Program Manager – National Health Insurance

Skills

Key Responsibilities:

• Define, design, and implement program objectives, milestones, budgets.
• Plan, schedule, conduct and coordinates the technical and management aspects of projects.
• Managing the overall operations of National Health Insurance program at PHCC.
• Monitor and guide project managers on execution strategies, program policies, deliverables, building risks / mitigation plans, and methods on successful closure of projects.
• Facilitate change management process within the business to ensure project benefits are ascertained.
• Provide expert opinion on health insurance regulations, standards, and industry best practices.
• Lead program-wide transformative change in the area of “Operations, automation-CIS/HIM/CRCM & refine controls & reduce touch points.
• Participate in project related meetings and resolve project management issues.
• Developing, processing, and monitoring evaluation toolkits to measure program performance.
• Work closely with the Department Managers and Project Managers to ensure that they have the systems, processes and resources in place to deliver their full contribution in executing the project.
• Ensure the execution of the project complies with best practice standards, current and future legislative requirements, and PHCC’s guidelines.
• Act as a bridge between higher management and people who are responsible for execution of the program. Make sure that the project runs smoothly and stays on schedule.
• Facilitate vendor contracts, statement of work agreements, and relationships between Corporate & Vendor to ensure project deliverables are met.
• Acts as advisor to the contracts in contractual insurance concerns.
• Coordinate with MoPH, HMC and other external stakeholders to align PHCC interests.
• Demonstrate strong leadership, organizational and communication skills with all key stakeholders.
• Collecting, recording, and analysing project data for developing insightful reporting for top management.
• Ensure that the aspects of patient safety, risk management, and quality improvement are embedded in all the processes under are of responsibility.
• Foster a culture of safety, where staff feels encouraged to raise concerns and report incidents without fear of disciplinary procedure.
• To develop a culture of learning and encourage staff to learn from defects. Learning should lead to continuous process improvement.
• To collaborate with other leaders for Patient safety.
• The incumbent will undertake any such related duties or responsibilities as directed.
• Ensure high standards of confidentiality to safeguard any sensitive information.

Job Requirements:

• Bachelor’s degree in medicine
• Certification in Project Management Program (such as PMI, PMP)
• Minimum of 15 years of experience.
• A minimum of 5 years' experience as a program Manager for a medium to large-sized health care organization.
• Proficient at using technology in project management processes.
• Has a firm understanding of health care sector.
• Sound knowledge and experience in medical coding is added advantage.
• Cerner (Clinical Information system), myCARE & RCM experience is preferred.
• Good understanding of the key components of program/project management