Health Plan Associate – Program Management

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November 13

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Habitat Health

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Healthcare Insurance • Wellness • Social Impact

Habitat Health is a healthcare organization focused on empowering older adults to live independently in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), Habitat Health provides comprehensive health insurance coverage and medical and social care services. Their services include transportation, personal care, 24/7 care access, physical therapy, nutrition support, pharmacy and prescriptions, medical care, and social services. Operating in partnership with notable healthcare providers such as Kaiser Permanente, Habitat Health is committed to creating a supportive and inclusive environment for both participants and staff, ensuring the provision of personalized, coordinated care. Founded in 2023, the company aims to enhance the lives of older adults covered by Medicare or Medicaid.

2 - 10 employees

Founded 2023

⚕️ Healthcare Insurance

🧘 Wellness

🌍 Social Impact

📋 Description

• We are looking for a detail oriented, results driven individual who will drive assigned program outcomes from initiation to close-out in a defined timeframe. • The Health Plan Associate – Program Management plays a central role in coordinating and monitoring cross-functional projects that span claims, authorizations, pharmacy (Part D), provider network, eligibility/census management, member services, and other Health Plan program management. • This role focuses on project execution, risk identification, and operational readiness, helping the Health Plan leadership team ensure key initiatives, regulatory deliverables, and performance improvements stay on track across all areas for both current and future Health Plan products. • Lead cross-functional healthcare projects and initiatives with varying levels of risk and/or complexity. • Support Health Plan leadership in driving projects and initiatives that cut across multiple domains (e.g., new vendor implementations, regulatory audits, process standardization, data integrity efforts). • Develop, maintain, and monitor project schedules, milestones, and deliverables; track dependencies across teams. • Prepare resource and timeline estimates, proactively identifying risks and constraints; recommend adjustments to keep work on target. • Coordinate and facilitate project meetings with internal stakeholders and external partners; create and distribute agendas, meeting minutes, and status reports. • Follow up with responsible parties to ensure timely completion of open items and escalation of barriers. • Lead operational oversight and process-improvement processes for the Health Plan function.

🎯 Requirements

• Aligns with our purpose and values and is excited about living those out in daily practice. • 2-4 years of demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Specific healthcare and/or health plan experience required. • Excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. • Can skillfully navigate multiple external systems including those operated by Medicare and Medicaid • High proficiency with general Microsoft applications, including Share Point as well as Smartsheet's. • Ability to forecast project challenges and define solutions to maintain compliance with policies and procedures, quality, and schedule. • Must have reliable access to printing resource.

🏖️ Benefits

• Medical, Dental, and Vision plans with competitive coverage for employees and dependents • Health Savings Account with employer contribution • Flexible Spending Account • 12 weeks of fully paid Parental Leave for birthing and non-birthing parents • 401k with match • CME and License Reimbursements for clinical team members • Short and Long Term Disability • Voluntary Life Insurance • Paid Vacation Time • Paid Sick Time • 10 company holidays • Employee Assistance Program with access to mental health programs, legal and financial support, and much more!