Position can be located in Oregon or Denver
Health Plan experience working in Claims or EDI roles
Strong PM Foundation in scheduling, planning, forecasting etc.
Claims/EDI Project Manager
We're looking for big ideas-6.9 petabytes is a good start. That's how much data we manage and store in Information Technology at more than the Library of Congress can claim. We're home to some other big ideas, like creating HealthConnectr, the nation's largest electronic medical record system. Using social media and text messaging to help members engage in their own care. And developing predictive modeling tools that anticipate health issues before they're an issue.It's the kind of thinking that's shaping the future of technology, health care, and the lives of all 8.6 million of our members. If you're ready to contribute your own big ideas, join us.
T he Claims/EDI PM will be managing projects under the Health Plan Claims and EDI organization. The PM is accountable for the end to end delivery of the assigned projects, exhibiting and applying advanced project management practices and experience to ensure proactive actions, effective communications and an all-around strong discipline of execution among the project team.
As a Project Manager you will have overall accountability to develop/define, publish and execute project plans to completion. You will own Statements of work (SOW), work plans, schedules, budgets and overall deliverables. You will identify needed resources, define roles and responsibilities and arrange for assignments of key project participants. To be successful, you will be required to balance schedules, scope, and budget and negotiate with vendors and sponsors. Ongoing communications is critical including reporting of tasks, deliverables, budgets, and escalation of risks and issues.
: Effectively manage and execute multiple projects or tracks within a program.
: Day to Day hands on involemen t in coordination and facilitating all aspects of the work
: D efine, develop and execute integrated project work plan. Define and develop team structure, roles & responsibilities (RACI matrix).
: Ongoing variance analysis measurement and reporting on schedule and budget using earned value method
: Manage project budget, forecasting and resource utilization
: Manage project issues and risks
: Manage change requests
: Participate and contribute in Requirements, Design and Solutioning actvities
: Positively influence project stakeholders, perform at a strategic and tactical/hands-on level, and provide communications and guidance to business partners regarding their role in ensuring the success of all assigned projects. Facilitate communications and interactions between functional groups, team members and vendors.
: Effectively communicate project status, recommend actions and determine priorities with the Business and IT stakeholders. Establish appropriate project control, processes, standards and procedures.
MUST-HAVE / BASIC QUALIFICATIONS
: Bachelor's degree and PMP accreditation
: 7-10 years in IT including experience leading IT development and implementation of highly complex, large scale Projects in a highly matrixed environment
: 3-5 years experience in the Health Plan domain managing projects in the Claims and/or EDI domains
: Demonstrated success in managing large program budget, forecasting, and program funding documentation.
: 7-10 years experience creating integrated business and IT project plans, key milestones, dependencies, critical paths, resource plans, resource loading, risk management plans, program management including change and quality control.
: Experience in directing project teams consisting of Solutions Consultants, Program Analysts/Developers, Business Analysts, Subject Matter Experts, Infrastructure Engineers/Consultants, Quality Assurance Resources, Vendors, etc.
: Ability to develop comprehensive project plans, define project scope and establish objectives for assigned projects
: Strong Leadership, collaboration, and negotiation skills.
: Excellent oral and written communications skills.
: Strong information technology technical background
: MBA or MS a plus.
: Knowledge of HIPAA EDI standards and Claims applications architecture and workflow
Top 3-5 required skills:
A Go-Getter, self motivated and independent thinker
Strong Project Management hands on experience in schedule management, cost management, issue and risk management and change management
Health Plan Claims and/or EDI Project Management experience
Strong Analytical and Problem solving
Top 3-5 daily responsibilities:
Execution to the plan
timely and effective follow-through on outstanding items
monitoring progress and identifying variance for proactive response and resolution
Type of background you are looking for:
Strong all-around seasoned IT project manager with a solid technical foundation, with overall experience in Health Plan IT and specific focus on Health PLan Claims &/or EDI domain
Proactive and self motivated
Strong and Objective communication
Strong discipline of Execution
Size of the team:
The duration is through October 2013 with a possibility for extension based on Project needs and performance
Enclipse is a full service business and technology consulting company. With three primary practice areas, Enclipse provides clients with...