Responsibilities:
Oversee projects and sub-projects new client implementations, including data integrity, building client relationships, and analyzing client data and maintain consistency of program outputs
Monitor key performance indicators (KPIs) to evaluate operational performance and identify areas for improvement in Pay for Performance, HCC recapture, and member/provider campaigns
Assist in collecting and analyzing data to support decision-making and operational planning
Ensure all Policies and Procedures (P&P's) and Desk Level Procedures (DLPs) are current, approved by the Compliance Committee, and accessible to associates
Support data collection for Joint Operating Committee meetings and Member and Provider Satisfaction Surveys
Own communication strategy for clinical services and all sub departments, including preparing agendas and presentations for department town halls, newsletters, and SharePoint content
Coordinate and organize meetings, training sessions, and events related to our operations
Partner with the quality department to gather necessary documentation to adhere to NCQA standards
Build and maintain strong relationships with key stakeholders, including senior management and cross-functional teams. Communicate project progress, risks, and issues clearly and effectively
Perform other operational functions necessary for the efficient and successful growth of Healthmap
Requirements:
Bachelor's degree in healthcare administration, business (administration) or a related field; master's preferred. An equivalent combination of experience and education will be accepted in lieu of degree
5 years' experience strategizing and implementing the design of clinical, provider and/or quality activities
Proven history of generating superior results
Proof of valid and unrestricted driver's license required
Be available to work outside normal business hours based on business needs
Travel as needed to support business requirements
Skills:
Excellent written and verbal communication skills to effectively convey information to stakeholders
Ability to work collaboratively in a highly matrixed environment
Strong organizational and multitasking abilities to manage competing priorities
Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
Strong critical thinking skills
Ability to collaborate with team members and stakeholders
Travel:
Limited Travel, scheduled per needs of the business

About the Company

Healthmap Solutions (Healthmap) is an NCQA-accredited kidney population health management company. Healthmap uses advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees. We are champions for better health, for those who need us most. Know more