L.A. Care Health Plan

Enterprise Risk Adjustment and Encounters Program Manager II

L.A. Care Health Plan

full-time

Posted on:

Location Type: Office

Location: Los AngelesCaliforniaUnited States

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Salary

💰 $88,854 - $142,166 per year

About the role

  • Oversee cross-program activities and ensure the programs achieve their goals
  • Formulate, organize and monitor inter-connected programs
  • Develop and control deadlines and activities
  • Monitor and evaluate Key Performance Indicator (KPI) and return on investment (ROI)
  • Support cost accounting activities and collaboration with other stakeholders as necessary
  • Provide guidance to staff
  • Partner with stakeholders to drive program initiatives improving operating performance such as yield improvements and labor efficiency, balance sheet optimization, and total cost reductions
  • Direct all phases of programs from inception through completion
  • Set priorities and milestones for individual projects and team initiatives within the program
  • Support the implementation and maintenance of internal procedures, policies, and practices to ensure proper safeguarding of L.A. Care’s assets.

Requirements

  • Bachelor's Degree in Data Analytics or Related Field
  • At least 4 years of experience in handling encounter data and/or risk adjustment programs or projects
  • At least 4 years of work experience performing problem solving, policy, and/or program implementation
  • Experience with Process Improvement Methodology including defining and documenting workflow
  • Experience with Workflow Tools - JIRA, Data Lake, Project Server etc.
  • Technical program experience in large distributed systems, complex competing environments, Micro services Architecture, Cloud computing etc.
  • Experience resolving effective program critical metrics and using them to measure program success and identify issues
  • Experience in program management tools and knowledge of both Agile and Waterfall methodologies and ability to apply them when best suited.
Benefits
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Data AnalyticsProgram ManagementProcess Improvement MethodologyWorkflow DocumentationMicroservices ArchitectureCloud ComputingKPI MonitoringROI EvaluationCost AccountingPolicy Implementation
Soft Skills
Problem SolvingGuidanceCollaborationOrganizational SkillsPrioritizationCommunicationStakeholder ManagementTeam LeadershipPerformance ImprovementCritical Thinking
Certifications
Bachelor's Degree in Data Analytics