This is pretty rewarding work: Injured workers and their families rely on us to help them heal and get back to work. Employers rely on us to do our part to keep costs down.
Our medical programs manager works in both of those critical areas of our business. In a nutshell, they help ensure injured workers get the care they need to recover and return to work. How? By using their leadership skills, vision, and technical expertise to oversee our nurse consultants, and medical audit team, partner with Managed Care Organizations, manage IME and pharmacy vendors, develop programs, and help set strategy for the division.
Experience in medical program management or health care administration is valuable for this position, as is knowledge of industry trends.
You’ll also need to be able to manage multiple projects, and the ability and desire to integrate with the company and learn about workers’ compensation. Other traits we’re looking for: positivity, adaptability, interpersonal communication skills, and enthusiasm for innovation and discovery.
If that describes you, and you’d like to use your knowledge and experience to help Oregon workers and employers, read on for details.
Design, develop, and communicate annual strategies, goals, initiatives, and indicators of success for medical programs and integrated services. Ensure plans are developed in collaboration with the claims and executive leadership teams.
Stay abreast of national and local industry trends to inform program priorities and strategies.
Provide analysis and guidance on staffing and organization structure, process, and workload management. Research, propose, plan, and implement organizational changes, innovative methods, tools, and training as required to ensure program quality, efficiency, and effectiveness.
Anticipate contract and program needs, negotiate and procure contracts with medical service providers, and evaluate contractor performance.
Manage staff by utilizing the performance management process, clarifying job responsibilities and performance expectations, establishing goals and job competencies, identifying skill gaps, creating development plans, coaching on a continuous basis, and evaluating performance. Responsible for the hiring and termination of employees and determining wage/salary levels within SAIF policy guidelines.
Function as the primary liaison with SAIF management, regulatory agencies, and internal and external business partners for the effective integration and ongoing success of medical programs.
Assist with the preparation of the operational budget, monitor expenditures throughout the year, and manage variances to ensure budgetary guidelines are met while upholding high standards of customer service excellence.
Provide program evaluation and status updates to communicate program successes, completion of goals and the potential impact of medical cost trends and drivers.
The following qualification are recommended:
Six or more years of experience in medical program management, healthcare administration, acute care medicine, or a related field.
Three years of supervisory or significant leadership experience.
Experience with data and the ability to analyze trends.
A bachelor’s degree in healthcare administrations, nursing, or a related field.
Other combinations of training and experience demonstrating the knowledge, skills, and abilities required to perform the work.
To receive consideration, please submit your resume by the close of this recruitment. We want your submission to count, so be sure it’s complete and that you submit all the required materials.
Qualifying veterans and disabled veterans may obtain preference in employment by submitting the following documentation as verification of eligibility:
A copy of the Certificate of Release or Discharge from Active Duty (DD Form 214 or 215), or
A letter from the U.S. Department of Veterans Affairs indicating receipt of a non-service connected pension
Disabled veterans also must submit a copy of their veteran’s disability preference letter from the Department of Veterans Affairs, unless the information is included in the DD Form 214 or 215.
To be considered for preference, you must submit the proper documentation to moc.fiasnull@sboj by the application deadline.
This recruitment will close be open until filled.
SAIF Corporation is Oregon’s not-for-profit, state-chartered workers’ compensation insurance company. SAIF has been doing business for 100 years and is the leading workers’ compensation insurance provider in Oregon.
Learn more about the opportunities and benefits of working at SAIF. Visit our website or see our Facebook page.
SAIF is an Equal Opportunity Employer that values diversity in its workplace.
To apply for this job please visit the following URL: https://jobs-saif.icims.com/jobs/2266/medical-programs-manager/job →