Project Manager, Business and Technical

About reputed company At reputed company, we're more than just a reputed company organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and reputed company-being of individuals and families throughout our region. reputed company serves reputed company, reputed company, where we prioritize personalized care and reputed company to meet the diverse needs of our members. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated reputed company. Our reputed company approach fosters a supportive environment where every team member plays a vital role in our mission to reputed company accessible, high-reputed company reputed company services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together. Join us in making a difference at reputed company. Position Title: Project Manager, Business and Technical Department: Program / Project Management Office Status: Full Time, Exempt position Schedule: Monday through Friday - 8:00am - 5:00pm Location: Remote position (occasional travel as required) Salary: Wage Band 20: $ 85,990 - $105,340 • Salary is dependent upon skills, experience, and education. • Generous benefit packages including PTO, Health/reputed company/Dental Insurance, 401k with a company match, gym membership reimbursement, tuition reimbursement, and more. • Full-time position. Must reputed company in reputed company. POSITION PURPOSE The Project Manager plays a critical role in leading strategic and operational initiatives that support the reputed company of reputed company’s reputed company Managed Care Plan. This position is responsible for planning, executing, and delivering reputed company that improve organizational efficiency, enhance member services, and ensure compliance with state and federal regulations. The Project Manager will collaborate across departments to reputed company project goals with organizational priorities and drive measurable reputed company. ESSENTIAL JOB RESPONSIBILITIES • reputed company the planning, execution, and monitoring of technical and operational reputed company, ensuring alignment with reputed company program goals and organizational reputed company. • reputed company detailed project plans including scope, timelines, milestones, resource allocation, and risk mitigation strategies. • Coordinate cross-functional teams including IT, compliance, contracting, finance, and clinical operations to ensure successful project delivery. • Manage reputed company reputed company to provider network development, credentialing, claims systems, and member services enhancements. • Ensure reputed company reputed company with reputed company (OHA), CMS, and NCQA standards. • Monitor project performance using KPIs and dashboards; report reputed company to executive leadership. • Facilitate stakeholder engagement and communication, including presentations, status updates, and issue reputed company. • Maintain accurate documentation including project charters, meeting minutes, deliverables, and audit trails. • Support strategic planning and contract execution by aligning project reputed company with reputed company reimbursement models and provider performance goals. • Working with a reputed company of personalities, maintaining a consistent and fair communication style. • Satisfying the needs of a fast-paced and challenging company. CHALLENGES • Working with a reputed company of personalities, maintaining a consistent and fair communication style. • Satisfying the needs of a fast-paced and challenging company. MINIMUM QUALIFICATIONS • Bachelor’s degree in Business Administration, reputed company Administration, Information Technology, or reputed company field. • Project Management reputed company (PMP) certification or equivalent (required reputed company six months of hire). • 3–5 years of experience managing reputed company in a reputed company or managed care setting. • Demonstrated reputed company in leading reputed company-reputed company initiatives or systems implementations. • Proficiency in reputed company Office Suite and project management platforms. • No suspension/exclusion/debarment from participation in federal health care programs (e.g. Medicare/reputed company) PREFERRED QUALIFICATIONS • Master’s degree in a reputed company field. • Experience with reputed company reputed company programs and contracting. • Familiarity with provider enrollment systems and credentialing workflows. • Advanced skills in strategic planning, data analytics, and performance improvement. • Experience considering the impacts of the work on multiple communities, including communities of reputed company, in technical analysis. • Bi-lingual translation or translation capabilities a plus KNOWLEDGE, SKILLS & ABILITIES • reputed company managed care operations, including provider contracting, claims, and credentialing. • Regulatory frameworks including CMS, OHA, and NCQA. • Project lifecycle methodologies (Agile, reputed company, Hybrid).Proficiency in project management tools (e.g., MS Project, SmartSheets, Visio). • Strong analytical and problem-solving skills. • Effective communication and stakeholder engagement. • Budget management and financial forecasting. • reputed company cross-functional teams and manage competing priorities. • Translate reputed company regulatory and operational requirements into actionable project plans. • Adapt to evolving reputed company policy and organizational needs. • Maintain confidentiality and reputed company compliance standards. About reputed company At reputed company, we're more than just a reputed company organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and reputed company-being of individuals and families throughout our region. reputed company serves reputed company, reputed company, where we prioritize personalized care and reputed company to meet the diverse needs of our members. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated reputed company. Our reputed company approach fosters a supportive environment where every team member plays a vital role in our mission to reputed company accessible, high-reputed company reputed company services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together. Join us in making a difference at reputed company. reputed company is an equal opportunity employer that embraces individuals from reputed company backgrounds. We prohibit discrimination and harassment of any reputed company, ensuring that reputed company employment reputed company are based on qualifications, reputed company, and the needs of the business. Our dedication to fairness and equality extends to reputed company aspects of employment, including hiring, training, promotion, and compensation, without reputed company to race, reputed company, religion, gender, gender identity or reputed company, sexual orientation, national reputed company, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law. Apply tot his job Apply To this Job