Program Manager

• Lead the Population Health Management Program (SPHMP), expanding the program and delivering on all financial and clinical goals
• Understand contractual obligations to the health care plan partner, in full, and ensure that all are met successfully at all stages of program implementation and delivery
• Create a plan to implement new programs, in partnership with the GM of Population & Speciality Health and the implementation team
• Solve problems throughout implementation to ensure goals are met and health plan partners are satisfied
• Deliver against monthly and quarterly enrollment objectives through SMART metrics and KPI’s
• Elevate team performance by providing comprehensive coaching and mentorship
• Ensure all team members know how to perform core functions of their job
• Collect and synthesize data to support team training, improve high-quality engagement, and deepen internal understanding
• Analyze team activities, inputs, and outcomes to develop continuous improvement plans
• Partner with People Operations to hire, coach and mentor an exceptional team
• Manage and report on operational budgets for the program
• Identify Member’s behavioral health diagnoses and ensure comprehensive service plans
• Partner with the billing team to review and approve claims
• Ensure compliance with all local, state, federal laws, and health plan rules and regulations
• Lead internal chart review for partner audits
• Participate in a rotating on-call schedule to support members.

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