[Remote] Provider Program Manager - APM

Note: The job is a remote job and is open to candidates in USA. TriWest Healthcare Alliance connects America’s veterans and service members with health care in the community. The Provider Program Manager oversees the design, implementation, delivery, and communication of enterprise-wide provider services programs, serving as both a subject matter expert and delivery lead. The role collaborates with executives and stakeholders to manage programs related to value-based care, provider education, or credentialing.

Responsibilities

• Performs as a subject matter expert by designing, developing and implementing assigned programs that meet contract requirements such as value-based care, provider education or credentialing
• Develops effective collaborative relationships with TriWest’s inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives
• For value-based care program: Assists in the development of sophisticated health care economics models to evaluate the efficacy of various value-based care scenarios and models
• Monitors industry trends related to value-based care, including other payer programs and government led programs and demonstrations
• Researches, identifies, and reports potential risks and issues related to value-based care programs to organizational leadership
• Works closely with assigned teams’ leadership and respective team members to ensure projects and programs are well defined, planned, executed, tracked, and communicated in a transparent, consistent, and effective manner. Acts as the lead on business requirement development for area of responsibility
• Tracks, analyzes, and summarizes data for reporting, decision making, and follow-up action plans
• Works with stakeholders and other subject matter experts to build documents and tools to support goals
• Prepares meeting agendas to include meeting summaries and due outs
• Builds project schedules and tracking templates to monitor progress
• Facilitates solution design sessions and creates follow-up action plans
• Performs first-level primary research and discovery to scale and optimize current operations
• Partners with enterprise QPI team to develop project methodologies, processes, tools, and standards in support of maturing capabilities
• Other duties as assigned
• Regular and reliable attendance is required

Skills

• Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position
• Bachelor's Degree in Business, Healthcare Administration, or other related field, or equivalent experience
• U.S. Citizenship
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 7+ years of managing projects and/or programs at an enterprise level with at least 5 years in a healthcare related industry and specifically in value based care or alternative payment models provider credentialing, or provider education
• Demonstrated success in designing, implementing, and delivery of value-based care, provider education or provider credentialing programs
• Advanced verbal and written communication skills, with ability to lead and motivate diverse teams
• Experience managing vendor/partnership relationships
• Experience utilizing Microsoft Office Suite (Word, Excel, PowerPoint, Project, Access)
• Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate
• Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications
• Provide clear performance expectations for projects and ensure adequate access to resources for completion
• Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position
• Successfully manage different styles of employees; provide clear direction and effective coaching
• Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment
• Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail oriented
• Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues
• Previous experience and demonstrated success leading and managing large and complex enterprise projects and programs
• Proficient with Microsoft Project, Project Server, Visio, and SharePoint Services
• Master's Degree in Business, Healthcare Administration, or other related field
• Project Management Professional (PMP) certification
• Program Management Professional (PgMP) Certification
• Experience working with Department of Veterans Affairs and/or Military Health System/TRICARE

Benefits

• Remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).
• Frequent pay raises
• Overtime opportunities to earn even more
• Recognition and reward programs
• Medical, Dental and Vision Coverage
• 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

Company Overview