Program Manager - Social Service jobs in Louisiana

Program Manager - Social Service manages and administers the day to day operations of residential or community-based programs. Hires and trains staff that provide patient care. Being a Program Manager - Social Service ensures service delivery meets quality standards. Acts as a liaison with internal and external parties. Additionally, Program Manager - Social Service requires a bachelor's degree in a related area. Typically reports to a director. The Program Manager - Social Service manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Program Manager - Social Service typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Medicare Advantage Compliance Program Manager
  • Louisiana Health Service & Indemnity Company
  • Baton Rouge, LA FULL_TIME
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE This position manages administrative elements of the Companies’ (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and governance documents such as the Compliance Plan, Risk Assessment, Corrective Action Plans, Committee Charters, Compliance policies and procedures; compliance education and training activities; audit and monitoring work plans; process development improvement; regulatory research, and special projects. Accountable for providing reasonable assurance the compliance program complies with all applicable laws and regulations associated with duties and responsibilities NATURE AND SCOPE This role does not manage people This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with all levels of internal personnel. External contacts include the Department of Insurance, CMS, Blue Cross and Blue Shield Association, providers, subscribers, group leaders, external consultants, attorneys, external auditors, governmental agencies, other Blue Cross plans, and other agencies/businesses as needed. QUALIFICATIONS Education Bachelor's in Accounting, Business Administration, Audit or a related field as deemed necessary by department management required Master's in related field is preferred Four years of related experience can be used in lieu of a Bachelor’s degree. Work Experience 7 years Previous experience as a senior compliance consultant or similar role with direct knowledge of CMS Medicare regulations and compliance programs for Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), and/or Prescription Drug Plans (PDP) required Skills and Abilities Position requires strong human relation skills in addition to analytical ability. Also, strong communication skills both written and oral. Ability to manage time and personnel on a project and everyday basis. Working knowledge of relevant software is required. Incumbent must maintain complete confidentiality of information encountered. Ability to work extended hours with some travel required. Licenses and Certifications Approved certification such as a, CIA, or CPA must be obtained within 1.5 years of hire required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Develop, implement, track progress, and report on Compliance objectives, projects, timelines, and deliverables for the Medicare Advantage Compliance Program. Create and maintain compliance dashboards, analyzing and trending data to evaluate performance in compliance program areas. Report information to the CCO, MCO and Compliance Committee and assist in preparing formal reports for the Board of Directors. Coordinate compliance program effectiveness tasks to fulfill the goals and objectives of the Medicare Advantage Compliance Program, in collaboration with senior management and stakeholders. Plan, execute, and finalize projects according to identified priorities and deadlines. Assist in Compliance oversight of the organization’s contracted entities, in accordance with regulatory requirements, including development, implementation, and management of required systems and processes and the tracking and evaluation of such oversight. Serve as a subject matter expert and research regulatory materials and other guidance; meet with key areas to gain a thorough understanding of a department’s operational procedures; identify relevant compliance information to be incorporated into policies and procedures. Assist stakeholders in analyzing processes and aid in development of policy documents. Analyze, research, develop, write, and/or edit policy and procedure documents according to the Company’s standards, including compliance policies and compliance procedures in accordance with CMS requirements. Effectively communicate current compliance trends and changing requirements related to compliance program effectiveness and educate others on those requirements by conducting research to provide reasonable assurance the compliance program meets CMS expectations. Attends assigned meetings, committees and formal and informal training sessions and self-study, to keep abreast of compliance concepts, industry best practices, auditing and investigation skills, as well as interpersonal skills. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_JH1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. Company Mission To improve the health and lives of Louisianians. Company Vision To be the market leader that delivers unsurpassed value to our customers through partnerships across the healthcare system. Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity company and is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.
  • 25 Days Ago

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Direct Service Worker
  • Gulf Coast Social Services
  • Alexandria, LA FULL_TIME,PART_TIME
  • Discover your potential to make a difference in the lives of others! *This position is eligible for a $150.00 Sign-On Bonus* Become a Direct Service Worker and help improve the life of someone with a ...
  • 1 Month Ago

