Program Manager (Remote)-Provider Engagement (Risk Adjustment & Quality Solutions

Job Description

JOB DESCRIPTION

Job Summary

Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management.

Job Duties

• Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
• Plans and directs schedules as well as project budgets.
• Monitors the project from inception through delivery.
• May engage and oversee the work of external vendors.
• Focuses on process improvement, organizational change management, program management and other processes relative to the business.
• Leads and manages team in planning and executing business programs.
• Serves as the subject matter expert in the functional area and leads programs to meet critical needs.
• Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed.
• Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generate and distribute standard reports on schedule

Strongly preferred skills

• -Experienced professional
• -Self-starter and comfortable working in a fast-paced environment
• -Knowledge of Risk Adjustment, Quality, and Provider Engagement Strategies
• -Experience with Healthcare data (Member, Provider, Claims, etc.)
• -Vendor Management
• -Experience with IT projects (onboarding vendors, file layouts, translating data requirements, QA/validation checks, report design)
• -Technical skills (SQL, Excel, Power BI, Tableau)

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Bachelor's Degree or equivalent combination of education and experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• 3-5 years of Program and/or Project management experience.
• Operational Process Improvement experience.
• Healthcare experience.
• Experience with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience partnering with different levels of leadership across the organization.

PREFERRED EDUCATION:

Graduate Degree or equivalent combination of education and experience.

PREFERRED EXPERIENCE: