Program Manager, Provider Grants

This position is open to candidates based anywhere in California, with the understanding that occasional in-office meetings may be required.

Join Our Team as a Provider Grants Program Manager at Health Plan of San Mateo (HPSM)

Are you passionate about improving healthcare access and investing in provider networks? HPSM is seeking a Provider Grants Program Manager to develop, implement, and evaluate capacity funding programs that support our provider network. Reporting to the Director of Provider Services, this role plays a vital part in advancing HPSM’s Network Investment Strategy and delivering value to our members and community.

This is a unique opportunity to combine your program management expertise with your commitment to health equity and innovation.

Key Responsibilities

• Lead Network Investment Initiatives:
  Plan, execute, and evaluate programs that align with HPSM’s strategy for strengthening provider networks through grants and capacity funding.
• Grant and Funding Program Management:
  Oversee all aspects of grants and funding programs, including provider applications, funding recommendations, contract execution, and vendor management.
• Build Provider Relationships:
  Act as a liaison with awardees, providers, and community partners to support funding opportunities, practice improvements, and resource sharing.
• Evaluate and Improve Programs:
  Use quality improvement methodologies to design program evaluations, analyze data, gather feedback, and recommend enhancements.
• Monitor and Communicate Progress:
  Develop dashboards, track performance metrics, and share updates and outcomes with stakeholders to ensure alignment with organizational goals.
• Research and Innovate:
  Stay informed on industry trends, best practices, and regulatory requirements to guide program improvements and investment recommendations.
• Documentation and Reporting:
  Maintain program documentation, including regulatory reports, policies, and procedures, while ensuring compliance with standards.
• Support Cross-Functional Collaboration:
  Facilitate decision-making, coordinate work plans, and collaborate with internal and external stakeholders to achieve program goals

Requirements

These are the qualifications typically needed to succeed in this position. However, you don’t need to meet every requirement to apply. 

Education and experience

• Bachelor’s degree in healthcare, economics, public policy, or a related field (Master’s preferred).
• At least three (3) years of program management experience; one (1) year in quality/process improvement is preferred.
• Experience in healthcare or Medicaid managed care settings is strongly preferred.

Knowledge & Skills:

• Expertise in project and program management methodologies.
• Familiarity with provider reimbursement, healthcare economics, and grant management best practices.
• Proficiency in data analysis, quality improvement tools, and regulatory compliance.

Core Competencies

• Build and maintain collaborative relationships with diverse groups.
• Communicate effectively across various audiences and adapt to changing priorities.
• Work independently with sound judgment while managing multiple projects.
• Influence positive outcomes and diplomatically resolve complex issues.
• Stay current on industry knowledge and skills required for success.

Technical Proficiency:

• Skilled in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Strong written and verbal communication capabilities.
• Effective facilitation of meetings, workgroups, and projects.

Benefits:

Excellent benefits package includes:

• HPSM-paid premiums for employee’s medical, dental and vision coverage (employee pays 10% of each dependent’s premiums)
• Fully paid life, AD&D and LTD insurance
• Retirement plan (HPSM contributes equivalent of 10% of annual compensation)
• 12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year
• Tuition reimbursement plan
• Employee wellness program

It is HPSM's policy to provide equal employment opportunity for all applicants and employees.  HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law.  HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.