Project Manager, Medical Policy Processes

Evolent

12d•Remote

About The Position

As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines. Our team values collaboration, continuous learning, ongoing identification of efficiencies and process improvement, and a customer-centric approach, ensuring that every team member contributes to providing the best clinical guideline product. The Project Manager will partner most closely with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups.

Requirements

Bachelor's degree plus 2+ years' project management or job-related experience with a medium to large-scale corporation
High School or Associate’s degree with a minimum of 5 years of project management or job-related experience within the past 8 years
Project Management Institute Certification (multiple certification options)
Knowledge of project management and process improvement practices and methodologies
Basic knowledge of health care management (CPT Codes, Medicare/Medicaid)
Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teams
Ability to resolve and/or escalate issues in a timely fashion
Understand how to communicate difficult/sensitive information tactfully
Proven ability to plan, organize, schedule, direct, control, and monitor project activities
Strong working knowledge of Microsoft Product Suite
High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Nice To Haves

Lean Six Sigma Black Belt or Green Belt

Responsibilities

Manage team responsibilities and project management activities as assigned
Manage day-to-day operational aspects of Medical Policy team processes
Manage publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines
Lead the development and oversight of centralized clinical guideline governance, driving data integrity, process standardization, and cross-functional alignment for utilization review operations
Manage and maintain information critical to accurate guideline publication
Develop and maintain reports, dashboards, and project tracking tools to communicate project status, progress, risks, and key performance metrics
Apply project management methodology and enforce project standards using approved toolkit templates