Project Manager IV, Medicare Benefits

Kaiser Permanente•Oakland, CA

About The Position

The PM IV on the READ Team supports the entire Plan Benefit Package (PBP) process, ensuring timely and compliant Medicare filings, and manages document creation and filing. Manages large-scale projects from initiation to close-out. Leads the work of project team members by requesting and coordinating internal and/or external resources. Proactively monitors and identifies project risks, issues, and trigger events within and across projects. Ensures the alignment, buy-in, and coordination of project stakeholders. Assists with reviews of vendor performance levels and ensures service level agreements are met, and assists with contract negotiations with vendors.

Requirements

Minimum one (1) years experience in a leadership role with or without direct reports.
Bachelors degree from an accredited college or university and minimum five (5) years experience in project management or a directly related field OR Minimum eight (8) years experience in project management or a directly related field.
Knowledge, Skills, and Abilities (KSAs): Negotiation; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Product Development Life Cycle; Project Management Tools; Risk Assessment; Quality Assurance Process; Service Focus

Nice To Haves

Three (3) years of experience working with pharmacy and benefits operations.
Three (3) years of experience working with Medicare.
Three (3) years of experience working in shared services consulting.
Two (2) years health plan administration experience.
Two (2) years experience working with collaboration software (e.g., Sharepoint, MS Teams, etc.).
Two (2) years experience implementing large or complex projects.
Four (4) years experience in business analysis.
Two (2) years experience working in a matrixed organization.

Responsibilities

Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers.
Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers.
Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations.
Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes.
Facilitates team collaboration to support a business outcome.
Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies.
Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results.
Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines.
Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
Manages large-scale projects from initiation to close-out.
Develops, analyzes, and manages moderately complex project plans which include scope identification and management, schedule, inter-dependencies, and resource forecast.
Manages and monitors project financials for large projects.
Monitors overall project performance (e.g., on time, on budget, within scope, and with quality) against plan, ensuring measurement of business benefits and outcomes, and makes adjustments as needed.
Manages project activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the project.
Drives allocation of resources, establishes schedules, and task assignments to ensure established project management practices are in place.
Leads the work of project team members.
Requests and coordinates internal and/ or external resources based on the alignment of team member skills and project demands.
Promotes project vision and objectives with project team.
Delivers performance feedback to team members supervisors.
Proactively monitors and identifies project risks, issues, and trigger events by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
Monitors adherence of project activities to policies and procedures by ensuring project plans and team members follow KP, departmental, and/or business line policies and procedures.
Ensures the alignment, buy-in, and coordination of diverse project stakeholders by building rapport with stakeholder teams, third party vendors, and senior management; and clarifying accountability and authority across stakeholders.
Identifies and works closely with stakeholders, ensuring all appropriate stakeholders are represented and included.
Provides insight to key stakeholders and project sponsors by developing project goals, setting the prioritization of deliverables, discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for project delivery.
Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering presentations, and providing reports to various senior audiences.
Assists with reviews of vendor performance levels and ensures service level agreements are met.
Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
Assists with contract negotiations with vendors and reviews project invoices submitted by vendors for accuracy.