In addition to the responsibilities listed below, this position is also responsible for championing the work of major, medium, and smaller-sized system and non-system projects that have regional and/or inter-regional impact on members, providers, and employees by establishing programs and organizing initial stakeholder engagements; planning the implementation of the overall project budget and ensuring the budget is followed by stakeholders and vendors; leading short- and long-term goal attainment by using advanced knowledge to drive strategies and solutions to optimize processes; triaging issues and identifying requirements of data needed to inform evidence-based decision; determines necessary data requirements and discrepancies to come to conclusions about the asks; leading teams to develop action plans to resolve issues based on data analyses with collaborations from key stakeholders; evaluating vendor solutions and initial demo set-up; leading the decision-making of new policies that affect members and providers; approving new strategies and implementing long-term and strategic solutions to increase revenue and return-on-investment (ROI), establish project success, and improve member service; approving communication strategies to effectively share information with all stakeholders; managing unit responsible for regional drug therapy conversions; developing processes to assure consistency across regions; and developing and implementing reporting processes and systems for revenue forecasting, business reports, and required regulatory reports.
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Job Type
Full-time
Career Level
Senior
Industry
Ambulatory Health Care Services
Education Level
Ph.D. or professional degree