Description JOB DESCRIPTION Job SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion. Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes. May engage and oversee the work of external vendors. Focuses on process improvement, organizational change management, program management and other processes relative to business needs. Serves as a subject matter expert and leads healthcare services programs to meet critical needs. Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate. Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.