Salary
💰 $68,700 - $123,700 per year
About the role
- Partner with Vendor Implementation Group, Quality Improvement Strategy, Market Performance and Business leadership to design and launch tailored Vendor Solutions for HEDIS Improvement across Medicare, Medicaid and Marketplace
- Work with Quality leadership and external Vendors to strategize, plan, design and execute multiple Enterprise Quality Campaigns on time and within budget
- Develop and maintain project plans inclusive of project tasks, resource allocation, costs, dependencies and risk analysis & mitigation using Workfront/Smartsheet/MS Excel
- Gather requirements on program design, process workflows, reporting features and timelines from Corporate and Health Plan Leaders
- Onboard external Vendors with Implementation, IT Operations and IT Security prior to project launch
- Revise, edit and proof campaign materials with Implementation and Communications Teams prior to Program Launch
- Standardize Vendor eligibility files, response data, result information, supplemental data and claims with Implementation and Quality IT Teams
- Track and report on KPIs by working with external Vendors, Internal Data Analytics and Supplemental Data Processing Teams
- Create and maintain custom reports for Health Plans and Business Leadership on program utilization, costs and effectiveness
- Submit weekly status reports on project deliverables, timelines, risks/issues and remediation plans
- Perform data analysis on Vendor service area coverage, service/product cost, SLAs, customer service and invoices & payments using MS Excel or Power BI
- Perform regular Audits on Vendor Operations including validating Member Communications, Product Shipment proof, Service Completions/Results and Customer Service
- Partner with Health Plans launching new campaigns, advising on Vendor product/service offerings and outlining Implementation Plans
Requirements
- Bachelor’s degree in related field or equivalent experience
- 3+ years of project management
- Health care experience preferred
- Vendor Management
- MS Excel
- Power Query/Power BI
- MS Power Point
- Data Analysis and Reporting
- Ability to work CST zone hours
- Remote position limited to anywhere in the United States