Plan Manager Job at Power Personnel, Palo Alto, CA 94306

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Job Description

Are you a Healthcare professional with health plan and quality experience? How does a 6 month contract opportunity at a world renown Hospital sound? Limited spots! Apply now!

About the Job
  • Competitive Pay: $65.00-$90.00
  • Schedule: Monday-Friday
  • Shift Times: 8:00AM-4:30PM
  • Contract Duration: 6 months
  • Remote Position

Benefits
  • Great Pay
  • Flexible Assignments
  • Great Working Location
  • Health Insurance
  • Refer-A-Friend Bonus
  • Weekly Payroll
  • 24-hour Accessibility
  • Personalized Service

Minimum Qualifications
Licenses and Certifications
  • BLS - Basic Life Support
Experience

Education Qualifications
  • Bachelor's Degree Bachelor's degree in a work-related field (required)
  • Master's Degree Preferred

Experience Qualifications
  • Five (5) years of progressive responsibility and related experience in clinical operations and/or performance improvement in an ambulatory setting within a large health care system
  • Minimum of one (1) year of experience related to health plan quality operations
  • Minimum of one (1) year in a supervisory or lead role
Highly Desired
HEDIS, COTIVITI and EPIC experience, data driven

Knowledge, Skills, and Abilities
  • Strong in HEDIS Methodologies
  • Comprehensive hospital administration and business knowledge (organization structure, business functions, processes, procedures, goals, objectives, measures, metrics, internals self-assessment processes, etc.)
  • Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting and advising, as well as written communication.
  • Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation.
  • Knowledge of advanced quantitative skills and ability to evaluate and interpret data,summarize results and make recommendations.
Responsibilities
  • Responsible for the contracts with the health plan
  • Meeting the contractual obligations
  • Has a team of two quality consultants
  • Make sure the metrics are hit on the end of the year
  • Self-funded insurance plan
  • Ensure they hit specific targets within each health insurance group
  • Work closely with IT/ Operations dept,Cotiviti, EPIC (data system)
  • Ensures performance improvement
  • Works with analytics team, data driven
  • People management
  • Influence with operations
  • Present presentations to various insurance groups

About Us

Power Personnel has been working with healthcare professionals like you since 1994. We are the experts in healthcare staffing in Northern California. That’s why so many hospitals, clinics and healthcare facilities rely on us for filling critical positions. If you want competitive pay, excellent working conditions and a team that supports you, you need Power Personnel.

Refer a friend and get $250 bonus for every referral! *

  • In order to get the bonus, the person referred must work at least 20 shifts.
Refer via this link https://sensereferrals.com/powerpersonnel

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