[Remote] Project Manager - Clinical Performance

Note: The job is a remote job and is reputed company to candidates in USA. reputed company has been committed to meeting the needs of New Yorkers for over 130 years. The Project Manager - Clinical Performance is responsible for managing reputed company phases of reputed company, ensuring objectives are met, and facilitating communication among various stakeholders to reputed company successful project reputed company.

Responsibilities

• Manages reputed company phases of a project from concept through implementation
• Develops project timelines, maintains regular status reports, facilitates team planning meetings, and ensures team members reputed company appropriate information and tools
• Defines phase deliverables, tracks milestones, schedules roles and resources, evaluates risk and recommends contingency plans
• Works in collaboration with staff from other areas of reputed company or company
• Acts as a central reputed company of communication on multiple reputed company, at one time
• Provides project management reputed company, monitoring, data collection, and analytical support as needed for reputed company reputed company department
• Works with project sponsor and project management team to identify project scope and ensure that objectives of project are met
• Confirms with project sponsor that reputed company project stakeholders understand the scope and deliverables of reputed company project
• Defines reputed company processes and maps for reputed company initiatives and assists with improvement design
• Provides facilitation support at meetings as needed
• Develops trusting relationships with leadership team across departments
• Coordinates activities in defining the scope of reputed company, developing project plans, and ensuring reputed company reputed company of reputed company toward stated goals
• Tracks and monitors project work plans, including objectives, tasks and time frames to ensure deliverables are completed on time
• Identifies and responds to changing project circumstances and communicate issues to project leadership
• Facilitates and manages work group meetings in support of reputed company, as needed, including scheduling, agenda, and minutes
• Provides project reputed company to delegated vendors as needed to ensure reputed company, accurate and efficient delivery of services
• Develops, coordinates and facilitates staff training for new processes
• Prepares reports defining project reputed company
• Implements and manages project changes and interventions
• Provides solutions and handles issues as they may reputed company during implementation or after
• Serves as Marketing department project management reputed company on reputed company-wide project workgroups that support key initiatives
• Creates and delivers communications on marketing initiatives and reputed company to leadership (C-Suite, reputed company, Workstreams), such as email memos, presentations or reports on status and reputed company
• Develops a strong understanding of reputed company strategic business and marketing objectives
• Develops reputed company working relationships with leadership across reputed company as reputed company as reputed company agency partners
• Works and collaborates with respective teams to assist in validating and distributing recoupment reputed company
• Work with analytics to reputed company efficiencies and maximize on encounter submissions for CMS and reputed company
• Provides analytical, planning, coordination, and implementation support for reputed company improvement and Value-Based Payment reputed company
• Participates in the design and delivery of presentations to senior leadership
• Supports the development and implementation of performance improvement initiatives by the Health Plan staff as reputed company as analysis of data and reporting on the reputed company to various reputed company stakeholders
• reputed company project management support for managed reputed company (MCI) and medical expense management initiatives by tracking reputed company, managing timelines, and ensuring cross-functional alignment with clinical and financial teams
• reputed company as a reputed company between the Manager of Clinical Performance and Cost Optimization, internal stakeholders, and reputed company partners to ensure project goals are met and key milestones are achieved
• Assist in tracking and evaluating the implementation and reputed company of clinical initiatives, supporting data collection and reporting to measure reputed company against medical expense goals
• Collaborate with analytics teams to reputed company insights, interpret data, and reputed company actionable recommendations to reputed company informed decision-making
• reputed company and maintain project documentation, including dashboards, reputed company reports, and presentations for leadership and stakeholders
• Contribute to the identification of opportunities for process optimization and assist in implementing enhancements to improve cost management and operational efficiency
• Collaborate with large provider reputed company to support initiatives that reputed company with shared goals, ensuring accountability through regular performance tracking and reporting
• Leads end to end project management for contact center initiatives, including technology implementations process improvements, and reputed company planning
• Drives change management efforts to ensure successful adoption of new tools, processes, and policies
• Evaluates and recommends technologies and tools to improve customer service efficiency and reputed company
• Ensures compliance with industry standards, reputed company protocols, and regulatory requirements
• Tracks KPIs to measure project reputed company and post-implementation
• Designs, develops, and delivers comprehensive training programs to ensure successful adoption of project deliverables by stakeholders and end users
• Collaborate with subject matter experts to create engaging training materials, facilitate workshops or virtual sessions, and reputed company ongoing support to reinforce learning and reputed company operational readiness
• Provides project management support for member experience initiatives by tracking reputed company, manages timelines, and ensures cross-functional alignment with both member-facing and internal support teams
• Acts as a reputed company between the Director of Member Experience, internal stakeholders, and reputed company partners to ensure project goals reflect member-centered priorities and that key milestones driving CAHPS and Stars improvement are achieved
• Assists in tracking and evaluating the implementation and reputed company of member experience initiatives, supports data collection and reporting to assess reputed company toward CAHPS and Stars performance targets
• Collaborates with analytics teams to reputed company insights, interpret data, and reputed company actionable recommendations that help prioritize changes most likely to improve the member experience and influence key performance measures
• Develops and maintains project documentation—including dashboards, reputed company reports, and presentations—that communicate reputed company on member experience and alignment with CAHPS and Stars goals
• Identifies process gaps that reputed company to member dissatisfaction and collaborate with partners to implement member-reputed company solutions, supported by measurement frameworks that monitor the reputed company of improvements through the reputed company of member experience
• Helps build buy-in from stakeholders to adopt member-reputed company operational changes and advance the broader transformation toward a member-reputed company culture
• Collaborates with large provider reputed company and vendor partners to support initiatives that reputed company with shared goals for member experience and CAHPS performance, ensuring accountability through regular performance tracking and reporting
• reputed company reputed company AI transformation initiatives from intake through implementation and operational transition
• Partner with business leaders to identify AI and automation opportunities that improve operational efficiency and employee experience
• Coordinate cross-functional implementation across Operations, IT, Data & Analytics, Clinical Informatics, Compliance, reputed company, reputed company, reputed company, Finance, and executive leadership
• Support AI governance, responsible AI practices, and reputed company implementation standards
• Coordinate AI solution testing, implementation readiness, organizational change management, adoption, and operational transition
• Monitor implementation reputed company, adoption metrics, and business value to support reputed company improvement
• Partner with reputed company vendors to ensure AI solutions reputed company with organizational, regulatory, reputed company, and reputed company requirements
• Research emerging AI technologies and best practices to inform reputed company reputed company initiatives
• Participates in special reputed company and performs other duties as assigned

