Job Description :
5+ years of Healthcare Clinical and Project management experience
PMP certification preferred
Management Consulting experience, Excellent verbal and written communication
Provide leadership to the organization to respond to business opportunities/challenges, new technologies, legislation and other environmental factors.
Facilitate the development of outcomes measurement and reporting, identification and stratification of members, and develops clinical tools for clinicians to deliver programs. Use performance measurement to continuously improve programs.
Apply project management and program management methodologies and tools in facilitating program initiatives. Participate in strategic initiatives based on the business needs. Leverage knowledge of end to end operations to identify potential business impacts and solicit participation to meet project and business objectives.
Maintain a working knowledge of project related Medicare regulations to ensure the organization meets compliance standards; NCQA standards to ensure the organization meets accreditation standards; and Commercial account audits to ensure a constant state of audit readiness.
             

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