Program Manager I-Payer Operations

Posted:
8/23/2024, 10:07:56 AM

Location(s):
Florida, United States ⋅ Weston, Florida, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Product

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Program Manager I-Payer Operations

                        

Location

Weston

                    

Facility

CC Florida Weston

                     

Department

Managed Care-Weston Hospital

                      

Job Code

000421

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale metro area and Florida. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.   


As a Program Manager I in the Managed Care Department, you will be responsible for 

  • Managing the implementation and maintenance of designated programs.  

  • Planning, developing and maintaining systems and procedures. 

  • Acting as a liaison between department and outside communities.  

  • Serving as a coach and mentor for other positions in the department.  

  • Participating in the budgetary process. 


The ideal future caregiver is someone who:  

  • Is eager and willing to learn. 

  • Excels working with minimal supervision.  

  • Is a team player and can take directions from others.  

  • Is an excellent communicator and critical thinker.  

  • Is interested in medical education, compliance and program improvement. 


This is a rewarding opportunity that offers growth-oriented projects, mentorship, support, and resources. You will experience great exposure to both the institute and department leadership and have numerous opportunities for career growth in different administrative and project/program management.  


At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare. 


Responsibilities:

  • Develops, implements, manages and maintains operational systems and activities.
  • Serves as a liaison with all levels of the organization and outside community.
  • Manages multiple priorities and projects with competing deadlines.
  • Allocates time to meet completion requirements.
  • Serves as a coach and mentor for other positions in the department.
  • Reviews and monitors adherence to Human Resources policies and corporate compliance procedures.
  • Other duties as assigned.

Education:

  • Bachelor's degree in Business Administration, Healthcare Administration or related field.
  • High School diploma/GED and six years of experience may substitute for the degree requirement.
  • Associate’s degree and four years of experience may substitute the Bachelors degree requirement.
  • Master’s degree and one year of experience may substitute for one year of experience.


Certifications:

  • May be required for specific positions as per policy or regulation.


Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to take appropriate action in a stressful environment.


Work Experience:

  • Two years of experience in project management, data analysis and systems training.
  • Experience in a healthcare setting preferred.


Physical Requirements:

  • Ability to perform work in a stationary position for extended periods
  • Ability to operate a computer and other office equipment
  • Ability to communicate and exchange accurate information
  • Ability to travel throughout the hospital system

Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities