Job Title: Program Manager
Immediate Supervisor Title: Director of Operations
Job Supervisory Responsibilities: Management and support of clients. May supervise variety of staff including team leaders.
Location: Manhattan, NY
An exempt position responsible for planning, directing, coordinating, and supervising the delivery of health care. Must be prepared to deal with evolving integrated health care delivery systems, technological innovations, an increasingly complex regulatory environment, restructuring of work, and more emphasis on preventive care. Management position responsible for executing the business development strategy and strengthen client development & retention by demonstrating effective communication, presenting statistical reporting and aligning the client’s vision with ours to ensure success.
Essential Job Responsibilities:
Demonstrates the clinical knowledge and judgment required to manage assigned clinics, utilizing the medical assistant staff to assess, plan, implement, provide, supervise and evaluate each patient’s clinic experience.
Demonstrates management skills to orient, schedule and coordinate staff.
Demonstrates regard for the right of all patients and personnel and provides respectful and considerate care focused on improving the business aspects of health care operations and the quality of the health care provided.
Provides a safe environment for patients, families and personnel.
Effectively collaborates with administrative staff and physicians to optimize efficiency of a variety of related services ranging from inpatient care to outpatient follow-up care.
Responsible for clinical operations and staff adherence to company policies, objectives, and procedures. Reports on department results and outcomes.
Participates in staff human resource planning and decisions, including hiring, training, supervision, and evaluating personnel and their work.
Develops budgets including recommendations for equipment outlays.
Coordinates activities with other clinical managers, administrative staff, and physicians.
Manages overall delivery of CareATC services by developing relationships and providing support and guidance to existing and potential customers to ensure continued partnership.
Provide expertise and customer service support to clients and team members.
Identifies and resolves operational problems using defined processes, expertise and judgment.
Investigate first-level customer service issues as identified within area of expertise and communicate resolution to the client.
Ensures the established and un-established quality standards of CareATC are being delivered to meet or exceed the client’s expectations.
Determines key priorities and meets with client for reviewing and analyzing monthly and quarterly reports or as requested from client.
Determine key priorities in strategic and operational planning to ensure continuous quality services are delivered.
Integrate the principles and values of continuous quality improvement.
Work closely with the Clinic Service Manager & Corporate Support Center to provide excellent customer service.
Demonstrates in-depth knowledge of employer medical plans for both fully and self-insured plans. Understanding the specific client’s health plan, layers of benefits/participation requirements, types of deductibles, outcome-based incentive programs, wellness programs, etc.
Leads cross functional multi-partner team to shape the overall success of the initiative by managing implementation activities for new clients.
Leads stakeholder meetings and manages a post implementation support to ensure successful partner collaboration and program success.
Maintains ongoing client contact (weekly calls & monthly/6week/quarterly meetings) to discuss utilization, PHAs, marketing, reporting, operational and financial needs, wellness programs, new program development.
Annual Activities- Health plan performance reviews, Aggregate PHA results, formulary review, strategic planning, health/benefit fairs, employee meetings.
Coordinates in-services with client, health insurance providers and wellness center staff to support ongoing improvements and new initiatives.
Monitors, understands and communicates utilization and service quality, patient satisfaction surveys, and complaints.
Other Duties as assigned