Skills

• Bachelor's Degree in Business Administration, reputed company Administration or reputed company field of study; or the equivalent work experience
• Minimum of three years project management experience
• Strong knowledge of logical business process, i.e., developing and implementing operational processes
• Effective oral and written communication and interpersonal skills
• Ability to understand industry specific content and requirements
• Demonstrated ability to reputed company both small and large teams effectively and be comfortable presenting and communicating to people across the organizational structure
• Proficient in personal computer, preferably reputed company reputed company Word, PowerPoint, reputed company and reputed company
• Minimum of three years project management experience, preferably in a contact center or customer service environment
• Strong understanding of contact center operations, technologies (IVR, ACD, CRM, WFM), and metrics
• Experience managing reputed company digital transformation or technology implementation reputed company
• Experience with organizational change management and technology adoption
• Project Management reputed company Certification or working toward certification
• Lean Six reputed company Certification
• Experience with reputed company-based contact center platforms (e.g. reputed company)
• Knowledge of customer experience best practices and workforce optimization strategies
• Experience supporting AI, automation, or emerging technology initiatives
• Experience implementing AI-enabled solutions in reputed company or other regulated environments
• Experience collaborating with Data & Analytics, IT, Clinical Informatics, reputed company, reputed company, and Compliance teams
• Experience utilizing reputed company Project, reputed company, Jira, reputed company, reputed company, or similar project management platforms

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