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CalOptima · 9 hours ago

Program Manager, Broker Management

Orange, CA

Full-time

Hybrid

Mid Level

$78K/yr - $125K/yr

3+ years exp

CalOptima is a mission driven community-based organization that serves member health with excellence and dignity. They are seeking a Program Manager for Broker Management to lead the development and implementation of special projects and initiatives within the OneCare Sales & Marketing team, ensuring compliance and enhancing broker performance.

GovernmentHealth CareNon Profit

Comp. & Benefits

Responsibilities

Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability

Ensures strategic direction of broker and agent strategy is in line with department goals and CalOptima Health's strategic priorities

Makes moderate to significant improvements of processes to enhance the performance of broker management

Develops and maintains reports to document broker performance and ensures brokers are meeting sales performance requirements

Ensures compliance with all company, Center for Medicare & Medicaid Services (CMS) and state Medi-Cal outreach regulations

Monitors, analyzes and reports on health care marketplace conditions, marketplace competitors and policy developments/changes

Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned

Develops an initial workplan for assigned projects and activities, and manages the scope, schedule, budget and quality of the project

Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs of assigned agents and FMOs

Develops specifications and/or scopes of work for requests for community activities and lead generation partnerships with agents and FMOs

Drafts presentations and provides reports to support broker training and education, and field activities

Attends and supports agents at community events and lead generation activities

Supports project workgroup activities

Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department

Assists, shares knowledge with and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects

Documents agent activity into CalOptima Health's broker customer relationship management (CRM) system

Assists management with strategic programs and pilots for the department

Supports the day-to-day team administrative activities

Completes other projects and duties as assigned

Qualification

Broker managementManaged care operationsCalifornia Department of Insurance LicenseProject managementSales experiencePublic health degreeAnalytical skillsMicrosoft OfficeCommunication skillsOrganizational skillsTeam leadership

Required

Bachelor's degree in public health, business, health care administration or related field PLUS 3 years of experience working in a sales role within health care programs is required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying

California Department of Insurance License

Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds

Work independently and exercise sound judgment

Communicate clearly and concisely, both orally and in writing

Work a flexible schedule; available to participate in evening and weekend events

Organize, be analytical, problem-solve and possess project management skills

Work in a fast-paced environment and in an efficient manner

Manage multiple projects and identify opportunities for internal and external collaboration

Motivate and lead multi-program teams and external committees/coalitions

Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment

Ability to visually read information from computer screens, forms and other printed materials and information

Ability to speak (enunciate) clearly in conversation and general communication

Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions

Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting

Lifting and moving objects, patients and/or equipment 10 to 25 pounds