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Clinical Services Program Manager IV - Platform Migration

Clinical Services Program Manager IV - Platform Migration

MedicaMinnetonka, MN, United States
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Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

This Program Manager opportunity will work within Medica's Clinical Services division, supporting optimization efforts for clinical systems and integrations specifically focused on our claims platform migration efforts. Key accountabilities include representing the voice of the customer by providing domain knowledge and expertise to drive business outcomes, including the coordination of people, process and technology. This role will act as a key change agent for the business and is accountable for business decisions related to the planning, delivery and operational aspects of a key strategic portfolio of investment as well as continuous value stream improvement. Performs other duties as assigned.

Key Accountabilities

Lead clinical components of claims platform migration initiative in alignment with Media's strategic goals around optimization and growth

  • Establish and maintain strong internal partnerships with key cross functional leaders to ensure system and operational readiness for migration efforts
  • Maintains and communicates program timelines across stakeholders

Tracks and drives issues through resolution with appropriate areas such as IT, configuration, etc

  • Ensures solutions follow Medica policies, government regulatory & legislative requirements
  • Accountable for understanding and communicating constituent impacts to all program decisions. Ensures all internal and stakeholders are appropriately informed and aligned to meet constituent needs
  • Required Qualifications

  • Bachelor's degree or equivalent combination of education and related work experience
  • 7+ years of related experience with 5+ years of experience working on large organizational projects
  • Preferred Qualifications

  • Experience working in business systems analysis or product ownership strongly preferred, particularly within clinical services and / or claims areas
  • Experience working with technological development teams utilizing Agile methods
  • Skills and Abilities

  • Strong ability to build and maintain positive working relationships with all levels, including executives to analysts
  • Very effective interpersonal skills including mentoring, coaching, collaborating, and team building
  • Strong analytical, planning, and organizational skills with an ability to manage competing demands
  • In-depth knowledge and understanding of business needs with the ability to establish / maintain high level of customer trust and confidence
  • Proven ability to lead software development projects and ensure objectives, goals, and commitments are met
  • Excellent oral and written communications skills and experience interacting with both business and IT individuals at all levels including the executive level
  • Creative approach to problem-solving with the ability to focus on details while maintaining the "big picture" view
  • This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations : Minnetonka, MN, or Madison, WI.

    The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    Eligibility to work in the US : Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

    We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

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    Clinical Program Manager • Minnetonka, MN, United States

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