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Service Development Represenative
  • Freedom Behavioral Program of DeQuincy
  • Quincy, LA FULL_TIME
  • Service Development Representative: Responsible for educating medical and business professionals, community resources, and other within the service area of the programs and services that our facility ...
  • 24 Days Ago

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Direct Service Worker (DSW) Full Time/Part Time
  • Gulf Coast Social Services
  • Baton Rouge, LA FULL_TIME|PART_TIME
  • Discover your potential to make a difference in the lives of others! *This position is eligible for a $150.00 Sign-On Bonus* __** Become a Direct Service Worker and help improve the life of someone wi...
  • 4 Days Ago

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Social Worker
  • Acadiana Legal Service Corp
  • Alexandria, LA FULL_TIME
  • Acadiana Legal Service Corporation, (ALSC), Child in Need of Care Unit, (CINC), seeks a Licensed Master’s Social Worker, (LMSW), or Licensed Clinical Social Worker, (LCSW), to be part of a Multidiscip...
  • 18 Days Ago

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Social Worker
  • Acadiana Legal Service Corp
  • Lafayette, LA FULL_TIME
  • Acadiana Legal Service Corporation, (ALSC), Child in Need of Care Unit, (CINC), seeks a Licensed Master’s Social Worker, (LMSW), or Licensed Clinical Social Worker, (LCSW), to be part of a Multidiscip...
  • 18 Days Ago

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Manager - Program Management
  • Accelya
  • Miami, FL
  • Manager - Program Management page is loaded Manager - Program Management Apply remote type Fully Remote locations USA, M...
  • 6/11/2024 12:00:00 AM

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Sr. Program Manager - Social Services 801 East, $6,000 Sign on Bonus
  • Catholic Charities of the Archidiocese of Washington
  • Washington, DC
  • ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such ...
  • 6/10/2024 12:00:00 AM

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Programm Manager
  • Diverse Lynx
  • Sunnyvale, CA
  • Position: Program Manager Location: Sunnyvale, CA Type: Contract JOB DESCRIPTION Program management experience using a f...
  • 6/10/2024 12:00:00 AM

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Manager, Program Management
  • National Black MBA Association
  • Roanoke, TX
  • Job Description: Manager, Program Management Role Fidelity Charitable is looking to hire talent with strategic, analytic...
  • 6/10/2024 12:00:00 AM

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Manager-Program Management
  • Acadia Healthcare
  • San Diego, CA
  • ESSENTIAL FUNCTIONS: * Develop and maintain administrative and clinical operations that provide quality care and outcome...
  • 6/10/2024 12:00:00 AM

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Manager, Program Managers
  • Andrews Cooper Technology LLC
  • Seattle, WA
  • SENIOR PROGRAM MANAGER IN SEATTLE, WA Andrews Cooper is an engineering services firm in the Pacific Northwest specializi...
  • 6/8/2024 12:00:00 AM

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Manager, Program Management
  • ConnectiveRx
  • Pittsburgh, PA
  • Overview: The Manager, Program Management is responsible for managing key aspects of the client relationship to effectiv...
  • 6/7/2024 12:00:00 AM

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Manager - Program Management
  • Accelya US, Inc.
  • Miami, FL
  • Manager - Program Management page is loaded Manager - Program Management Apply remote type Fully Remote locations USA, M...
  • 6/7/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Program Manager - Social Service jobs
$66,294 to $88,405

Program Manager - Social Service in Detroit, MI
Developed relationships with community referral sources related to programs and participated in annual events.
November 30, 2019
Program Manager - Social Service in Lexington, KY
The views expressed herein are those solely of the author and not necessarily endorsed by the Network for Social Work Management.
December 18, 2019
Program Manager - Social Service in Biloxi, MS
Success in the program requires that you be open to the specific issues and contexts of people with various racial, cultural and ethnic backgrounds.
December 21, 2019