Planning and Operations Specialist, Senior - Provider Network

Job Summary

Required Qualifications

• •Minimum 5 years' experience in planning, operations, project, or program administration
• •2 years' experience leading large, complex, and diverse multi-stakeholder collaborations within provider network operations
• •Experience as an influential communicator and creative problem solver across teams and within a complex organizational structure
• •Education or training in LEAN or related process improvement techniques
• •Advanced understanding of principles, methods, and techniques of project management
• •Strong understanding of quality assessment measures
• •Strong understanding of Oregon Medicaid or Medicare in area of focus
• •Strong understanding of techniques used in change management
• •Knowledge of healthcare terminology
• •Strong understanding of health system operations
• •Strong knowledge of information systems used in health systems to support clinical care and quality improvement initiatives
• •Knowledge of health plan financing, health care costs, health outcome measures, and health plan operations
• •Strong knowledge of Medicaid and Medicare regulatory and contractual requirements
• •Understanding of provider development, education, and relations
• •Strong computer application skills, including with Microsoft 365 Office products (Word, Excel, Outlook, PowerPoint, etc.), and Microsoft and Google-based internet browsers and search functions
• •Excellent verbal and written communication and presentation skills, including ability to articulate concepts to staff, partners, and stakeholders
• •Strong facilitation and stakeholder engagement skills
• •Skilled at conducting trainings, meetings, and presentations, both virtual and in-person
• •Excellent organizational skills; ability to apply process improvement techniques to department operations and create efficiencies
• •Proficiency in developing and facilitating strategic planning processes and a visible ongoing monitoring system for a variety of initiatives
• •Results-oriented with a high attention to detail, ability to multi-task, and meet deadlines in a demanding, fast-paced environment
• •Strong ability to develop, recommend, and implement policies, procedures, and guidelines
• •Ability to synthesize large volumes of information and data points into a set of deliverables
• •Excellent ability to develop formal project/program plans and prioritize, manage, and implement tasks, activities, and processes to achieve goals within established timelines
• •Ability to create and manage visual displays or maps of processes, timelines, or projects
• •Ability to lead, motivate, and guide peers, cross-functional partners, and cross department and network management toward goal attainment
• •Ability to develop and maintain strong professional working relationships with internal staff and departments and external stakeholders
• •Ability to effectively solve unique problems as they arise or identify when to direct issues to appropriate department/supervisor
• •Ability to accept direction and feedback, as well as tolerate and manage stress
• •Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• •Ability to hear and speak clearly for at least 3-6 hours/day
• •May include, but not limited to, physical and ergonomic hazards
• •General office equipment and/or mobile technology
• •May include occasional required or optional travel outside of the workplace
• •Hybrid-Office 2 days/week

Desired Qualifications

• •Program, project, or operations administration experience working in a healthcare system, clinical delivery system, or managed care organizations (Medicaid and/or Medicare)