Healthcare Program Manager- Medicaid Upper Payment Limit (UPL)
CU Medicine is dedicated to providing healthcare and administrative support to the University Of Colorado School Of Medicine’s nearly 3,000 providers. We are seeking a highly motivated Healthcare Program Manager to join our team and provide leadership support to the Medicaid Supplemental Plan Amendment/Upper Payment Limit (UPL) Program.
The Program Manager is responsible for the coordination and management of any/all projects and tasks related to the Medicaid Supplemental Plan Amendment/Upper Payment Limit (UPL) Program. The individual in this position will ensure all obligations assigned by Colorado Department of Health Care Policy and Finance (HCPF) are satisfied to qualify for supplemental Medicaid funding regarded as vital to the Practice. Essential duties of the Program Manager include but are not limited to:
- Monitor and track supplemental payments and their application toward Medicaid-focused initiatives and resources.
- Maintain strong working relationships and effective communication with governmental agencies (e.g. Colorado Department of Health Care Policy and Finance) relating to program participation and reporting initiatives.
- Identify opportunities and support clinical program development, to include; program deployment throughout Colorado and partnering with rural/frontier medical sites, Federally Qualified Health Centers, and other entities with potential locations for clinical service outreach.
- Provide direct support for related Medicaid programs (e.g. Colorado Accountable Care Collaborative)
- Monitor and report on project status to numerous stakeholders via regular and structured communication, inclusive of formal presentations and reports.
- Manage UPL proposal processes including submission, committee review, notifications, development of project documents, and quarterly reporting.
- Provide feedback to UPL project teams in the development of project plans, budgets, and metrics while maintaining standards for quality, performance, functionality, and cost.
- Ensure effective communication and collaboration among enterprise business groups which includes CU Medicine, School of Medicine Clinical Departments, and affiliate facility partners.
- Manage deliverables and ensure accuracy of assigned Business Intelligence and Decision Support units.
- Create project management (PM) documents, proposals, schedules, charters, etc.
- Perform other duties and assist with other tasks as assigned by leadership
Requires a bachelor’s degree in business, healthcare administration or related field and a minimum of 3 years’ experience with emphasis on demonstrated project management success. Advanced degree is preferred. Strong preference will be given to candidates with interest in developing healthcare services and learning about telehealth, virtual health, and patient outreach development. Must have the ability to see the "big picture" while still maintaining appropriate attention to details. High level verbal and written communication skills are essential to success. Proficiency in MS Office Suite required. Ideal candidate will be able to multi-task and successfully prioritize workload. Must be a resourceful self-starter.
All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions. We are an equal opportunity employer.
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
- Pay Type Salary
- Required Education Bachelor’s Degree
- University of Colorado Medicine, AURORA, Colorado, United States of America