Health Plan Associate – Program Management

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $67k - $87k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Program Manager

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Habitat Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2023

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

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.

📋 Description

• Lead cross-functional healthcare projects, initiatives, and operational process improvements for the Health Plan function • Drive projects across multiple domains, including vendor implementations, regulatory audits, process standardization, and data integrity efforts • Maintain end-to-end work plans for enrollment, authorizations, claims, pharmacy, and network performance • Identify risks, dependencies, and inefficiencies • Develop and maintain project schedules, milestones, and resource/timeline estimates • Partner with subject-matter experts to document processes and design improvements aligned with regulatory and organizational goals • Coordinate and facilitate meetings with internal stakeholders and external partners • Track outcomes against operational metrics, including timeliness, accuracy, and compliance adherence • Follow up on open items, correct course when work goes beyond scope or off-target, and escalate barriers to Health Plan leadership • Own Health Plan regulatory processes and filings, reporting submissions, and compliance deliverables • Maintain a master regulatory calendar and proactively flag deadlines • Balance regulatory obligations with day-to-day functions and ongoing projects • Serve as Health Plan lead for go-live readiness on new center openings • Represent Health Plan in go-live planning and readiness activities • Track go-live milestones, resolve open items, and confirm operational readiness before launch

🎯 Requirements

• 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 • Ability to communicate effectively at all levels internally and externally • Ability to navigate multiple external systems, including those operated by Medicare and Medicaid • High proficiency with general Microsoft applications, including SharePoint, as well as Smartsheet • Ability to forecast project challenges and define solutions to maintain compliance with policies and procedures, quality, and schedule • Prior experience in PACE (nice to have)

🏖️ Benefits

• Target annual bonus • Additional incentive compensation, as applicable • Medical insurance • Dental insurance • Vision insurance • Paid parental leave • Short-term disability coverage • Long-term disability coverage • Life insurance • Flexible spending accounts • 401(k) savings plan with a match • Paid time off • Company-paid holidays • Reasonable accommodation for disability, medical condition, or sincerely held religious belief, practice, or observance