Program Manager IV, Virginia Medicaid Program

Kaiser Permanente • Hyattsville, MD

308d

About The Position

The Program Manager IV will oversee initiatives supporting Kaiser Permanente's Virginia Medicaid populations in the Mid-Atlantic region. They will drive continuous improvement efforts across the Health Plan, focusing on implementing Medicaid process enhancements, particularly in collaboration with Care Management teams. The role involves managing the execution of strategic initiatives for Medicaid, from conception to completion, developing KPIs to track progress, and partnering with various departments to redesign processes, improve efficiency, and achieve optimal outcomes.

Requirements

• Minimum one (1) years experience in a leadership role with or without direct reports.
• Bachelors degree from an accredited college or university and minimum five (5) years experience in project management or a directly related field, including minimum two (2) years program management experience OR Minimum eight (8) years experience in project management or a directly related field, including minimum two (2) years program management experience.

Nice To Haves

• Knowledge of Change Management
• Negotiation skills
• Applied Data Analysis
• Financial Acumen
• Conflict Resolution
• Managing Diverse Relationships
• Project Management Tools
• Risk Assessment
• Quality Assurance Process
• Service Focus
• Strategic Program Management

Responsibilities

• Manages medium-to-large scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions.
• Leads the work of program teams by coordinating and monitoring internal and/or external resources.
• Proactively monitors and identifies program risks, issues, and trigger events by developing mitigation plans and strategies.
• Monitors compliance of program activities by ensuring program plans and team members adhere to relevant policies and procedures.
• Ensures the alignment, buy-in, coordination, and support of diverse program stakeholders.
• Assists with reviews of vendor performance levels, ensures service level agreements are met, and assists with contract negotiations with vendors.
• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise.
• Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects.
• Collaborates cross-functionally and/or externally to achieve effective business decisions.
• Supports the development of work plans to meet business priorities and deadlines.
• Identifies and capitalizes on improvement opportunities across teams.
• Develops, analyzes, and manages increasingly complex program plans.
• Manages and monitors program financials for medium-to-large-scale programs.
• Drives allocation of resources, establishes schedules, and task assignments.
• Requests and coordinates internal and/or external resources based on team member skills and program demands.
• Communicates tough issues to stakeholders while maintaining an independent opinion.

What This Job Offers

• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree