Company :Highmark WholecareJob Description : 

JOB SUMMARY

This job defines, plans and delivers complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget.  Manages a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business.

ESSENTIAL RESPONSIBILITIES

Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain Program roadmap consisting of cross-functional activities/projects.Work with business and technical organizations to assemble project teams. Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives. Acquire understanding of the business objectives for an assigned area."Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action as needed to maintain the viability of the Program.Develop and maintain positive customer relationships.Deliver presentations of project status to effectively communicate throughout the project lifecycle.Adhere to the Organization's project management methods, project lifecycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices.Other duties as assigned or requested.

EDUCATION

Required

High School Diploma or equivalent

Substitutions

None

Preferred

None

EXPERIENCE

Required

1 - 4 years in a Project Manager role for application development projects and/or in a Project Leadership role for sameSolid leadership skillsSolid organizational and planning skillsExperience with an industry standard software development  lifecycleVery good verbal and written communication skillsStrong interpersonal skillsTeam building skills

Preferred

Recent, demonstrated project management experience; health plan experience, particularly with Medicaid and/or Medicare; LEAN, continuous process improvement/performance improvement.3 Project Managers Opening:  Each PM will have a different focus to support Clinical Services1 Technical: need technical (ex: scrum, agile, waterfall) and reporting (ex: excel – intermediate to expect; SQL; tableau or power BI); systems integration & implementation experience1 Regulatory and Compliance experience at the Federal (CMS, NCQA, URAC) or State level in health care if possible.  Wish list is to have PA Medicaid, Medicare and NCQA experience or familiarity1 Operations experience at a Health Plan level.  Should have clinical services, audit/compliance experience at the health plan level. 

LICENSES AND CERTIFICATIONS

Required

None

Preferred

Project Management Professional (PMP)

SKILLS

Required 

Experience with customer relationship managementPresentation skillsNegotiation skillsExperience with conflict resolutionExperience with Risk Mitigation Planning

Preferred

None

Language (Other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

WFA - Work From Anywhere

100% - Remote

Teaches/trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Does Not Apply

Physical work site required

Yes

Lifting: up to 10 pounds

Occasionally

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Does Not Apply

Referral Level 2:

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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