Health Services Project Manager

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Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion : PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Provide a proactive interface between the cross-functional core team, managers, and executive team to ensure effective definition and delivery of the project.

Manage the entire portfolio of assigned projects, maintaining up to date metrics, and documentation that creates an effective level of transparency and accurately reflects the current state of each project.

Interact with all departments and personnel, as needed, including external customers, vendors and consultants. Use expert knowledge of multiple project management approaches and recommend and fit these approaches to the appropriate project.

Use leadership skills such as negotiation and influence to engage resources to commit to project goals and deliverables.

Manage necessary vendor relationships from initial engagement and assessment to implementation.

Essential Responsibilities :

• Manage assigned projects according to life cycle (define, plan, execute, control).
• Develop and manage schedule; timelines, activities, milestones.
• Assess / analyze resource constraints / capacity and plan accordingly.
• Ensure / oversee complete requirements gathering and documentation.
• Create weekly status reports for each project and report status to the necessary stakeholders.
• Conduct regular / weekly team meetings on all projects.
• Monitor risks and issues and maintain log files.
• Monitor and maintain scope and / or solicit sponsor approval.
• Coordinate with the business and participate in QA test iterations.
• Solicit team member collaboration on issues and problems.
• Identify appropriate project priorities and effectively communicate to team members.
• Maintain central point of contact with vendor(s), assess vendor performance and manage contracted resources.
• Review contracts and statements of work for reasonableness of timeline and scope.
• Track project actual expenditures to budget, and review vendor invoices before payment.
• Apply advanced project management techniques to complete projects successfully.
• Help develop project management standards and communicate those standard throughout the organization.
• Mentor team members on project management practices and standards.

Supporting Responsibilities :

• Meet department and company performance and attendance expectations.
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Customer service oriented, and commitment to establishing and maintaining positive and healthy working relationships.
• Ensure compliance with standards, policies, procedures, requirements, and regulations.
• Pilot new hardware and / or software and determine capabilities and / or limitations.
• Perform other duties as assigned

Work Experience : Experience in health-related field preferred, with a preference towards Insurance. Minimum 5 years in a business analyst / project management or equivalent role, leading teams of software and / or application developers in a complex business and systems environment.

Education, Certificates, Licenses : BA / BS in Healthcare, Business, Computer Science, related field or equivalent work experience.

Project Management Certification (PMP), or attainment of PMP certification within 12 months of employment.

Knowledge : Understanding of health insurance as it relates in Medicare, Medicaid and Commercial lines of. Understanding of health care operations in various clinical settings : primary care, specialty, hospital, ambulatory and post-acute.

Experience with HEDIS, QIM, NCQA and other quality initiatives. Knowledge of data analysis, utilization patterns and reporting.

Possess knowledge and ability to tailor project management approach as necessary to fit the specific needs of a given project.

Ability to communicate effectively across all levels of the business. Demonstrated ability to project manage multiple, parallel projects and staff requirements.

Excellent computer skills, including experience with project management tools such as Microsoft Project, and advanced experience with Microsoft Office Suite.

Ability to work independently with minimal supervision. Excellent math skills required, including percentages, ratios, graphing, and spreadsheet skills.

Must have exceptional written and verbal communication skills. Highly organized, detail-oriented, and flexible. Excellent observation skills with proven ability to think critically and analyze complex systems.

Adept at evaluating problems accurately and displaying sound judgment, including measured risks and timely escalation.

Competencies : Adaptability

Adaptability

Building Customer Loyalty

Building Strategic Work Relationships

Building Trust

Continuous Improvement

Contributing to Team Success

Planning and Organizing

Work Standards

Environment : Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.

Skills :

Accountability, Communication, Communication (written / verbal), Flexibility, Listening (active), Organizational skills / Planning and Organization, Problem Solving, Teamwork

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business :

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements : Stoop and bend. Sit and / or stand for extended periods of time while performing core job functions.

Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English.

Communicate clearly and effectively.

Disclaimer : This job description indicates the general nature and level of work performed by employees within this position and is subject to change.

It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.

Employment remains AT-WILL at all times.