Mgr Program Support and Reptg

 
Position: Mgr Program Support and Reptg

Job ID: 153150

Location: US-TX-Bellaire

Department: STAR KIDS - ADMIN

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8-5

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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 timely, as well as review processes, workflows, and policies/procedures to ensure they are accurate, current, and meet all regulatory requirements.

 

Think you’ve got what it takes?

 

  • Highly prefer experience managing/leading a reporting team of 5 or more.
  • Experience defining, developing and providing insights, metrics and analysis to drive the decision-making process, highly desired.
  • Highly desire experience leading and executing processes and data improvement projects
  • Experience utilizing QlikView/QlikSense to create/build reports and PowerPoints for executive-level management, strongly desired.
  • Desire proven analytical background.
  • Experience maintaining/troubleshooting data integrity desired.
  • Desire strong communication skills.

 

Nice to have:

  • Experience with Texas Medicaid.

  

 



Responsibilities :

  • Review, interpret, and provide direction on new regulations, and changes to existing federal and state regulations and requirements from governing bodies
  • Work collaboratively with leadership and others from various areas across the health plan to evaluate and implement new ideas and strategies
  • Partner closely with other leaders to review and assess new functionality/capabilities based on system upgrades
  • Continuously assess, develop, and implement process improvement opportunities as well as fee scheduling and rate/code updates that create efficiencies, demonstrate cost/administrative savings, and enhance stakeholder satisfaction overall
  • Develop, track, and report performance/productivity metrics and targets and evaluate benchmarks and targets regularly to ensure they are in alignment with industry standards
  • Participate in various committees and workgroups as warranted to provide guidance on the operational issues presented regarding benefits and reimbursement


Qualifications:

  • A bachelor’s degree
  • A master’s degree in business administration or a related field preferred 
  • At minimum 5 years’ business operations experience in a health care or insurance environment
  • Management/leadership experience preferred


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