Delaware First Health · 17 hours ago
Clinical Program Manager
United States
Full-time
Remote
Mid, Senior Level
$88K/yr - $158K/yr
5+ years expDelaware First Health is a diversified, national organization seeking a Clinical Program Manager to join their Medical Management/Health Services team. The role involves managing and tracking clinical projects that advance the strategic goals of the Health Plan, as well as facilitating the development of reports and data delivery to improve member experience and reduce healthcare costs.
Health CarePersonal HealthWellness
Responsibilities
Responsible for managing and tracking clinical projects that advance the objectives of strategic plan with key provider groups and/or hospital systems by supporting established committees and creating new work teams; including such activities as organizing and publishing agendas, documenting minutes, maintaining work plans and monitoring open action items
Works closely with the Regional Medical Director to analyze data and develop and implement key interventions to support the Triple Aim, including developing work plans, workflows, policies and procedures, and serving as workgroup leader when appropriate in order to execute initiatives
Serves as project leader for cross functional initiatives that are intended to drive performance improvement engaging across functional teams as needed to ensure effective communication of project requirements, as well as tracks progress of action plans
Facilitates the development of clinical reports and the delivery of data to key provider partners; as well as develops internal reports to demonstrate progress
Performs detailed analysis of data, workflows, policies, procedures and organization of staff, in order to execute initiatives
May use project management software to support initiatives
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Bachelor's Degree in Nursing, International Medical Graduate, Master's Degree in Public Health (MPH), Hospital Administration (MHA) or Business Administration (MBA) or equivalent experience
Five to seven years managed care, hospital or medical group experience, focusing on quality improvement, utilization management, or clinical operations
Experience analyzing and presenting data to drive outcomes
Experience making presentations in group settings
At least two years project management experience of managing a project at any level at a medical group, IPA or health plan setting
Licensed behavioral health clinician (LMFT, LCSW, LPC, Psychologist) or RN with experience in a psychiatric setting required
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
Delaware First Health
Delaware First Health offers Medicaid-managed care plans, improving individual and community health and wellness.
0-1 employees
Funding
Current Stage
Early StageLeadership Team
Bill Wilson
Plan President and CEO
Tiffany (Aany) Tazmin-Ewing, FSA, MAAA
Chief Financial Officer
Recent News
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