Project Manager - Medicare/DSNIP

Highmark Health

11d•Hybrid

About The Position

This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business. This role entails the coordination and implementation of models of care, operating within a framework highly regulated by the Centers for Medicare & Medicaid Services (CMS). Experience in quality improvement and audit processes is considered a valuable asset. This role is based in Pennsylvania, and can be remote or hybrid.

Requirements

Minimum High School Diploma/GED
Minimum 1 - 3 years experience in a project manager role and/or in a project leadership role
Experience with customer relationship management
Presentation skills
Negotiation skills
Experience with conflict resolution
Experience with Risk Mitigation Planning
Team Building Skills
Strong interpersonal skills
Very good verbal and written communication skills
Solid organizational and planning skills
Solid leadership skills

Nice To Haves

Bachelor’s degree
Health Care Insurance industry business and operational knowledge
PMP certification or equivalent training
Experience in quality improvement and audit processes is considered a valuable asset.

Responsibilities

Works with business and technical organizations to drive out program strategy and approach.
Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects.
Work with business and technical organizations to assemble project teams.
Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives.
Acquire understanding of the business objectives for an assigned area."
Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals.
Direct corrective action as needed to maintain the viability of the Program.
Develop and maintain positive customer relationships.
Deliver presentations of project status to effectively communicate throughout the project lifecycle.
Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements.
Support and contribute to the improvement of project management methods and practices.
Other duties as assigned or requested.