Program Manager II, Reentry Third-Party Administrator

Community Health Plan of Washington; Seattle (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

Community Health Plan of Washington seeks a Program Manager to oversee reentry projects. The role focuses on managing compliance, developing materials for the Technical Assistance Hub, and ensuring regulatory adherence while fostering a collaborative environment. Ideal candidates possess a bachelor’s degree and at least 3 years of relevant experience in project management within health or related fields.

Benefits

Medical, Prescription, Dental, and Vision

Flexible Spending Accounts, Health Savings Accounts

401(k) Retirement and generous employer match

Time off including PTO accrual starting at 17 days per year

Employee Assistance Program and Mental Fitness app

Qualifications

• Minimum 3 years of experience in project/program management.
• Proficient in project management methodologies.
• Experience in managed care, public health, or relevant sector.

Responsibilities

• Manage complex cross-functional projects to ensure regulatory deliverables.
• Support network development for reentry pre-release services.
• Prepare proposals, documents, reports, applications associated with work plans.

Skills

Analytical skills

Organizational skills

Project management skills

Communication skills

Education

Bachelor’s degree in public health or health administration

Tools

Microsoft Office products

Job description

Who we are

Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Our commitment is to:

• Strive to apply an equity lens to all our work.
• Reduce health disparities.
• Become an anti-racist organization.
• Create an equitable work environment.

About the Role

This role oversees a portfolio of reentry projects related to CHPW’s role as a third-party administrator. With sub-contractor partner and CHPW staff, program manager will develop and maintain the Technical Assistance Hub materials, support network development for reentry Pre-release Services, manage and monitor internal and external reporting requirements, and organize, document, and track program-related audits, data, and information. In collaboration with CHPW’s Compliance Department and business owners, the program manager will provide oversight, auditing, and monitoring to ensure adherence to regulatory and contractual requirements and will train workforce members on HIPAA and Fraud, Waste, and Abuse. Temporary position scheduled to end June 2028.

To be successful in this role, you:

• Possess bachelor’s degree in public health or health administration or equivalent combination of education and highly relevant experience.
• Have minimum 3 years of experience project/program management, managed care, public health, carceral system, or relevant sector experience.
• Are proficient in project management methodologies and tools, with demonstrated experience in managing complex cross-functional projects from initiation to completion.

Essential functions and Roles and Responsibilities:

• Manages complex cross functional projects to ensure regulatory deliverables.
• Facilitates regulatory stakeholder engagement to support project deliverables; coordinates input across relevant departments to identify key priorities, communications, track key deliverables and coordinate follow-up.
• Provides regular communication and monitors progress to timeline and goals to key stakeholders.
• Works with the Department lead and other relevant leads to ensure regulatory reporting goals, and workplan and tracking process.
• Collaborates with sub-contractor partner to develop and maintain materials for the Technical Assistance Hub.
• Supports network development for the reentry pre-release services by connecting carceral facilities with potential service providers.
• Partners with CHPW’s compliance department and business owners to ensure oversight, auditing, and monitoring of program requirements.
• Prepares proposals, briefing documents, presentations, reports, applications, budgets and/or other documents associated with moving work plans forward. Working with communications and administrative support team members, assure effective systems related to program/project work and other communication tools and practices are in place.
  • Organizes cross-team and-departmental collaboration and coordination with internal and external subject matter experts to develop system knowledge to support key strategic opportunities and system improvement strategies.
  • Provides ongoing monitoring and process improvement.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:

• Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data.
• Organizational, time management, and project management skills.
• Written and verbal communication skills including the ability to present in a group setting.
• Skilled with Microsoft Office products.
• Ability to collaborate effectively with diverse teams and stakeholders, fostering a culture of teamwork, accountability, and innovation.
• Ability to work independently.

As part of our hiring process, the following criteria must be met:

• Complete and successfully pass a criminal background check.

Criminal History:includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.

• Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:

The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 66. Salary determined at offer will be based on labor market data and a candidate's years of relevant work experience and skills relevant to the position.

CHPW offers the following benefits for Full and Part-time employees and their dependents:

• Medical, Prescription, Dental, and Vision
• Telehealth app
• Flexible Spending Accounts, Health Savings Accounts
• Basic Life AD&D, Short and Long-Term Disability
• Voluntary Life, Critical Care, and Long-Term Care Insurance
• 401(k) Retirement and generous employer match
• Employee Assistance Program and Mental Fitness app
• Financial Coaching, Identity Theft Protection
• Time off including PTO accrual starting at 17 days per year.
• 40 hours Community Service volunteer time
• 10 standard holidays, 2 floating holidays
• Compassion time off, jury duty

Sensory/Physical/Mental Requirements:

Sensory*:

• Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:

• Extended periods of sitting, computer use, talking and possibly standing
• Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion
• Frequent torso/back static position; occasional stooping, bending, and twisting.
• Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.

Mental:

• Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.