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Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan's Care Management department is hiring a Medicaid Clinical Program Manager
This leader is an expert in Oregon Health Plan (OHP) Medicaid Care Management Clinical Program delivery. OHP serves Oregon's most vulnerable populations and Care Management services are key to bridging our members to healthcare. This unique role is perfect for the clinical innovator who strives to enhance and drive healthcare delivery in new and effective ways. This role includes oversight of OHP Care Management clinical operations including workflow development and management, assessment build and efficiency, compliance, reporting and may have direct staff oversight.
This role:
- Works with the leadership team and program Management team to support care management services that fosters compassion and creates innovative interventions that will serve and support our members.
- Drives knowledge and solutions to provide equity in healthcare delivery, treatments, and social interventions.
- Supports Care Management leadership in building and maintaining strategic internal and external relationships as they relate to successful administration of OHP Care Management functions.
- Will work with Medicare affiliated plan partners, community benefit organizations, Health Share of Oregon and their partners, Oregon Health Authority, and statewide CCO colleagues.
We welcome 100% remote work for residents who reside in one of the following States / Regions:
- Oregon
- Washington
- California
Required qualifications for this position include:
- Bachelor's Degree in Nursing or other clinical health related field -OR- a combination of equivalent education and experience
- 5+ Years of nursing practice or other clinically related field
- 3+ Years of Supervisory or progressive leadership experience in health care
Preferred qualifications for this position include:
- Master's Degree in Nursing, Health Care Administration, Public Health -OR- a combination of equivalent education and experience
- Coursework / Training: Lean, Agile, Six Sigma, Change Acceleration Process
- 3+ Years of Program management experience in an ambulatory and/or acute care setting
- Experience working in Managed Care/Health Care Insurance Care Management or ACO
Why Join Providence?
Ourbest-in-class benefitsare uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering ourMissionof caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 266387
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift: Day
Career Track: Clinical Professional
Department: 5018 HCS CASE AND DISEASE GOV PRGM OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $47.33 - $76.19
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Join us in delivering health for a better world.
At Providence, our strength begins with understanding. We take time to see, hear and value everyone who walks through our doors. Working with us means that regardless of your role, we ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.
Together, our 120,000 caregivers (all employees) serve in 51 hospitals, 1,085 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
The Providence family includes:
- Providence across five western states
- Covenant Health in West Texas
- Facey Medical Foundation in Los Angeles, CA
- Kadlec in Southeast Washington
- Pacific Medical Centers in Seattle, WA
- Swedish Health Services in Seattle, WA
Explore nursing roles at Providence or view all open positions .
As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Delivering services across seven states, Providence is committed to touching millions of more lives and enhancing the health of the American West to transform care for the next generation and beyond.
