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Careerbuilder-US: Program Management Lead Analyst


This is a Full-time position in Atlanta, GA posted November 4, 2021.

Position: Program Management Lead Analyst Location: Fully remote job Duration: 06+ Months Contract (Possible extension) Schedule 8-5 CT Duties: Highlight of the position per manager: The focus won’t be tracking CMS deliverables; it will be tracking other operational projects that impact business processes.

Position Product: Responsible for all CMS deliverables for Utilization Management, Care Management, Behavioral Health, and Special Needs Plans Coordinates all internal/external audit activities Serves as liaison with Compliance and Privacy Identifies and implements process improvements Establishes and manages operational and business readiness processes to ensure the successful implementation of funded projects, baseline maintenance/fix, infrastructure upgrades, as well as operational changes impacted by process changes Participate in business requirements to ensure applicability to operational areas when changes are implemented Responsible for tracking key project and release milestones, escalating risks, confirming mitigation plans and adjusting plans and/or resources to meet the needs of customers and CMS timeframes.

Must have extensive expertise in the use of project management methodologies and tools.

Applies human resources policies/practices and change management techniques.

Major responsibilities and desired results: Responsible for all CMS deliverables.

Coordinates responses ensuring accurate, complete submission.

Works with Compliance and business to identify impacts to processes as a result of changes in regulations ( HMPS memos).

Tracks Corrective Action Plans ( CAPs ); works with business owners to drive timely closure.

Creates and maintains all policies and procedures for the functional area.

Responsible for continuous process improvement activities.

Documents current and future state.

Leads change management activities associated with updates to processes.

Collaborates with leadership to prioritize projects.

Establishes and executes end to end universe data validation.

Includes review and correction of data integrity issues in source systems.

Facilitate operational readiness and implementation to ensure teams are prepared for changes impacting business functions, roles, people and processes.

Drive and strengthen partnerships with Business Development Team, Compliance and IT, to ensure successful identification of business impact, communication, procedures, training, delay, and business checkout needs.

Build and maintain appropriate business readiness communication processes and engagement models to accommodate frequent internal and matrix partner organization changes.

Maintain efficient and informative lines of communication between business and matrix partner leadership.

Enhance established processes and engagement models as needed to ensure business readiness.

Identify and execute process improvement opportunities and eliminate barriers to improve quality, implementation readiness, and reduce rework.

Bring together Business and IT leadership to resolve escalated conflicts.

Required to work over occasional weekends and odd hours.

Education: High School Diploma Required Bachelor’s Degree or relevant work experience preferred Not Required but would prefer PMP, Six Sigma, or some other relevant certification.

Languages: English( Speak, Read, Write ) Certifications & Licenses: PMP Job Requirements:Skills: Top 3 skills: Independent, quick learner.

Excellent communication skills.

Strong problem-solving skills.

Requirements Operations experience preferred in Utilization Management, Care Management, Behavioral Health, and Special Needs Plans; Knowledge of FDR/IPA’s a plus Medicare Advantage experience preferred with focus on regulatory compliance or auditing Health Insurance experience required; Knowledge ofNCQArequirements a plus Strong analytical and problem-solving skills Excellent communication skills and ability to interact with all levels and diverse partners Strong influencing and negotiation skills.

Ability to influence without authority.

Independent, quick learner with ability to impart knowledge to others effectively Proven leadership skills Ability to build solid working relationships with staff, matrix partners, customers and providers Demonstrated process improvement experience Strong knowledge of Microsoft Office products including Excel, PowerPoint, Word, and Project.

Mastery skill in Excel required.

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