Brief summary of purpose:
Primary responsibilities include identification, evaluation, implementation and prioritization of medical management initiatives. These include the Cost of Care initiatives to manage company medical expense. Through the Cost Savings Committee, Cost of Care Committee, and other relevant committees, facilitates cost containment initiatives across all lines of business with significant attention to ROI. Responsibilities also include supporting senior medical management in promoting greater collaboration, synergies and integration across medical management teams. Responsibilities also include development and implementation of an enterprise-wide, in-house CME/CEU program. Ensures adherence to Program plans and schedules and develops solutions to program and project challenges. This position has a significant focus on the skill and diplomacy/tact required in working across functional areas and external organizations to ensure that the cost of care and other key initiatives are progressing as planned. These projects are multifunction and may be multiyear in scope.
Responsible to provide expert knowledge of development methodology approaches, techniques and tools to senior management, project managers, program teams and project teams.
Resources used in performing role:
Business Degree required preferably in Business Administration, MBA preferred; clinical background valuable but not required.
PMP or Certified Lean Six Sigma highly desirable
Requires demonstrated skill in leading cross-functional teams. Required 5+ years of project management experience in the field or in a related area. Relies on extensive experience and judgment to plan and accomplish goals. Experience in analyzing and utilizing data to drive business decisions. At least 5 years’ experience in healthcare analysis and/or management. Proficient in Microsoft Windows based office applications to include, MS Project, Excel, Word, PowerPoint, Visio, and SharePoint.