Program Manager

Position Purpose: Under minimal supervision leads complex projects as assigned by the Chief Operating Officer. Potential projects may cover multiple business areas of the corporation as well as multiple systems. Provides support and management for the various project lifecycle phases of the project, including defining scope, business requirements, reporting, testing, implementation, etc. Reports project status to the defined management team of the project as well as the direct line reporting. Provides regulatory and business development support to the Chief Operating Officer and Chief Executive Officer.

Responsibilities:

• Serves as project manager for regulatory, business strategy and business development projects
• Project management efforts required to plan, monitor, track and manage the people, time and quality of the work related to the implementation of the project as well as the project budget
• Creates project plans that include the required project components including background, scope, goal, roles & responsibilities, measurable objectives, assumptions, issues, and risk assessment
• Develops monitoring processes to ensure implementation is effective and compliant with regulatory, business and budgetary requirements
• Provides necessary cost estimates and/or benefit analysis for systems and projects
• Communicate project status and issues to project team and management
• Acts as the liaison with business areas to ensure appropriate changes are made to the impacted departments
• Manage and resolve conflict in the project environment
• Guides internal customers on strategies, methods, and options for achieving operational/functional requirements applicable to the health plan, members and providers
• Keeps abreast of federal and state regulations pertaining to Medicaid and Medicare
• Assesses the impact of regulatory changes on health plan programs, members, and providers
• Ensures that communications regarding high-impact regulatory changes are provided to appropriate business areas and executive leadership
• Monitors changes in relevant regulatory areas
• Supports the submission of regulatory reporting requirements on an ongoing basis
• Assists in the preparation of updates and reports to management, Board of Directors, and Compliance Committee
• Other duties as assigned

Education:

• Bachelor’s degree, or higher, in health care, business administration, project management, management information systems or related field required