Director Government Programs, Geisinger Health Plan (Work From Home Eastern United States)

Job Summary

Primary relationship manager with the PA Department of Human Services (DHS). Manages the day to day operations of the State Government Programs (SGP) lines of business. Ensures the operational and financial success of the SGPs and supporting the development of strategies designed to sustain and grow the programs to provide high quality and cost-effective outcomes for members and patients.

Job Duties

• Establishes, documents and maintains an operational scorecard to monitor all aspects of State Government Programs.
• Manages employee performance within the department.
• Oversees the day-to-day operational activities supporting contract compliance.
• Researches and implements industry best practices in all aspects of the State Government Programs product line.
• Works with leadership to improve quality, reduce cost and enhance the member and patient experience.
• Identifies potential pilot programs and proposes their implementation to leadership and state and federal oversight agencies as applicable.
• Ensures compliance with all aspects of the HealthChoices agreement.
• Assures operational readiness for periodic audits.
• Leads the operational planning process and supports strategic planning processes.
• Establishes & maintains a collaborative relationship with DHS Contract Monitoring Team.
• Develops reports to display improvement in and compliance with all established policies and procedures.
• Develops and coordinates appropriate training for staff as well as staff from other departments that support State Government Programs.

Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details

Experience With The Following Preferred

• Experience managing Client relationships at a senior level.
• Medicaid Managed Care knowledge and expertise
• Medicaid policy expertise

Internet Requirements

Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:

• <75 ms Ping Required
• 5 MBPS UP
• Computer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection
• <30ms Gitter Required
• 20 Mbps DOWN

Education
Experience
Bachelor's Degree- (Required), Master's Degree- (Preferred)
Minimum of 5 years-Health Insurance/Managed Care (Required), Minimum of 2 years-Managerial/Supervisory (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.