Resp & Qualifications
Plans, organizes, and manages the interventions to demonstrate compliance with state mandated Performance Improvement Projects (PIPs). Works collaboratively on PIP interventions for on time delivery of quarterly and annual submissions that include clearly defined objectives with smart goals and accurate data analysis. Initiates, engages, and motivates cross-functional teams to deliver results. Identifies and mitigates risk and escalates as needed. Tracks progress and drives documentation to support project needs. Ensures end to end leadership for implementations, integration, business readiness and communications. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business related activities.
Plans and designates project resources, prepares budgets, monitors progress, tracks schedules, mitigates risks.
Provides end to end project management support in terms of reporting, project deliverable tracking and documentation for medium-size projects. Acts as a liaison across all areas to ensure effective and efficient goals, scope, progress, and completion of projects. Coordinates issues throughout CareFirst, and externally when necessary, to promote accurately represented information.
Evaluates implications of existing or proposed projects, programs, processes, and policies/regulations through the use of critical and creative thinking and recommends improvements.
Provides direction and motivation to project teams in a matrixed environment. Drives outcomes by fostering a collaborative culture. Manages relationships with key stakeholders, including management and vendors. Leads the execution of the project.
This position has no direct reports, however, may informally lead teams in a matrix environment.
Education Level: Bachelor's Degree in Project Management, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 3 years experience in Medicaid and project management required, Quality Improvement and technical writing experience preferred
Knowledge, Skills and Abilities (KSAs)
Department: Accreditation & Medical Program
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
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