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Resp & Qualifications
We are looking for an experienced quality professional to work remotely from within the greater Baltimore/Washington DC metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. The Senior Project Manager plans, organizes, and manages large scale and complex quality improvement projects for successful delivery of objectives, on time and within budget on behalf of CareFirst. The candidate initiates, engages, and motivates cross-functional teams to deliver clinical quality 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.
Plans and initiates quality improvement projects, prepares budgets, monitors progress, tracks schedules and mitigates risks. Sequences complex initiatives from start to finish.
Provides end to end project management support in terms of reporting, project deliverable tracking and documentation. 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 to other health plans, NCQA, BCBSA, when necessary, to promote accurately represented information.
Provides direction and motivation to project teams in a matrixed environment. Drives quality outcomes by fostering a collaborative culture. Manages relationships with key stakeholders, including management and vendors. Leads the execution of the project.
Evaluates implications of existing or proposed projects, programs, processes, and policies/regulations through the use of critical and creative thinking and recommends improvements related to clinical quality and member experience.
Performs mid-level advisory consulting work and provides strategic focus. Effectively conveys the big picture and alignment with corporate goals.
Synthesizes complex technical and clinical topics and project statuses into executive level presentations and influences decision making. Effectively communicates with all levels of the organization. Liaisons with IT, Customer Service, Care Management and translates business needs into related action plans.
Education Level: Bachelor's Degree in Project Management, Public Health, Healthcare Administration, 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: 5 years as a project manager or experience as a team lead managing large budgets.
Project Management Professional Certification (PMP).
3 years managing HEDIS quality improvement activities.
Knowledge, Skills and Abilities (KSAs)
Project planning and life cycle development.
Ability to engage staff at project start-up and plans roll-off of staff at project end.
Effective understanding of how functions integrate within the division and the strategic concept behind the corporate goals.
Ability to synthesize large complex data and analysis into clear, concise, executive level presentations that allow for rapid grasp of business problem or opportunity and understanding of feasible solutions.
Stakeholder management and facilitation, including conducting high-level status meetings with executives.
Ability to establish working relationships and influence/persuade across all levels of leadership including C-Suite.
Ability to identify and shepherd strategic opportunities that have a significant impact on the organization.
Use of Microsoft Office applications.
Salary Range: $80,568 - $160,017
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
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.
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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