Business Manager III

L.A. Care Health Plan; Lancaster (CA); On-site; USD 102,000 - 163,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA is seeking a Business Manager III to lead end-to-end strategic initiatives, drive performance metrics, and oversee complex enterprise-wide programs.

The role partners with executives to implement process improvements and ensure successful delivery within scope and budget. The position requires advanced analytical skills, strong communication, and a track record of managing large-scale financial projects in a health-care environment.

Qualifications

• Bachelor's Degree in Business or Related Field is required.
• Master's Degree in Business or Related Field preferred.
• At least 5 years of experience in core operations, IT, or finance in program management.
• Experience in Medi-Cal, Medicare or Covered CA and 6+ years of program management is preferred.

Responsibilities

• Lead with strategic planning and oversee end-to-end program management initiatives.
• Develop communication plans, risk management and executive summaries for needs and plans of record.
• Coordinate cross-functional departments to harmonize practices and policies across the network.
• Manage scheduling, resource allocation, and KPI development for program performance.
• Oversee budgeting, cost tracking and collaboration with finance for forecasting.

Skills

Financial management

Strategic thinking

Communication

Problem solving

Financial analysis

Excel/Office

Education

Bachelor's Degree in Business or Related Field

Master's Degree in Business or Related Field

PMP Certification

Job description

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Business Manager III

Job Category: Administrative, HR, Business Professionals

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 13286

Salary Range:$102,183.00(Min.) -$132,838.00(Mid.) -$163,492.00(Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Business Manager III is responsible for managing all aspects of implementation, from initiation, planning, execution, monitoring, controlling and closure of strategic initiatives. This position is responsible for creating and monitoring performance trends for functional areas, developing and implementing strategies to improve end-to-end business processes and productivity, managing strategic and transformational enterprise-wide programs and projects that are generally complex and large in scope. Responsible for operation programs related to L.A. Care’s (LAC) line of business programs. This position oversees related business operations, which includes preparing and reviewing ad-hoc reporting, developing communications and other operational obligations.

This position acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.

Duties

Function as a strategic partner with the Executive Leadership team to develop communication plans, training plans, and risk management/mitigation plans, executive summaries of needs and plan of records. Define strategic long-term and short-term program objectives supporting business mission. Analyze the business processes within the organization to identify and execute process improvements. Make recommendations for solutions or improvements that can be accomplished through new processes or technology, or alternative uses of existing processes or technology.

Plan, develop, and implement strategies for program activities and communicate to the executive leadership accurate and clear results at period end.

Work collaboratively with cross-functional departments and senior leadership to drive harmonization and implementation of practices, policies, and/or changes across the network.

Accountable for scheduling, resource management allocation and utilization, program component integration and supporting program performance.

Partner with the business leaders across all functional and line of business (LOB) business units to communicate the priorities of the department and provide feedback or follow-ups to key staff members. Monitor operational activities, trends and timelines, communication, and coordination of operations. Support network development or business process improvements. Support the implementation of internal practices to ascertain proper custody of L.A. Care assets.

Prepare and review reports, memos, correspondence and presentations as requested and review information prior to dissemination to mitigate any risk and resolve any issues prior to senior management involvement. Ensure senior and executive management are well prepared to lead or engage in meetings and other functions and be prepared to facilitate and/or participate in meetings.

Design, establish, and maintain staffing and an organizational structure to effectively accomplish the program/project function. Oversee cross-functional team to successfully complete projects on time, within scope and on budget. Set priorities and milestones for individual projects and team initiatives within the program.

Identify risks, assumptions, issues, and dependencies, provide timely status reports and proactively elevate issues for resolution. Support the development, implementation, and maintenance of internal control procedures, policies, and accurate and timely reporting.

Oversee cross-project activities and ensure the programs achieve their goals. Formulate, organize and monitor inter-connected projects. Develop and control deadlines and activities. Responsible for creating, monitoring and evaluating key performance indicators (KPI).

Represent program activities and maintain responsibility for the appropriate use of program funds within the parameters of the contract. Manage the overall annual budget, position requirements, requests and control numbers, while monitoring and providing oversight of cost centers. Support cost accounting activities and collaboration with other stakeholders as necessary. Partner with finance during the financial forecasting and planning processes, including all expense and balance sheet aspects. Accountable for cost tracking budget.

Apply subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consult across business operations and share experience and provide mentorship. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training, recommend process improvements.

Perform other duties as assigned.

Education Required

Bachelor's Degree in Business or Related Field

Education Preferred

Master's Degree in Business or Related Field

Experience

Required:

At least 5 years of experience in core operations, IT, or finance in program management.

Proven track record of successfully managing and executing large-scale financial projects/ programs.

Preferred:

Experience in Medi-Cal, Medicare or Covered CA in addition to 6+ years of program management.

Experience and knowledge in any of the following programs: CALAIM, Proposition 56, Public Hospital Directed Payments (PHDP), and Enhanced Payment Program (EPP).

Skills

Required:

Ability to lead with proven track record of successfully managing and executing large-scale financial projects.

Must be a strategic thinker.

Excellent verbal, written communication and presentation skills.

Excellent problem-solving skills

Possess a deep understanding of financial processes and procedures as well as the ability to analyze complex data and make sound decisions.

Possess a deep knowledge of financial systems and software, including forecasting, budgeting, and reporting tools.

Proficient in Microsoft Excel, Word and PowerPoint.

Demonstrate team and people management abilities with a focus on growing staff, mentoring and coaching the team.

Outstanding cross-cultural communication skills, including the ability to relate respectfully with staff at all levels, ages, genders, nationalities and orientations as well as across work areas.

Licenses/Certifications Required

Licenses/Certifications Preferred

Project Management Professional (PMP)

Required Training

Physical Requirements

Light

Additional Information

Department Specifics:

Duties and Responsibilities:

Oversees A&G business operations which includes performance management, reporting, process improvement, and cross-functional collaboration to support timely, accurate, and compliant resolution of member appeals and grievances.

Preferred Experience:

Experience in Managed Care resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and/or public services or public benefits programs.

Strong advocacy experience.

Preferred Skills:

Knowledge of medical terminology.

Claims Integrity:

Duties and Responsibilities:

Overseas related financial operations, which includes developing and managing operational budgets and creating and executing contracts. Responsible for the financial aspect of the program related to L.A. Care by identifying and generating financial savings and/or resource opportunities. Implements work scope, oversees funding, return of investment (ROI), provides program/project planning, and administration.

Preferred Experience:

Experience and knowledge in any of the following programs: Quality Incentive Pool (QIP), Long Term Care (LTC), District Hospital Directed Payments (DHDP), Ground Emergency Medical Transportation (GEMT), Public Provider Ground Emergency Medical Transportation (PP-GEMT), Traditional Rate Range IGT (RR-IGT).

Preferred Skills:

Knowledge of GAAP (Generally Accepted Accounting Principles).

Provider Network Development and Operations:

Duties and Responsibilities:

Oversees business operations, which includes developing and managing day-to-day activities, administrative and support services. Responsible for compliance with State or other regulators related to L.A. Care.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offersa wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program

Nearest Major Market: Los Angeles
Job Segment: Accounting, Risk Management, Claims, Performance Management, Medicare, Finance, Insurance, Human Resources, Healthcare