Program Manager- Managed Care Services

Program Manager- Managed Care Services

Thomas Allen, Inc.

We began providing residential services to individuals living with disabilities in 1977, and in 1984 became the first non-governmental entity in Minnesota to offer waiver case management. By delivering exceptional client care and creating a work culture that celebrates the employees who turn our mission into action, Thomas Allen has grown to employ more than 500 people and provide contracted services for more than 20 counties across Minnesota. Annually, we deliver a wide variety of services to more than 10,000 individuals of all needs, abilities, and ages - from infants to elders. Our services include waiver case management, community living services, care coordination, respite care, and community-based residential programs.

FLSA Status: Full-time, Salary, Exempt

FTE: 1.0 (40 hours per week)

Hiring Range: $65,020- $68,640 annually

Website: Thomas Allen (thomasalleninc.com)

Position Overview:

As the Program Manager in Managed Care, you will be the primary contact for contract representatives and should ensure high-quality services are provided in accordance with Lead Agency and DHS expectations. You will also be responsible for case assignment, hiring, training, and direct supervision of contracted care coordinators.

Key Responsibilities:

• Recruitment and ensuring employees receive all required orientation information
• Provide ongoing support, guidance, training, and supervision to direct reports and others as needed
• Evaluate employee performance and provide development and guidance as needed
• Support a culture of transparency and equity in accountability for all team members
• Ensure all paperwork and records are accurate and in compliance with regulations and meet our standard of care
• Manage the referral process and support a smooth transition and exceptional customer service experience for new individuals served and their care teams.
• Conduct quality assurance audits and assist with surveys
• Communicate with lead agencies and county representatives and ensure positive outcomes and collaborative problem-solving.

Required Qualifications:

• At least 2 years of professional full-time Care Coordination/Case Management experience or in a related position AND at least 3 years of human services experience
• A bachelor's degree (at minimum) with a major in social work, psychology, sociology, or a closely related field (such as occupational therapy, physical therapy, speech-language pathology, audiology, recreational therapy, dietician, special education, rehabilitation counseling, nursing, human services)
• If Degree is in Social Work, license in MN must be active.
• If Degree is in Nursing, RN status must be active. Public Health Nurse accepted.

Preferred Qualifications:

• Bachelor's degree or higher in Social Work with Active Social Work License.
• Care Coordinator experience with a health plan.
• Previous supervisory experience in the social services field.
• Knowledge of MA, Medicare, and MN Healthcare programs.
• Familiarity with community resources and providers.
• Strong organizational skills and attention to detail.
• Proficiency in computer basics and familiarity with the Microsoft Office suite.

Additional Requirements

• Must be at least 18 years of age.
• Valid driver's license, reliable vehicle for work purposes, acceptable driving record, and proof of auto insurance.
• Excellent written and verbal communication skills in English.
• Passing all background and requirements for facility and position; and
• The ability to pass the screening required by Federal Human Services Office of Inspector General to assure that person has not been excluded from working in the Health Care Programs which receive federal funding.

What We Offer our Team Members!

Benefits provided to Full-Time Employees (35+ hours/week):

• 7 Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Day, and one Floating Holiday to use when it matters most to you!
• Paid Leave = Paid vacation time off to help you recharge and maintain work-life balance & Earned Sick and Safe Time (ESST)
• Comprehensive medical, dental, vision, disability, and life insurance coverage
• Health Savings Account (HSA), Flexible Spending Account (FSA), and Dependent Care Account (DCA) options to help you manage healthcare expenses
• 401(k) program to help you plan for your financial future
• Mileage reimbursement for work-related travel
• Paid training and certifications to help you develop new skills and advance your career
• Employee appreciation programs to recognize your contributions and efforts
• Mental health support to prioritize your well-being
• Opportunities for career advancement and growth to help you achieve your professional goals

Why Join Us?

• Be part of a dynamic team dedicated to making a difference in individuals' lives.
• Opportunities for growth and professional development through ongoing training.
• A supportive and inclusive work environment.
• Competitive compensation and benefits.
• Make a lasting impact on the community and individuals we serve.

Join our team and make a difference!

Thomas Allen is an Equal Opportunity Employer committed to diversity.