Project Manager (Medicare)

Solis Health Plans; United States; On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Project Manager responsible for planning and overseeing healthcare projects. The ideal candidate will have over 5 years of experience in project management, particularly in a healthcare setting. They should demonstrate proficiency in managing projects, strong communication skills, and a commitment to quality standards. A PMP certification is preferred. This position is on-site, Monday to Friday, and offers an opportunity to make a significant impact in the healthcare industry.

Qualifications

• 5 or more years of relevant experience in project management.
• Proven track record in implementing system-wide projects.
• Experience in a fast-paced and dynamic environment.

Responsibilities

• Lead multiple healthcare projects simultaneously.
• Ensure adherence to regulatory and internal processing guidelines.
• Analyze technology and market demand for project feasibility.

Skills

Project Management

Communication

Problem-Solving

Time Management

Microsoft Suite

Education

5+ years of relevant experience

PMP Certification

Tools

Microsoft Project

Excel

Visio

PowerPoint

Job description

The Project Manager willbe responsible forthe planning, development, and overall performance and growth of several healthcare projects. They willdemonstrateand commit to standard project management methods and techniques to support delivery of strategic initiatives aligned with our corporate vision.

Position on site Monday-Friday. PMP Certification preferred, Medicare Health Plan experience required.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Respond to complaints, grievances and appeals in a consistent fashion, adhering to all regulatory, accreditation and internal processing timelines and guidelines.
• Leads multiple healthcare projects simultaneously,maintainingclear direction and oversight on project progress
• Identifiesneeds and defines major tasks and milestones based on scope, resources, budget, and personnel
• Establishes project quality standards,monitorsproject status, andmaintainsproject plans on schedule
• Educates providers,staffand/or members on health initiatives
• Possess general knowledge of data analytics and reporting requirements
• Supports company philosophies,objectives, decisions, and policies. Must abide to all HIPAA, Confidentiality and Privacy laws.
• Analyzes technology, resource needs, and market demand to plan and assess the feasibility of projects.
• Partners with various internal departments toassistinidentifyingopportunities to improve business processes and growth.
• Collaborates with team to drive quality and revenue growth through business development and community outreach efforts.
• Conducts routine meetings with the staff anddocumentstopicsdiscussed,action plans and staff feedback.

QUALIFICATIONS AND EDUCATION

• 5 or more years of relevant experience strongly desired
• Proventrack recordin implementation of system-wide projects,as well as,experience implementing multiple projects of varying complexities simultaneously
• Previousexperience in managed care preferred
• Effective planning, forecasting, tracking, and monitoring capabilities
• Microsoft Suite (MS Project, Excel, Word, PowerPoint, Outlook, and Visio) experience
• Project Management Professional (PMP) certification and/or Six Sigma Black Belt (CSSBB)
• Provenproficiency workingin a fast paced and dynamic environment.
• Excellent communication, timemanagementand scheduling competencies
• Proactive problem-solver and critical thinker
• Demonstrated ability in risk management skills associated with assessing projects

WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonableaccommodationmay be made to enable individuals with disabilities to perform the essential functions.

• The noise level in the work environment is usually moderate.
• Fast-paced office environment.
• Highly regulated environment.
• Interacts with patients, family members, staff, visitors, government agencies,etc, under avarietyconditions and circumstances.

This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity.The work is performed indoors.Sits, stands, bends,lifts, andmovesintermittently during working hours. May be sitting for a prolonged period.

The work schedule is approximate, and hours/days may change based on company needs. All full-time employeesare required tocomplete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonableaccommodationmay be made to enable individuals with disabilities to perform the essential functions.

The employee must be able to frequentlyliftupto 10 pounds and occasionally lift and/or move up to 25 pounds.While performing the duties of this job, the employeeis regularly required totalk or listen. The employee isfrequentlyrequired to stand and walk. Theemployeeis occasionally required touse hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilitiesrequiredfor this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

PERFORMANCE MEASUREMENTS

• Dutiesaccomplishedat the end of the day/month.