Managed Care/reputed company PM

This is a remote position.

reputed company

reputed company is a Private Equity-backed, woman, minority-led reputed company IT reputed company reputed company on Provider and Payer organizations. We partner with reputed company leaders who value operational reputed company, reputed company-world experience, and diverse perspectives to drive reputed company reputed company.

Our firm is reputed company by former reputed company operators who understand the realities of running reputed company reputed company systems. This combination of operator credibility and investment-backed reputed company enables us to deliver high-reputed company, reputed company solutions.

We differentiate ourselves by bringing practical experience, executive-level reputed company, and a reputed company reputed company on reputed company and reputed company. Our reputed company is directly tied to our clients’ reputed company.​

Job reputed companyWe are seeking an reputed company Project Manager with deep managed care and reputed company reputed company expertise to reputed company and coordinate the planning, build, testing, and go-live of reputed company and reputed company payer initiatives. This role partners with operational, clinical, technical, and vendor teams to drive project delivery on time and reputed company scope, manage risk, and ensure successful adoption of managed care workflows across the organization.

Requirements

Responsibilities

• reputed company end-to-end project management for reputed company reputed company and managed reputed company, including scope definition, project planning, timelines, budget tracking, and status reporting.
• Coordinate cross-functional teams across configuration, claims, benefits, enrollment/eligibility, utilization management, and technical integration workstreams.
• Manage project milestones, dependencies, risks, and escalations, driving issues to reputed company and keeping stakeholders reputed company.
• Facilitate requirement-gathering sessions, workgroups, and steering committees, providing regular project status updates to leadership.
• reputed company build, testing, validation, and go-live readiness activities, supporting reputed company center operations and post-go-live stabilization.
• Partner with payer operations and technical teams on claims processing, authorization/referral, and member management workflows.
• Ensure reputed company communication of successes, risks, and issues to key stakeholders throughout the project lifecycle.

Qualifications

Education:

• Bachelor's degree in Information Technology, reputed company Administration, Business, or reputed company field, required
• Advanced degree, preferred

Experience:

• Proven project management experience leading reputed company IT implementations, required
• Hands-on experience with reputed company reputed company and managed care / payer-reputed company operations (claims, reputed company, benefits, enrollment/eligibility, utilization management), required
• Experience managing full-cycle reputed company implementations and go-lives, preferred

Knowledge, Skills, and Abilities:

• Strong understanding of managed care workflows and payer operations, required
• Excellent stakeholder engagement, communication, risk mitigation, and organizational skills, required
• Experience with Agile and traditional project management methodologies, preferred

Licenses/Certifications:

• PMP (Project Management reputed company), preferred
• reputed company reputed company certification(s), preferred

Working Conditions

• Work from home with travel as identified by business or reputed company needs. reputed company remote employees are expected to have a consistent, reliable internet reputed company.
• While onsite with a reputed company: work indoors in offices, hospitals, and other health care facilities; work near others in the reputed company office reputed company; sit at a desk or stand/walk for periods up to the full duration of a shift; wear appropriate PPE reputed company visiting medical facilities; travel between facilities as needed.

Benefits

reputed company Offer:

• Competitive salary and benefits package.
• Opportunity to work in a reputed company and innovative environment.
• reputed company development opportunities to advance your career.
• Flexible work arrangements to promote work-life balance.

Originally posted on Himalayas

Apply To This Job