Manager, Performance Programs

$25,000 - $50,000/Yr

Prospect Medical Holdings - Orange, CA

Full-time - Manager

Orange, CA

251-500 employees

Hospitals

About the position

The Performance Program Manager is responsible for the planning, organization, and successful execution of performance programs within the company, focusing on CMS STAR management, HEDIS, and Total Cost of Care. This role involves motivating the team to achieve measurable gains, ensuring quality and timeliness of work, and coordinating communications among various stakeholders. The manager will oversee multiple complex projects and manage data gathering and entry into relevant systems.

Responsibilities

• Manage, select, hire, train and motivate staff to achieve day-to-day and long-range operational goals.
• Coordinate resources required to meet the business units' objectives and manage the resolution of escalated problems.
• Review and appraise the progress and performance of staff, designing developmental programs tailored to their career goals.
• Assess potential project risks, create and implement corrective action plans, and develop new procedures to generate additional revenue.
• Initiate new programs, enhance existing programs, and continuously assess the need for resources and tools.
• Provide comprehensive communication and education to internal and external staff and customers.
• Assist with provider, staff, and member training, and may coordinate annual chart audits and claim resolutions.
• Initiate communication regarding missing tests and measures to members and providers.
• Produce accurate staff and productivity reports in a timely manner.
• Identify areas needing improvement and initiate cost-effective solutions.

Requirements

• Bachelor's Degree with emphasis in business administration, IT, or Health care preferred or equivalent experience.
• Five or more years of experience in project coordination or management of small, medium, and large projects, preferably in health care.

Benefits

• Health Insurance
• 401K Plan
• Tuition Reimbursement
• Loan Forgiveness
• Sign-on Bonus for RNs
• Relocation Assistance for RNs and LVNs