Network Management Program Specialist at MemorialCare

Title: Network Management Program Specialist

Location: Fountain Valley, CA (Hybrid)

Department: Contracting

Status: Full-Time

Shift: Exempt

Pay Range*: $109,054.40 - $158,100.80/annually

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Program Specialist works within the Network Management department, to advance overall growth, development and strategic initiatives related to the provider network. The Specialist works independently to provide internal and external consulting and coordination of initiatives with leadership, partners, and project team members. Responsible for driving key strategic initiatives related to network development, provider integration projects, and operational optimization activities. The Specialist is expected to independently manage overall initiative implementation, timelines, key milestones, and resources. Will be responsible for regular project status and post-implementation project reporting. The Specialist will define requirements, gather data, and analyze information for high-level research and reporting to be used for leadership’s provider network strategy analysis as well as for executive level communications. Works with departments to define key processes and coordinates with network management team to implement better processes.

Essential Functions And Responsibilities Of The Job

• Manage the successful delivery of network management efforts, leveraging program management fundamentals including planning, tracking and achieving provider network project milestones as well as risk mitigation
• Utilize independent thinking and decision-making in working directly with executive sponsors and team members to define the scope and objectives and planning of key strategic initiatives
• Manage all phases of strategic initiatives to ensure achievement of objectives, timelines, key milestones and deliverables, and overall success
• Facilitate network management project management, including status reporting and coordination across multiple concurrent activities
• Create and maintain network program management and transactional tools and related documents in document repositories, project management applications, and other software applications; provide access and training on assigned applications to workstream team members and other stakeholders
• Engage with internal and external parties to collect diligence, operational processes, specifications and other information to support network evaluation and integration efforts
• Schedule, plan, lead, and facilitate project meetings
• Complete initiatives utilizing research and other resources as it relates to due diligence inquiries
• Independently run new and existing reports, analyze key data and share findings with the department, executive leaderships, project teams, and other stakeholders
• Work with department leadership to define key processes and workflows, and coordinate with team to design and implement process improvement solutions.
• Coordinate, develop and assist with refining network management systems, tools, and processes
• Coordinate projects with leadership, internal and external stakeholders to support network management activities
• Coordinate defined areas and assist with post acquisitions, JV integration into the provider network
• Prepare supporting materials for projects
• Other duties as assigned
• Be at work and be on time
• Follow company policies, procedures and directives
• Interact in a positive and constructive manner
• Prioritize and multitask
• Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
  
  

Minimum Requirements

Qualifications/Work Experience:

3 years’ experience with coordinating and leading the implementation of key strategic initiatives in healthcare specifically managed care, preferred.

Must have demonstrated mastery of Microsoft products including Excel, PowerPoint and Word as well as program management tools.

• Must have excellent organizational skills and a proven background in working on multiple initiatives and with executive leadership teams.
• Must have excellent interpersonal skills and ability to interact with senior management, vendors, physician practices, and other outside entities.
  
  

Additionally, Must Meet The Following Competencies

• Ability to evaluate systems, processes, and workflows to develop plans for change, improvement, and/or integration
• Excellent written and verbal communication skills, and ability to identify gaps and implement solutions
• Good analytical, logical thinking and problem-solving skills
• Ability to recognize problems, issues and trends, obtain and analyze information, raise issues to the appropriate management, apply logical reasoning, recommend solutions and implement when appropriate
• Understanding of key business applications and related information technologies
• Ability to maintain a high level of confidentiality
  
  

Education/Licensure/Certification

• Bachelor’s degree required in Healthcare Administration, Business Administration, or related discipline.
• Healthcare transaction, implementation, PMI, PMP Certification or a high level of demonstrated program management experience preferred.