Project Manager - Healthcare/Medicaid/Medicare/Claims/Enrollment

GeeksRecruiting

Long Beach, CA, United States contract

Posted: October 11, 2016

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Quick Summary

Project Manager with experience in healthcare claims and enrollment is required to oversee multiple stakeholders, handle differing opinions, and drive project forward in a dynamic environment.

Required Skills

Project Management Healthcare Claims Enrollment Capitation Provider Data Management Claims Certification Auditing Recovery End-to-End Processing MS Project

Job Description

• Claims/Enrollment group
• This position is in the Enterprise PMO, and would report to a Director of the PMO over the Claims and Enrollment Portfolio.
• The Director is looking for a Sr PM who can handle multiple stakeholders, a dynamic political landscape, differing opinions, and help consolidate those varying opinions to drive the project(s) forward.
• The Director will be looking for someone who is humble, knowledgeable, assertive, proactive, and savvy.

The below areas of experience would be ideal:

• Healthcare experience from a Payer’s perspective
• Healthcare Claims projects experience
• Healthcare Enrollment/Eligibility projects experience
• Healthcare Capitation experience & FFS Claims
• Provider data management experience
• Experience with Claims certification, auditing, and recovery
• Experience with end to end processing

Skills:

• Must have 5 -7+ years of experience managing projects.
• Experience with Project Methodologies, such as: Waterfall, Agile, Scrum
• Experience with MS Project, SharePoint, Excel, Visio, PowerPoint, Word.
• Great Interpersonal Skills
• Excellent Communication Skills
• Bachelor’s Degree or equivalent work experience.

Nice to Have:

• SDLC knowledge
• PMP Certification

All your information will be kept confidential according to EEO guidelines.

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