Project Manager, Provider Quality
ZING. Enamel Whitening. Toothpaste, but magic.
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $84,000 - $94,000 per year
About the role
- Support strategic program and project design, execution, and performance management of initiatives supporting Quality Improvement and the Star Rating measurement system established by the Centers for Medicare and Medicaid Services (CMS)
- Collaborate across a matrixed organization and coordinate efforts across multiple domains and functional workgroups that impact Zing Health’s Medicare Star ratings
- Leverage project management skills and discipline across a strategic playbook of interventions, campaigns, and initiatives
- Participate in market research, competitive analysis, content review and development, partnership with third-party print and engagement solutions, vendor engagement and management, reporting, and presentation development
- Effectively manage projects from inception to performance management
- Demonstrate an understanding of the Medicare Star Rating program
- Manage project plan development, maintenance, and management
- Perform risk management and escalation
- Conduct Star measure data analysis and intervention recommendations
- Log, track, and ensure completion of all key project milestones
- Communicate effectively across departments and manage expectations and priorities
- Participate in or lead cross-departmental workgroups and committees
- Meet with key stakeholders to gather, document, track, and update specific requirements of each project/intervention
- Track project / intervention performance to analyze successful completions and continually improve execution for subsequent measurement periods
- Perform quality control on projects throughout the lifecycle
- Serve as a liaison for Provider Network department for shared projects, ensuring appropriate routing through compliance and CMS workflows
- Perform other related duties as assigned
Requirements
- Bachelor’s Degree in management, Project Management, or equivalent
- Be able to effectively manage a project plan lifecycle
- 1-3 years of experience in a Medicare Star Rating related role either at a Medicare Advantage or third party serving Medicare membership as an outsourced solution
- Strong communication skills both oral and written
- Strong organizational skills, consistent attention to detail, and independent problem-solving skills
- Facile with Medicare Advantage and the Medicare Star Rating program, especially areas such as customer service, provider service, pharmacy, marketing, supplemental benefits, flexible spending technology, CAHPS, HOS, and HEDIS
- Ability to perform multiple tasks simultaneously, work under pressure, and meet critical deadlines
- Must possess a high degree of professionalism and business ethics
- Ability to work autonomously with little to no daily supervision while demonstrating continual progress and effective management of projects / interventions
Benefits
- A competitive salary based on the market
- Medical, Dental, and Vision
- Employer-Paid Life Insurance
- Paid Maternal Leave
- Paid Paternal Leave
- 401(K) match up to 4%
- Paid-Time-Off
- Employee Assistance Programs
- Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
project managementdata analysisrisk managementquality controlperformance managementproject plan developmentintervention recommendationsmarket researchcompetitive analysiscontent development
Soft Skills
communication skillsorganizational skillsattention to detailproblem-solving skillsability to work under pressureability to manage expectationsautonomous workprofessionalismbusiness ethicscollaboration
Certifications
Bachelor’s Degree in managementProject Management certification