Provider Program Manager - Provider Strat Value Care

Overview

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, , 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). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

The Provider Program Manager is responsible for overseeing the design, implementation, and delivery of processes, programs, and policies in an assigned functional area within the provider services departments. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.

The Provider Program Manager will function as both a subject matter expert (SME) and delivery lead, and will be assigned to a specific functional area such as strategic planning, business development, or ePMO.

Required:

• 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 alternative payment models, provider credentialing, or provider education
• Demonstrated success in designing, implementing, and delivery of provider 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)

Preferred:

• 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

• As part of an assigned team, develop effective collaborative relationships with Tri West’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 Tri West meets contractual requirements and fulfills organizational objectives.
• Work closely with the assigned team’s 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. Act as the lead on business requirement development.
• Track, analyze, and summarize data for reporting, decision making, and follow-up action plans.
• Work with stakeholders and other subject matter experts to build documents and tools to support goals.
• Prepare meeting agendas to include meeting summaries and due-outs.
• Build project schedules and tracking templates to monitor progress.
• Facilitate solution design sessions and create follow-up action plans.
• Perform first-level primary research and discovery to scale and optimize current operations.
• Partner 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.

• Communication / People
  
  Skills:
  
  Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.
• Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, Tri West Intranet, the Internet, and department software applications.
• Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary.
• Delegation
  
  Skills:
  
  Provide clear performance expectations for projects and ensure adequate access to…