Product Health System Manager (Hybrid remote options)

Date: Sep 15, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5591 

 

Position Summary/Position

 

Primary point of contact for coordination of work related to Claims/Eligibility Administration and Transactional Processing System and/or Medical Management System (MMS) at IEHP. Position will be responsible for ensuring production stability of the environment, as well as enhancement projects, system upgrades, and vendor relationship.  Position will be liaison between IEHP and vendor, responsible for follow up, communication, escalation and driving resolution of issues.

Major Functions (Duties and Responsibilities)

 

1. Manage the relationship with vendor including being the primary point of contact between IEHP and specific vendor.
2. Organize and lead the periodic business review process between IEHP and vendor executive and/or development team(s).
3. Evaluate new module offerings from Provider against areas of improvement identified by IEHP via enhancement requests or workaround documentation and present to Management as appropriate to meet business needs.
4. Establish and design processes, best practices, to be utilized by all Product Management Specialists.
5. Drives root cause analysis and corrective action with the vendor, and/or with internal teams for issue resolution.
6. Facilitate the healthy and effective two-way communication between vendor and IEHP, ensure that the vendor is adequately supporting IEHP.
7. Cost management and invoice tracking related to specific vendor against available contracted funds.
8. Act as primary liaison to vendor for general product support, training, requests, and communication.
9. Create, maintain, and support project plan related to releases with the ability to meet defined deadlines.
10. Work with All IEHP teams to capture, prioritize, and define future enhancements, and helping define the product roadmap as it applies to IEHP. 
11. Facilitate the initiation and roll out of related initiatives and enhancements with impacted IEHP resources, both IT and business units.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Five plus (5+) years health care support experience.  Program/Project management experience required. Two plus (2+) years previous experience with specified vendor for Claims/Eligibility Administration and Transactional Processing System or Medical Management System with established relationships at said vendor.  

Preferred Experience

 

IEHP IT support experience preferred.

Education Qualifications

 

Bachelor’s degree from an accredited institution required.


Significant experience may be considered in lieu of degree: In lieu of a degree, a minimum of nine (9) years relative experience in managed care support or specific vendor management role is required.

Professional Certification

 

PMP Certification preferred.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Strength in communication along all levels, including business teams, IT teams, and senior management. Ability to manage contract and costs associated with those contracts. Manage invoices and custom requests, as well as knowing when to escalate.  Ability to manage the vendor deliverables and ensure timely and successful delivery.  

Skills Requirement

 

Required skill: Aptitude for influencing others – various stakeholders at all levels of the organization. Proven ability to manage varying areas of support. Exceptional communication and interpersonal skills.
Process oriented focus. Drive root cause analysis and helps with the corrective action development to meet all affected area needs. Intermediate skill with Microsoft Office products (i.e. Word, Excel).  

Abilities Requirement

 

Ability to learn quickly to ensure rapid transition into and adoption of industry terminology. Strength in communication along all levels, including business teams, IT teams, and senior management. Ability to manage contract and costs associated with those contracts. Manage invoices and custom requests, as well as knowing when to escalate. Ability to manage the vendor deliverables and ensure timely and successful delivery.  The ability to be personable and tenacious as a situation requires. Extremely organized and proficient at tracking and monitoring.  

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Physical Requirements

Keyboarding: Traditional - FREQUENTLY
Keyboarding: 10-Key - FREQUENTLY
Keyboarding: Touch-Screen - FREQUENTLY
Hearing: One-on-One - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY
Sitting - CONSTANTLY
Lighting - CONSTANTLY
Indoors - FREQUENTLY

 

Starting Salary: $85,841.60  - $109,449.60  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles