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