Program Manager DC LTSS

This position is responsible for operational management, account management, and business development for our DC LTSS Waiver Contract.  Operational management includes team accountability for evaluation measures, deliverables or project requirements.  Health management services may include:  population health management, practice facilitation, medical/utilization management, case/disease/maternity management and/or quality improvement activities. The position will be responsible for monitoring compliance in accordance with client and contract deliverables as well as service/accreditation requirements as applicable.

This position will be located in our D.C. Office  

• Manages the day to day operations of multiple and diverse health management lines of service and/or contracts/programs. Leads team in creation of a strategic plan, implementation of plan, evaluation and ongoing management to ensure contract deliverables/program requirements and evaluation measures/metrics are met and/or exceeded within assigned funding/budget.  When deliverables/requirements at risk, facilitates analyses and initiatives action plan.
• Develops and maintains relationships with team stakeholders.  Provides technical assistance, including issue research and resolution. Develops and implements process improvement methods for an organization whose philosophy is continual improvement. Depending on the scope of assigned area, may facilitate national programs/projects. Ensures the operations are completed in a timely, satisfactory, compliant manner within assigned funding/budget.
• Participates in sales, business development and proposal work activities including development of concept papers, contributing content or review of proposals as a subject matter expert.  Also has financial accountability for monitoring budgets and financials for assigned contracts.
• Coaches, guides and directs team members to achieve individual, team and organizational objectives. Fulfills the Telligen Management Philosophy that "Managers coach, engage, and support our people to achieve results". Provides resources and support as needed to meet the departmental and Company goals and specific contract/program requirements.
• Represents the company and presents at meetings and/or conferences. Works externally with providers or clients as assigned. Makes recommendations for improvements and/or efficiencies to management.  Initiates opportunities to expand knowledge, skill development, and certifications which enhance quality improvement activities and the achievement of contract deliverables.
• Stays abreast of industry trends and changes. Performs miscellaneous duties as assigned.

• Master’s degree in health care administration or related field, nursing or business administration, with three years of Medicaid-specific utilization review and quality improvement experience,
• Or bachelor’s degree and five years of Medicaid-specific utilization review and quality improvement experience.
• 3 – 5 years managing projects and/or a professional staff; demonstrated experience working in a fast paced and deadline driven environment.