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Program Manager, Sr. (Student Behavioral Health Incentive Program)
Company | CalOptima |
Address | Orange, CA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-10-03 |
Posted at | 8 months ago |
Posted Date
- Completes other projects and duties as assigned.
- Severs as the lead contact representing the Contracting department as a subject matter expert for SBHIP’s contract documents and requirements.
- Works with executives and leadership to identify and problem-solve complex SBHIP provider contracting and/or operational issues, as needed.
- Maintains effective interpersonal relationships with stakeholders and works with the stakeholders to resolve issues proactively.
- Leads SBHIP contracting efforts and operational project planning, implementation and management in collaboration with CalOptima Health’s Behavioral Health department and other internal departments.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Negotiates, coordinates and implements complex SBHIP provider contracts and MOUs with the school districts in Orange County, within defined timelines and targets.
- Provides regularly scheduled updates to Manager of Contracting and Director of Behavioral Health Services (or designee) regarding the status of the contracts/MOUs and operational implementation of the contracts/MOUs once the agreements are executed.
- Facilitates positive and collaborative communications with the OCDE and 29 school districts in Orange County to ensure SBHIP goals and objectives are achieved.
- Analyzes, identifies, implements and manages changes to project scope, schedule and resources.
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Researches and negotiates specific contracting and operational issues, develops and analyzes options and makes decisions to keep the project moving forward.
- Develops detailed project plans, tasks, due dates and tracks progress of contracts and operational implementation of the contracts.
- Coordinates with Legal to prepare and update contracts and related materials as needed.
- Works with providers and their related business personnel to negotiate and manage provider contracts.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
- 2 years of experience managing and implementing complex projects in a health care delivery system required.
- General experience working with school districts required.
- 3 years of experience in managed care contracting for Medi-Cal with a health plan or large provider delivery system required.
- Bachelor's degree required.
- 3 years of Medi-Cal managed care contracting experience in Southern California market.
- Physical demands: While performing duties of job, employee may be required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift office supply boxes or laptop case while traveling, up to 25 pounds. Employee must be able to communicate, particularly for regular phone use, in meetings, face-to-face interaction and while presenting.
- Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures.
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