What are the responsibilities and job description for the Project Manager - EQR (CO) - REMOTE position at Health Services Advisory Group, Inc.?
Job Details
Summary
This full-time Project Manager (PM) provides ongoing project management and general support to contracted external quality review (EQR) activities, including developing and managing work plans and timelines, organizing and conducting project work, and ensuring follow-up, as necessary. Primary responsibilities include projects focused on compliance with federal and state regulations, mental health parity, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), quality of care concerns, grievances, appeals, denials, and utilization management. The PM will participate in the creation and distribution of audit tools and materials, conducting desk reviews and health plan interviews, and coordinating report preparation and finalization, including preparation of the annual EQR technical report. The PM will interact with internal and external resources (including State Medicaid agencies, external stakeholders and consultants, and health plans) to achieve corporate, department, and activity goals and objectives. The PM plays a critical role in monitoring and supporting HSAG's compliance with State EQRO contracts.
Essential Competencies and Responsibilities
- Provide day-to-day project management and support of contracted EQR activities.
- Develop, coordinate, and manage project work plans and timelines for assigned contracts and EQR activities.
- Preparation of project documentation related to key deliverables and supporting documentation for assigned contracts and EQR activities.
- Conducts research into federal and state requirements, Senate bills, CMS waivers, and clinical literature reviews associated with recommended improvements in the states' quality strategies.
- Participates in EQR projects, including project development, initiation, completion, and report writing.
- Ensures timely and accurate completion of assigned tasks.
- Collaborates with staff members to efficiently evaluate and manage the workload as assigned within budget scope and allocated timeframes.
- Represent HSAG in a professional manner, at all times.
Essential Duties and Tasks
Compensation : $73,000 - $85,000 DOE
Job Requirements :
Education and / or Experience
Other Qualifications
Work Environment
This is a home-based position with occasional travel to conduct in-person meetings and audits in support of assigned contacts and projects.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Project deadlines may necessitate occasional extended work hours, including weekends.
Disclaimer
This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position.
While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).
HSAG is an EEO Employer of Veterans protected under Section 4212.
If you have special needs and require assistance completing our employment application process, please feel free to contact us.
EOE M / F / Veteran / Disability
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Salary : $73,000 - $85,000
