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Providence Health & Services Project Manager, Managed Care Finance in Mission Hills, California

Description:

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Providence is calling a Project Manager Managed Care Finance (Full time/Day shift) to our Providence Facey Medical Foundation in Mission Hills, CA.

We are seeking a Project Manager Managed Care Finance who will develop and manage projects, including HCC/RAF initiatives, software vendor communication and updates, resource allocation and management, process improvement workflows, operational efficiency initiatives, and others assigned by management. Report to Regional Director and Regional Manager of Managed Care Finance department. Work on ad-hoc and routine report scope definitions, creation and improvement initiatives.

In this position you will:

  • Deliver upon the service expectations of both our patients and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than expected

  • Respect the dignity, confidentiality and privacy of patients

  • Work in a safe manner, adhering to general safety precautions and standards. Report any unsafe conditions to their supervisor and/or the safety hotline

  • Act as a project management and process improvement resource to Regional Director and Regional Manager of Managed Care Finance

  • Manage and reports on all phases of department initiatives, including but not limited to:

  • RAF reporting

  • HCC metrics and performance indicators, Coding and compliance

  • Patient outreach and reporting

  • Physician and team performance, Group support and analytics

  • Capitation reconciliation and metrics

  • Quality metrics and performance (P4P, Stars, HEDIS)

  • Financial performance and analysis

  • Organize and documents all phases of existing and new projects, while closely collaborating with internal and external resources.

  • Help document workflows for:

  • Software management and ongoing database development

  • Analytics and performance reporting

  • Cross-departmental projects and initiatives, as well as processes set by management

  • Participate in workshops, meetings and seminars to gain knowledge and expertise to perform functions better

  • Able to travel to all regional sites in a consistent, timely and efficient manner; holds effective meetings and leads workgroups, assigns and takes over deliverables, reports to and coordinates with the regional director and manager on the priorities and workload management; strives to exceed expectations

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree

  • Must be six sigma green belt or above certified, with applicable and related experience in healthcare

  • 3 years related experience in project management in healthcare field

  • Significant experience working at a strategic level in a mid to large size organization, preferably in Physician

  • Knowledge of business planning processes and tools, forecasting, scenario building techniques, knowledge of lean design principles and their implementation is required

  • Healthcare coding general knowledge is a plus

  • Superior organizational skills and ability to manage and prioritize multiple projects in support of enterprise-wide strategic initiatives and goals while delivering quality service

  • Creative problem identification, conceptualization, and contingency thinking skills are required

  • The ability to work well with individuals from a variety of disciplines with diverse levels of knowledge

  • Must exhibit strong process orientation, efficiency, collaboration, candor, and be results-oriented

  • Strong computer skills: MS Word, Excel, PowerPoint, Access, Visio, Project, MapPoint, Adobe

  • Effective presentation skills, strong critical thinking and analytical skills

  • Proactive commitment to advancing healthcare outcomes with a patient-first approach

  • Clear, well-developed oral and written communication skills

  • Ability to manage accelerated work pace with multiple deliverables

  • Ability to recognize and generate new or modified approaches that are results-oriented

  • Strategic business focus and understanding of how projects are tied to business goals and objectives

Preferred qualifications for this position include:

  • Hospital or medical group experience

  • AF/HCC and Quality Measure experience

About the organization you will serve:

Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita, and Simi Valleys. The group began as a single medical practice over 90 years ago.

Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Project & Program Management (Non-Clinical)

Location: California-Mission Hills

Req ID: 289886

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