Position is responsible for executing strategic initiatives that improve outcomes across health management, analytics, provider network and contracting, claims, consumerism, and quality management-related solutions.
Manage milestone tracking and status reporting across several initiatives.
Identify issues/risks and work with appropriate leadership teams to achieve resolution.
Leads STAR meetings and assures deliverables.
Follows up with key stakeholders on action items and deliverables to assure that projects and activities are moving forward on schedule.
Reviews analysis of reports to identify insights into relevant data on performance.
Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable, and defined in the Universal American Corporate and department policies.
And all other duties assigned by the manager and/or supervisor.
Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas
Organizational skills with the ability to handle multiple tasks and/or projects at one time
Customer service skills with the ability to interact professionally and effectively with providers, third party payers, physicians, and staff from all departments within and outside the Company
Analytical and interpretation skills including departmental, utilization, clinical, financial and operations data
Decision-making skills with the ability to investigate and weigh alternatives and select the course of action that provides the greatest benefit to the organization
Creative thinking skills with the ability to ask the needed bigger-picture questions that lead to process and team improvements
Time management skills with the ability to prioritize and schedule daily activities for the most efficient use of time
Problem solving skills with the ability to look for root causes and implementable, workable solutions and drive those to resolution
Interpersonal skills with the ability to work in a fast-paced environment and participate as an independent contributor with little supervision or as an active team member depending on the situation and needs
Highly collaborative with ability to build rapport and influence people in a matrixed organization
Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization
Bachelor’s degree in business, marketing, communication or related
MBA or equivalent graduate degree is a plus
Minimum 3 years’ in Project Management: experience in managing multiple projects simultaneously; experience and knowledge with program design, business process design, and IT project lifecycles
Experience with Health Plans, especially Medicare Advantage plans and STAR program, is a plus
Program lifecycle experience, including analysis / planning, design, development, and deployment
Experience / familiarity with system implementation
Deep experience with health plan payer functions, with a focus on care management and network collaboration
Project and program management experience
Process design experience
Experience working in a highly dynamic environment
Personal computer experience should include working with Microsoft Word, Excel, PowerPoint and Outlook at the intermediate level at a minimum
Experience working with and editing in Adobe Acrobat is a plus
Universal American Corp. is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, military veteran status, or any other characteristic protected by law. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.
Universal American Financial Corp - 12 months ago