Wellness Program Manager Job Listing at Medical Mutual in Brooklyn, OH (Job ID 4b6b3ad9-eee6-4eda-9dd0-61977f1b8d1c)

Description

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Note: Requires a minimum of three days per week in the Brooklyn, Ohio office.

Wellness Program Manager I

Job Summary:    

Under direct supervision, develops, implements, and administers smaller and/or more routine assigned portfolio of wellness programs aimed at improving quality, cost, and health outcome goals for client groups and members. Collaborates with internal departments, client group representatives, and vendors to promote wellness services and optimize client group health and wellness benefits.

Responsibilities:

• Manages an assigned portfolio, often under supervision, of typically smaller and/or more routine client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship.
• Participates in departmental and divisional projects offering research on health and wellness trends to ensure the Company's market leadership in Wellness. Supports population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies.
• Supports external vendor relationship management that complement the Company's wellness initiatives. Supports cross-functional teams through implementation and assures program is maintained according to plan and within budget.
• Develops relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions.
• Supports more senior staff with new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting.
• Learns and maintains knowledge of federal and regulatory guidelines and NCQA standards associated with wellness programs. Supports more senior staff with updates to policies and procedures and delegated vendor oversight as appropriate.
• Performs other duties as assigned.

Wellness Program Manager II

Job Summary:    

Under general supervision, develops, implements, and administers smaller and/or moderately complex assigned portfolio of wellness programs aimed at improving quality, cost, and health outcome goals for client groups and members. Collaborates with internal departments, client group representatives, and vendors to promote wellness services and optimize client group health and wellness benefits.

Responsibilities:

• Manages an assigned portfolio of typically smaller and/or moderately complex client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship.
• Participates in departmental and divisional projects offering research and consultation on health and wellness trends to ensure the Company's market leadership in Wellness. Develops, implements and manages typically more complex population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies
• Manages external vendor relationships that complement the Company's wellness initiatives. Leads cross-functional teams through implementation and assures program is maintained according to plan and within budget.
• Develops and sustains relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions.
• Participates in new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends and presents wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting.
• Assures compliance with federal and regulatory guidelines and NCQA standards associated with wellness programs. Creates and updates policies and procedures and conducts delegated vendor oversight as appropriate.
• Performs other duties as assigned.

Senior Wellness Program Manager

Job Summary:    

Under limited supervision, develops, implements, and administers larger and/or more complex assigned portfolio of wellness programs aimed at improving quality, cost, and health outcome goals for client groups and members. Collaborates with internal departments, client group representatives, and vendors to promote wellness services and optimize client group health and wellness benefits. 

Responsibilities:

• Manages an assigned portfolio of typically larger and/or more complex client groups. Formulates wellness program strategy and design and collaborates interdepartmentally and/or with vendor partners to manage implementation and ongoing account relationship.
• Participates in departmental and divisional projects offering research and consultation on health and wellness trends to ensure the Company's market leadership in Wellness. Develops, implements and manages typically more complex population health and wellness initiatives and outreach programs that incorporate new and existing evidence-based strategies.
• Manages external vendor relationships that complement the Company's wellness initiatives. Leads cross-functional teams through implementation and assures program is maintained according to plan and within budget.
• Develops and sustains relationships with brokers and employer groups. Implements customized strategies and incentives to optimize health outcomes and promote cost reductions.
• Participates in new business growth and development and vendor contract negotiations. Responds to Request for Proposals and attends and presents wellness program options in finalist meetings. Collaborates with management, legal and finance in assembling cost/benefit analyses, corporate funds requests, and reporting.
• Orients, trains and assists more junior level staff.
• Assures compliance with federal and regulatory guidelines and NCQA standards associated with wellness programs. Creates and updates policies and procedures and conducts delegated vendor oversight as appropriate.
• Performs other duties as assigned.

Qualifications:

Wellness Program Manager I

• Bachelor's degree in health and wellness, health care administration, public health or related field
• Up to 1 year experience developing and implementing wellness programs and interventions in a health plan or an employer group.
• Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist preferred.
• Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ) preferred.
• Knowledge of population health and wellness programs.
• Basic knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs.
• Good verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences.
• Good vendor relationship management skills.
• Intermediate Microsoft Office skills (Word, Excel, PowerPoint).

Wellness Program Manager II

• Bachelor's degree in health and wellness, health care administration, public health or related field . Master's degree preferred.
• 3 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs and interventions in a health plan or an employer group.
• Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist preferred.
• Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ) preferred.
• Knowledge of population health and wellness programs with the ability to design, plan, deliver and evaluate programs to large and small health plan client groups.
• Knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs.
• Good verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences.
• Good vendor relationship management skills.
• Intermediate Microsoft Office skills (Word, Excel, PowerPoint).

 Senior Wellness Program Manager

• Bachelor's degree in health and wellness, health care administration, public health or related field . Master's degree preferred.
• 5 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs and interventions in a health plan or an employer group.
• Registered Dietitian, Certified Health Education Specialist, or Exercise Physiologist preferred.
• Certified Health Education Specialist (CHES), Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ) preferred.
• Extensive knowledge of population health and wellness programs with the ability to design, plan, deliver and evaluate programs to large and small health plan client groups.
• Knowledge of NCQA, HEDIS, regulatory, and compliance related to quality improvement programs.
• Strong verbal, written, and interpersonal communication skills with the ability to communicate and present to various internal and external audiences.
• Strong vendor relationship management skills.
• Intermediate to advanced Microsoft Office skills (Word, Excel, PowerPoint).

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