Healthcare Program Manager — High-Utilizer Care

Ultipro; Henderson (NV); Hybrid; USD 100,000 - 120,000; Full time

Job summary

P3 Health Partners in Henderson, NV is seeking a Program Manager to oversee the admission and medical expense reduction program across the Red Rock Region. The role collaborates with VPMA, Provider Engagement Managers, affiliate practices, and care management to identify high-utilization members, assemble clinical pictures, and translate reviews into actionable plans for primary care physicians.

The position is hybrid, with in-office work three days per week, travel within the region, and a

Qualifications

• Three years of experience working in primary care.
• Two years practicing in a managed care or population health environment.
• Experience coordinating care for complex, high-utilizing patients is preferred.
• Program or project management experience in a healthcare setting is preferred.

Responsibilities

• Own the weekly high-risk / frequent flyer interdisciplinary team (IDT) meeting end to end — build the agenda, prepare the patient list, capture decisions and track follow-through.
• Retrieve and synthesize clinical records across multiple affiliate electronic medical record systems to produce a concise case summary for every member under review.
• Translate each IDT decision into a one-page clinical impression and plan, and deliver it to the member's primary care physician.
• Contact each practice's designated point of contact directly by phone to review readmitted members and confirm next steps — clinic by clinic, not by electronic message alone.
• Conduct direct outreach to members in the cohort following an inpatient or emergency department admission, and connect them to a primary care appointment and to the P3 programs that fit their needs.
• Coordinate referrals to Council Care, P3 at Home, and hospice and palliative care, and track every referral from open to close.
• Support advance care planning and end-of-life conversations for members in the high-utilizer cohort, in partnership with the clinical team.
• Partner with data and analytics to maintain a current weekly roster of members with repeat admissions, refreshing the cohort as members enter and exit.
• Report program performance to market and Medical Affairs leadership against agreed measures, including admissions per 1,000, 30-day readmissions, post-discharge follow-up rates and referral completion.
• Build and document repeatable workflows so the program can extend to additional affiliate groups without rebuilding it each time.
• Protect patient privacy and maintain HIPAA compliance across all record handling, outreach and communication.

Skills

Project management

Clinical documentation

Physician relationship building

Concise writing

Value-based care knowledge

Problem solving

EMR proficiency

HIPAA compliance

Self-directed / organized

Education

Associate degree

LPN or RN degree

Healthcare administration training (MHA/MBA/MMM/MPH)

Tools

EMR systems

Collaboration tools

Job description

P3 Health Partners in Henderson, NV is seeking a Program Manager to oversee the admission and medical expense reduction program across the Red Rock Region. The role collaborates with VPMA, Provider Engagement Managers, affiliate practices, and care management to identify high-utilization members, assemble clinical pictures, and translate reviews into actionable plans for primary care physicians.

The position is hybrid, with in-office work three days per week, travel within the region, and a