Program Manager - Healthcare (remote) - Michigan Peer Review Organization

About iMPROve Health

Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization. We are both a Cool Place to Work (Crain’s Detroit Business) for the last 5 years and one of the Best Places to Work in Healthcare as judged by Modern Healthcare. As a nonprofit organization, we have more than 40 years' experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health provides medical consulting and review, as well as data analysis to federal agencies, state Medicaid and public health organizations, healthcare facilities, private health plans and other third-party payers. We also have extensive experience completing thoughtful and impartial utilization review, dispute resolution and peer reviews. Our goal is simple – to help healthcare get better!

This position is fully remote and provides the opportunity to work virtually with team members from anywhere within the United States. We pride ourselves on providing a great work/life balance for employees, while also providing the ability to promote their career development and gain new skills through employee education opportunities. iMPROve Health offers a wonderful benefit package that includes medical, dental, vision, life insurance, short term and long-term disability, and a generous 401k match.

iMPROve Health is committed to improving the quality, safety, and efficiency of healthcare. Although we do not see patients, we are healthcare professionals (including physicians and nurses) and consultants who work with healthcare providers to promote the adoption and use of evidence-based best practices and processes to achieve our healthcare quality goals. Our services offer our clients and partners access to a proven, impartial, connected resource that understands the intricacies of healthcare. It is our #1 priority to provide thoughtful evidence-based strategies and solutions that help them achieve their healthcare quality improvement goals and outcomes.

iMPROve Health is an equal employment opportunity employer.

*Must be able to work M-F normal business hours in EST.

*Periodic travel will be required.

SUMMARY:

The Program Manager is responsible for overseeing the design, implementation and management of all contracts including providing oversight of direct reports. The Program Manager provides guidance and leads implementation of strategies fostering attainment of project goals.

DUTIES AND RESPONSIBILITIES:

• Manage daily operations of assigned project/contract area including working with Managing Director to establish and discuss budget variances, as appropriate.
• Mentor, guide and provide day-to-day supervision of direct reports.
• Provide oversight of direct reports and assist with identification of strategies to ensure assigned roles and responsibilities, as described in the corresponding job description, are met.
• Comprehend and monitor all contract aspects related to assigned task(s) including deliverable schedule and metrics keeping the Managing Director informed of potential risks.
• Ensure all project activities are delivered in accordance with quality, performance, and timeliness working with team members to mitigate barriers.
• Foster integration across all initiatives including working with other project managers and the Managing Director to align strategies.
• Delegate activities according to job and skill level.
• Actively partake in identifying and securing new business opportunities.
• Facilitate and implement methods aimed at creating a high-functioning integrative team.
• Apply quality principles knowledge, acquired clinical/technical expertise and experience to employ strategies to support attainment of project goals.
• Actively facilitate a collaborative team model to identify and implement improvement strategies and interventions across the healthcare continuum.
• Lead, facilitate and/or assist team members with the following for all assigned tasks: strategic planning and implementation; recruitment, technical assistance; quality improvement methodology deployment; data interpretation; deliverables; and report writing.
• Lead and develop strategies and methodologies to guide project teams in deploying evidenced based interventions
• Employ techniques that aid in the identification of insights that guide strategic decisions

• Assist in the development and monitoring of dashboards while ensuring prompt communication of at-risk measures.
• Initiate development of job aids and standard operating procedures.
• Proactively identify challenges and deploy mitigation strategies.
• Demonstrate personal accountability and work ethic.
• Model accountability for self-learning activities as well as the sharing and transfer of knowledge.
• Attend and/or presents at local, state or national conferences/meetings on relevant healthcare topics.

• Develop external relationships and maintain customer satisfaction.
• Adheres to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS).

SUPERVISORY RESPONSIBILITIES:

• Direction Received: Infrequent supervision or direction provided
• Supervision Exercised: Specific or close on special projects

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. This includes abilities needed to perform any regular duty, regardless of how often the duty is performed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE:

• Bachelor’s degree in healthcare related field required, advanced degree preferred
• State of Michigan licensure required for some positions
• Minimum of 4 years of clinical or related healthcare experience required
• Minimum 1-year project management experience required
• Minimum of 4 years of experience required in a Quality Improvement Organization or similar contract experience
• Ability to read and interpret federal/state contracts and regulations
• Excellent written and verbal communication skills including public speaking required
• Exceptional organizational, project management and customer service skills required
• Experience with electronic documentation
• Ability to multi task working on more than one contract/project simultaneously
• Excellent customer service skills required
• Demonstrated proficiency in interpreting federal/state contracts and regulations
• Travel Required

COMPUTER SKILLS:

• Proficient in Microsoft Word and Excel, PowerPoint, and Teams
• Health information technology experience/knowledge preferred
• Working knowledge of SharePoint and workflow programs.

CERTIFICATES, LICENSES, REGISTRATION:
CPHQ recommended

WORK ENVIRONMENT AND ENVIRONMENTAL CONDITIONS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Job duties are performed in a virtual environment
• Limited exposure or very limited to physical risk
• Noise level in work environment usually moderate
• External work environments cannot be controlled, and are subject to change due to location of event