Manager, Program Support and Reporting

 
Position: Manager, Program Support and Reporting

Job ID: 149467

Location: US-TX-Houston

Department: STAR KIDS CARE COORDINATION I

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Texas Children’s Health Plan (TCHP) is the largest Texas Medicaid managed care organization, and is part of the Texas Children’s healthcare system. Founded in 1996, TCHP is the nation's first health maintenance organization (HMO) created just for children and pregnant women. Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently the Health Plan serves more than 450,000 members across three service areas (Harris, Jefferson, North East). Members of the plan receive care from our network of more than 4,000 primary care physicians, 8,000 specialists, and 110 hospitals. They can also receive care at The Center for Children and Women, a patient and family-centered medical home with two convenient locations for TCHP members who can have all their medical needs met in one place, receiving multiple services the same day. TCHP is a recognized leader at encouraging holistic care that empowers families to live healthier lives.   To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities.   You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are searching for a Manager of Program Support and Reporting — someone who works well in a fast-paced setting. In this position, you will be responsible for assisting with the interpretation of federal, state, and other regulations and requirements related to Medicaid and Children's Health Insurance Program (CHIP). This role will coordinate and provide the necessary reporting requirements promptly and accurately. You will frequently review processes, workflows, and policy/procedures to ensure they are accurate, current, and meet all regulatory requirements.

 

Think you’ve got what it takes?



Responsibilities :

 

  • Reviews, interprets, and provides direction on new regulations, and changes to existing federal and state regulations and requirements from governing bodies
  • Works collaboratively with leadership and others from various areas across the health plan to evaluate and implement new ideas and strategies
  • Partners closely with other leaders to review and assess new functionality/capabilities based on system upgrades
  • Continuously assesses, develops, and implements process improvement opportunities as well as fee scheduling and rate/code updates that create efficiencies, demonstrate cost/administrative savings, and enhance stakeholder satisfaction overall
  • Develops, tracks, and reports performance/productivity metrics and targets
  • Evaluates benchmarks and targets on a regular basis to ensure they are in alignment with industry standards
  • Participates in various committees and workgroups as warranted to provide guidance on the operational issues presented regarding benefits and reimbursement


Qualifications:

  • Bachelor’s degree
  • 5 years of business operations in a health care or insurance environment
  • Management and/or leadership experience preferred


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