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Health Education Program Manager III

Job Category:  Clinical
Department:  Health Education
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  8286

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

The Health Education Program Manager III is an integral part of the Health Education unit, and will work closely with the Director Health Education and Cultural Linguistics to help develop and execute health education programs to improve Healthcare Effectiveness Data and Information Set (HEDIS), STAR, CAHPs and other performance measures for DLOB members. The Program Manager III creates, implements and evaluates health education projects; develops/improves processes to enhance  health education services and programs and works with cross functional areas to help engage members using technology; analyzes intervention results; and completes program evaluations.

The Program Manager III is responsible for documenting the manner by which Health Education demonstrates compliance of regulatory agency requirements (DHCS, DMHC, CMS) for all product Lines. Program Manager III is responsible for assisting the Director in maintaining business continuity of health education operations, is the lead for implementing and evaluating the regulatory requirements for health education programs and services and provides department-wide program management. 
                                                                
The Program Manager III is responsible for the oversight the following, but not limited to: Collaboration with other departments to support wider operational initiatives, lead cross-functional/interdepartmental program development such as with CRCs/Health Promoters and working internally with various team members by fostering a team-oriented, continuous quality improvement culture.  Acts as a Subject Matter Expert, serves as a resource and trains other staff as needed.  

Duties

Oversees and represents the department/organization for various audits/initiatives and facilitates and/or provides technical expertise and support for various cross-functional meetings, task forces and committees.

Collaboratively works with the Director, HECLS in the processing, analysis, and outcomes of the Health Education program and services including auditing functions for regulatory bodies. Ensures compliance with the state and federal requirements. 

Collaborates with QI and Clinical Member Services activities which may include but are not limited to providing technical assistance, developing and evaluating member education resources, and any other activities as required. 

Develops, implements and oversees health education requirements, services and programs to include but not limited to: maternal preventive health programs, population needs assessment, annual Flu campaign, Health Education programs and services evaluation, Health Education Program intervention development, execution and evaluation and reporting requirements for various regulators. 

Ensures that Health Education Programs meet the NCQA PHM 4 and DHCS requirements. Works in collaboration with the other Health Service Departments especially Quality Improvement in the development of relevant initiatives, goals and reports. Identifies/develops resources and process enhance member engagement using technology.

Ensures that processes and functions are as effective and efficient as possible. Leads intradepartmental efforts to identify process improvement and effective evaluation of health education program and services for reporting purposes. 

Acts as a support to the Director HECLS and is involved in planning and leading team meetings and in the assessment of team alignment, structure and composition.  Handles questions and issues raised by staff and encourages staff to provide recommendations for relevant process and systems enhancements. Works closely with Director, HECLS to provide department wide program management, participates in the assessment of staffing levels and the enhancement of the proficiency of the team and individual staff members. 

Interfaces with various internal and external parties including plan partners regarding Health Education programs and requirements including the management of all policy and procedures that are relevant to the health education Department.  Ensures that high quality technical expertise and support is provided for audits, initiatives, cross- functional teams, etc.  and facilitates the development and maintenance of strong cross-functional relations with relevant internal and external parties.

Participates in various stakeholder and workgroup meetings representing Health Education department including the quarterly DHCS HECL workgroup meeting.  

Keeps up to date with Health Education regulatory changes and serves as the lead for new policy letter's issued by DHCS as necessary. Responsible for developing, reviewing and updating all policy and procedures and workflows on a regular basis or as required.

As a Subject Matter Expert, develop and conduct training on unit processes, for lower-tiered  positions.  

Performs other duties as assigned.

Education Required

Bachelor's Degree in Community Health Education
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Master's Degree in Public Health or Community Health Education

Experience

Required:
At least 5-7 years of experience in Health Education in a managed care setting with 4 years of project/ program management experience. 

Preferred:  
Managed Care experience including working in a health plan and/or with Medi-Cal, under-served and culturally diverse populations.

Strong data/statistical analysis background.

Experience building relationships with organizations and business partners.

At least 3-4 year experience in overseeing/mentoring program/project teams

Skills

Required:
Strong leadership, superior critical thinking and problem solving, and organizational skills.

Ability to take initiative and produce timely and quality work with little supervision.

Strong interpersonal skills with demonstrated organizational, and project management skills.

Demonstrated strong writing and communication skills (presentation). 

Demonstrated ability to synthesize and analyze qualitative and/or quantitative data.

Knowledge of health care operations or health care systems.

Proficient with Microsoft Office Suite.

Licenses/Certifications Required

Licenses/Certifications Preferred

Certified Health Education Specialist (CHES)
Project Management Certificate
Master Certified Health Education Specialist (MCHES)

Required Training

Additional Information

Required:
Travel to offsite locations for work.

Preferred:
Masters of Public Health with a concentration in Community Health Education

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

 

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.


Nearest Major Market: Los Angeles

Job Segment: Public Health, Medical, Healthcare

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