医疗保险项目经理

申请

地点： 加州远程

We have an opportunity to join the Alliance as the Medicare Program Manager in the Medicare Administration Department. 

您将承担的责任

Reporting to the Medicare Operations Director, this position:

• Performs program planning and design in support of the development and implementation of the Alliance’s Medicare Dual Special Needs Plan (D-SNP) Program and performs ongoing operational program management
• Works collaboratively with all Alliance departments to ensure successful implementation and ongoing management of the D-SNP Program
• Engages with external stakeholders and provides operational support and relationship management for vendor-delivered programs with a focus on quality, accessibility, sustainability, and integration within the Alliance

关于团队

联盟的医疗保险管理团队规模虽小，但实力强大！该团队由少数才华横溢、敬业奉献的个人组成，他们跨职能工作，以实现目标和目的，支持建立和管理联盟的第一个 D-SNP 计划，于 2026 年 1 月 1 日生效。这个团队充满活力且灵活，重视协作集思广益，成为彼此的思想伙伴，并自由交流想法以获得最佳结果和成果。 

理想候选人 

• 具有执行有效业务战略的良好记录，并有能力执行并交付成果 医疗保险优势计划和/或 D-SNP 计划
• Some experience with the Medicare enrollment process and familiarity with CMS guidelines and turnaround times related to enrollment
• Comprehensive program planning and development, management, and evaluation skills.
• 表现出领导能力，能够影响和激励团队成员和同事实现项目目标
• Demonstrated skill in thinking critically, with the ability to interpret complex Medicare requirements and implement them into business operations
• Champion change management to adopt new program, policies & processes for seamless integration with current operations
• 具有出色的项目管理和人际交往能力，注重协作
• 出色的书面和口头沟通和演讲技巧
• 工商管理、卫生管理、公共政策或相关领域的硕士学位
• Experience working with Medi-Cal products preferred 

你需要什么才能成功

阅读完整的职位描述和要求列表 点击这里.

• 的知识：
• The methods and techniques of Medicare Advantage or D-SNP implementation and/or operational program management
• The methods and techniques of Medicare product implementation and/or management
• 项目开发、实施、管理和评估的原则和实践
• 与 Medicare Advantage 或 D-SNP 相关的复杂实践、问题和理论原则，包括市场和监管环境
• State and Federal legislative processes
• 有能力：
  • 与跨职能团队有效合作并与利益相关者建立牢固的关系
  • Act as a technical resource and explain complex laws, regulations, processes, and programs related to areas of responsibility
  • Demonstrate strong analytical skills, accurately collect, manage, and analyze data, identify issues, offer recommendations and potential consequences, and mitigate risk
  • Identify, discuss, evaluate, and resolve complex and unusual problems in a timely manner
  • 同时管理多个项目，组织工作并实现目标和时间表
• 教育和经验：
  • Bachelor’s degree in Business, Health Administration, Public Policy, or a related field
  • A minimum of eight years of experience in a managed care setting which included a minimum of three years of program/project management experience and one year of Medicare-Advantage and/or D-SNP experience (a Master’s degree may substitute for two years of the general managed care experience); or an equivalent combination of education and experience may be qualifying

其他信息

• 我们处于混合工作环境中，我们预计面试过程将通过 Microsoft Teams 远程进行。
• 虽然有些员工可能需要完全远程办公，但他们仍需要参加每季度的全公司活动或部门会议。
• 某些职位可能需要在办公室或社区内工作，具体取决于业务需求。面试过程中可以查看相关详细信息。

该职位的全部薪酬范围按地点列出如下。 

该职位的实际薪酬将根据我们的薪酬理念、对选定候选人的资历（与职位、教育或培训相关的直接或可转移经验）的分析，以及其他因素（内部公平、市场因素和地理位置）来确定。

1区典型区域：湾区、萨克拉门托、洛杉矶地区、圣地亚哥地区

2 区典型地区：弗雷斯诺地区、贝克斯菲尔德、中央谷地（萨克拉门托除外）、加州东部、尤里卡地区

Apply for Medicare Program Manager