Alternative HealthCare ProgMgr at TriWest Healthcare Alliance in Phoenix, Arizona

Job Description:

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)

Job Summary

The Alternative Health Care Program Manager is responsible for managing the operational relationship between TriWest and its partners that offer alternative access points for care (e.g. telehealth, mobile care, etc.). The Program Manager will help to facilitate direction regarding network, communication, provider education and training, clinical quality, file exchange requirements (e.g. provider or eligibility files), claims integration and reporting. The Program Manager may assist with ensuring that the subcontractor fully understands and meets program requirements.

Education & Experience

Required:

• Bachelor's degree in Business Administration, Finance or Health Care Administration or similar degree; OR equivalent experience
• 3+ years' related experience with alternative health care as part of program management approach or as component in network management
• Proven ability to execute across multiple locations and stakeholder groups
• Experience working on and influencing teams to produce desired outcomes
• Experience with data analysis, statistical analysis, process flow mapping and report design, including proficiency with database querying and the Microsoft Product Suite (specifically Word, Excel, PowerPoint, Project, and VISIO)

Preferred:

• MBA
• Experience with quality programs (Six Sigma, Total Quality Management, Continuous Quality Improvement or other quality concepts)

Key Responsibilities

• Serves as one of the key points of contact to address program implementation issues, network management, provider education and communication needs and system integration
• Manages relationship with the primary subcontractor and/or network partners related to network management and all related work streams (e.g. provider education)
• Collaborates, and coordinates support the subcontractor may need such as program education materials
• Determines the impact of government contract requirements and specific business initiatives on operations and communicates those impacts to primary subcontractor's stakeholders
• Identifies and communicates opportunities for redefinition of operational and management processes based upon analyses of "lessons learned" in order to improve operations effectiveness and efficiency
• Creates, manages and executes action plans, developed in conjunction with the primary subcontractor, to improve operations and adherence to contract standards
• Communicates operational changes and training and program materials to primary subcontractor stakeholders for distribution to staff
• Assists with special projects and other duties, as assigned by TriWest Senior Leadership

Competencies

Communication / People Skills: Clearly presents information through spoken or written communication; Effectively reads others and adapts communication patterns to multiple individual styles; Demonstrates ability to influence or persuade others in positive or negative circumstances; Ability to listen critically for relevant information; Clearly demonstrate respect for others

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required

Independent Thinking / Self-Initiative: Critical thinker with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources

Information Management: Ability to manage large amounts of complex information easily, communicates clearly, and draws sound conclusions

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment

Organizational Skills: Detail-oriented; Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources

Team-Building / Team Player: Ability to influence the actions and opinions of others in a positive direction and build group commitment; Adapt to different styles; Listen critically; collaborate

Technical Skills: Advanced knowledge of Microsoft Word, Excel, and PowerPoint; Ability to function without direction to produce outcomes within timelines; Proficiency with project management skills, data analysis, and quality improvement concepts; Collaboration skills and team-oriented approach; Presentations and meeting facilitation skills

Working Conditions

Working Conditions:

• Availability to work non-regular hours, including weekends, as required
• Works within a standard office environment, with up to 50% travel
• Extensive computer work with long periods of sitting

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage


• Generous paid time off


• 401(k) Retirement Savings Plan (with matching)


• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance


• Tuition reimbursement


• Paid volunteer time

*Annual base salary for Colorado and Washington State residents: $99,000 - $110,000 depending on experience*

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

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