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Program Manager - Health Services, South San Francisco, CA

Health Plan of San Mateo


South San Francisco, CA

November 3, 2017


?The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Program Manager that will oversee the following: Clinical program development, integration and execution in support of departmental processes, operations and administrative efficiency for the Health Services Department which includes: Pharmacy Services, Quality Improvement, Utilization Management and Care Coordination. The incumbent has primary accountability for developing and managing clinical programs within the organizational framework. The Program Manager will deliver results-oriented solutions that enhance program operations, and improve the overall quality and cost effectiveness of the services delivered by the Health Plan.

The essential duties & responsibilities will include the following:

  • Manage program(s) from initiation through delivery and monitor for continuous improvement.
  • Provide input into designing strategies for alignment with functional unit goals and objectives.
  • Develop methods, techniques and evaluation criterion for obtaining results.
  • Plan, execute and evaluate program initiatives to improve performance.
  • Participate cross-functionally in business planning to support business unit strategy.
  • Contribute to project teams, assigning and monitoring work of team members and providing guidance and leadership.
  • May act as the business unit liaison to corporate initiatives and projects.
  • Educate and work with external partners and participating
  • Analyze new or updated regulations, laws and contract language and implement appropriate changes to internal policies, procedures and workflows.


Education and Experience:

  • Bachelor’s Degree in Business Administration, Health Care Management or Public Policy required. MBA, MPH or MPP preferred
  • Minimum three (3) years of managed care experience preferably with Medicare/Medi-Cal experience
  • Experience with quality improvement/process improvement techniques required.
  • Previous project/program management experience required.

Knowledge of:

  • Relationship Building and Interpersonal Skills
  • Financial/Quantitative Acumen
  • Change management, process improvement and redesign
  • Organizational behavior skills with a focus on driving for results
  • Project management, program evaluation and consulting skills.
  • Knowledge of accrediting/regulatory body requirements
  • Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.

Ability to:

  • Work cooperatively with others.
  • Work as part of a team and support team decisions.
  • Communicate effectively, both verbally and in writing.
  • Adapt to changes in requirements/priorities for daily and specialized tasks
  • Think critically and make informed decisions.

Starting Compensation Range: $81,208 - $105,570/annually - depending on experience.

Benefits Information: Excellent benefits package offered, including HPSM paid premiums for employee’s coverage in the medical HMO plan and majority of PPO medical cost. Employee pays a small portion of the dependent premiums for medical and dental benefits. Additional HPSM benefits include fully paid vision, life, AD&D, STD, and LTD insurance; retirement plan (10% of salary for compensation/HPSM paid); holiday and vacation pay; tuition reimbursement plan; and more.

Application Process: To apply, submit a resume and cover letter with salary expectations to: Health Plan of San Mateo, Human Resources Department, 801 Gateway Blvd., Suite 100, South San Francisco, CA 94080 or via email: careers@hpsm.org or via fax: (650) 616-8039. File by: Continuous until filled. EOE

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