Program Manager, Consultant - Committee Oversight

Your Role

The Clinical Operations Oversight team is responsible for managing key and critical health plan program functions and processes. The Program Manager, Consultant will report to the Senior Manager, Quality Governance. In this role you will be responsible for the coordination and implementation of the overarching clinical operations committee structure and governance, and ensuring the readiness of related documentation, which may be used as evidence of operational oversight compliance efforts. The Program Manager, Consultant will manage the creation and maintenance of a tracking and monitoring mechanism for all committee administrative activities and ensure clear documentation and ongoing monitoring of committee scope and participants.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience, including in health plan or managed care
• Requires experience leading, guiding, and managing complex non-technical programs
• Requires ability to understand and interpret regulatory standards, such as TAGs and NCQA Standards
• Requires excellent communication skills, both oral and written
• Requires demonstrated investigative, problem solving, critical thinking and assessment skills
• Requires proficiency in use of PC-based software programs including Microsoft Word, Excel, PowerPoint, Outlook, and SharePoint with strong typing skills
• Committee governance and regulatory compliance strongly preferred
• Demonstrated experience in cross-functional operational improvement activities strongly preferred
• Strong organizational skills required; project management experience strongly preferred

#LI-AD3