Project Consultant - Grievance & Appeals Projects and Reporting

ViziRecruiter,LLC.; Detroit (MI); On-site; USD 95,000 - 130,000; Full time

Job summary

ViziRecruiter, LLC is seeking an experienced Project Manager to lead health plan operations projects with moderate to complex scope. The role covers planning, budgeting and execution over multi-year horizons, coordinating with multiple departments and leadership teams.

The ideal candidate brings a Bachelor's degree, at least five years in related work, and strong analytical and communication skills. PMP is preferred, with the ability to mentor others and manage competing priorities in a

Qualifications

• Bachelor's Degree in related field required.
• Five (5) or more years' experience in related field.
• Three (3) years project management experience in health plan operations or related field.
• Project Management Professional Certificate preferred.
• Leadership and/or analytical experience with data, systems, and operations.
• Knowledge of program management preferred.
• Excellent analytical, organizational, problem solving, verbal and written communication skills.
• Knowledge of project management tools and methodologies.
• Ability to work independently, within a team environment and with multiple priorities.
• Proficient in current industry standard PC applications and systems (e.g., Access, Excel and Word).
• Ability to work closely with the technical support team in understanding and resolving systems issues.
• Ability to develop, implement, and monitor policies and procedures.

Responsibilities

• Develop detailed project plans and schedules, identify goals, objectives, risks and resource allocation.
• Monitor project status for deviations in quality, cost or schedule; interface with departments and senior management.
• Support development of project budgets and update as required.
• Coach and mentor team members.
• Provide feedback on team performance.
• Ensure that expectations are developed, controlled, and executed in a timely manner.
• Represent leadership staff at meetings in their absence.
• May provide supervision to others.
• Other duties as assigned.

Skills

Leadership

Analytical thinking

Communication

Problem solving

Teamwork

Independence

Ability to manage priorities

Education

Bachelor's Degree in related field

Tools

Excel

Access

Word

Project Management Tools

Job description

Introduction

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Overview

Accountable for and manages the development, implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implementation and may impact one or more business unit/function. Project scope typically impacts one or more of the following: process, system, function, product and/or service.

Responsibilities

• Develop detailed project plans and schedules, identify goals, objectives, risks and resource allocation.
• Monitor project status for significant deviations in quality, cost or schedule. Interface with various departments, senior management and external individuals providing value and support for continuous improvement.
• Support development of project budgets and update, as required.
• Coach and mentor team members.
• Provide feedback on team performance.
• Ensure that expectations are developed, controlled, and executed in a timely manner.
• Represent leadership staff at meetings in their absence.
• May provide supervision to others.
• Other duties as assigned.

Requirements

• Bachelor's Degree in related field required.
• Five (5) or more years' experience in related field.
• Three (3) years project management experience in health plan operations or related field.
• Project Management Professional Certificate preferred.
• Leadership and/or analytical experience with data, systems, and operations.
• Knowledge of program management preferred.
• Excellent analytical, organizational, problem solving, verbal and written communication skills.
• Knowledge of project management tools and methodologies.
• Ability to work independently, within a team environment and with multiple priorities.
• Proficient in current industry standard PC applications and systems (e.g., Access, Excel and Word).
• Ability to work closely with the technical support team in understanding and resolving systems issues.
• Ability to develop, implement, and monitor policies and procedures.
• Other related skills and/or abilities may be required to perform this job.

Departmental Experience

• Advanced PowerPoint and similar software experience.
• Interpret data and analytics to provide meaningful insights, communicating complex concepts in a way that is accessible to stakeholders.
• Comfortable working with all levels of leadership within the enterprise.
• Previous experience or understanding the Grievance and Appeals process.