Program Specialist, Medicare Star Program

Program Specialist

The Program Specialist, under direction of the VP of Medicare Star Program, plays a vital role in planning, coordinating, and executing programs and initiatives within the organization. This position involves collaborating with various teams and conducting outreaches to provider and members to ensure high quality of care that align with Point32Health's goals and objectives, ensuring consistent and effective communication, collaboration, and coordination with external and internal stakeholders. Processes business requirements and partner needs for internal communication and smooth operations of the program. Key success factors of the role include tactical problem-solving skills, organizational skills, strong communication and business execution, ability to coordinate multiple workstreams, curiosity about policy implementation, and a commitment to delivering high-quality work products. The Program Specialist will work directly with members and providers, so knowledge of practice and pharmacy operations is preferred.

Key Responsibilities/Duties – what you will be doing (top five):

• Program Development: Collaborate with stakeholders to conceptualize, design, and develop new programs or initiatives that support the organization's mission.
• Planning and Execution: Develop comprehensive project plans, timelines, and budgets for programs. Ensure the timely and successful execution of program activities. Identify and execute opportunities for process improvement or enhancements that support departmental goals.
• Stakeholder Engagement: Build and maintain strong relationships with internal and external stakeholders, including team members, partners, and program participants.
• Resource Allocation: Allocate and manage resources efficiently to meet program goals, including personnel, budgets, and materials.
• Monitoring and Evaluation: Continuously assess program effectiveness, gather feedback, and make data-driven recommendations for improvements.

Qualifications – what you need to perform the job

Certification and Licensure

Education

• Required: (minimum) Bachelor's degree
• Preferred: Master's degree

Experience (minimum years required):

• Required: 3-5 years of experience with a proven track record of success in program management or a related role.
• Preferred: Experience working in the nonprofit sector, health care or Managed care.

Skill Requirements

• Ability to take up ambiguous or complex operational problems and facilitate problem-solving effectively using internal resources and processes
• Ability to prioritize, organize and ensure follow through on multiple deliverables, simultaneously
• Ability to work effectively and independently across functions and with people at all levels, including clinicians
• Excellent communication skills, both oral and written. Excellent interpersonal, communication and presentation skills.
• Must project a professional and mature demeanor and accept direction as needed and be comfortable interfacing with senior leaders.
• Strong project management skills and attention to detail
• Ability to work collaboratively in a team and independently as needed.
• Proficiency in Microsoft Office and project management software.
• Knowledge of relevant industry standards and best practices preferred.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Fast paced office environment handing multiple demands
• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Salary Range

$57,028.00 -$85,542.00

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

We welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert : Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact View email address on click.appcast.io