Program Manager - Medical Management

VirtualVocationsabout 1 month ago
Durham, NC, United States
Remote
Full-time
Junior Level (1-3 years)

Job Description

A company is looking for a Program Manager - Medical Management - Remote.

Key Responsibilities

  • Develop, evaluate, coordinate, implement, and monitor Payment Integrity (PI) initiatives across the health plan
  • Track initiatives with established data and expected ROI savings estimates, and create manual and automated workflow pathways
  • Drive accountability through the Plan PI Committee and identify and escalate roadblocks

Required Qualifications

  • Bachelor's Degree
  • 3 years of healthcare experience in project coordination, including operations analysis and quality improvement process design
  • 3 years of experience with performance improvement and organizational change tools
  • 3 years of change management experience
  • Experience in Six Sigma and / or Lean methodology

Required Skills

Change Management
Six Sigma
Quality Improvement
Performance Improvement
Lean Methodology
Operations Analysis
Project Coordination
Organizational Change