Sep 17, 2019

Project Manager - (Risk Adjust Programs)

  • Professional Diversity Network
  • Nashville, TN, USA
Full-Time Information Technology (IT)

Job Description

WellCare Health Plans

Location: Nashville, TN or Brentwood, TNDepartment: Health Services - RAPSReports to: Sr. Manager, Risk Adjustment Programs


Manages and coordinates the completion of enterprise, functional and/or departmental projects and key initiatives from start to finish. Drives enterprise, functional and/or departmental initiatives and ensures project timelines and expectations are met. Ensures projects deliver on established goals for business value creation. Presents findings and makes recommendations to all levels of management.

Essential Functions:

  • Coordinates and manages project planning and execution for multiple projects.
  • Manages key project initiatives including the development of detail work plans, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.
  • Provides supervision and leadership for project team members.
  • Monitors developed work plans and enforces accountability by key stakeholders.
  • Plans for and drives change through holistic project plans including process, system, organization and facilities changes pending on project.
  • Prepares strategic analysis of potential business and/or operational opportunities.
  • Communicates purpose and vision of the project and prepares summary reports and recommendations for management.
  • Represents the department in cross-functional teams and to external customers.
  • Perform other duties as assigned.
Additional Responsibilities:

Candidate Education:

  • Required A Bachelor's Degree in a related field
  • Preferred A Master's Degree in a related field
Candidate Experience:
  • Required 4 years of experience in direct project management to include managing projects from start to finish as primary responsibility
  • Preferred Other Healthcare experience
Candidate Skills:
  • Advanced Ability to communicate and make recommendations to upper management
  • Advanced Demonstrated written communication skills
  • Intermediate Demonstrated analytical skills
  • Advanced Demonstrated time management and priority setting skills
  • Advanced Ability to influence internal and external constituents
  • Advanced Ability to implement process improvements
  • Advanced Ability to work in a fast paced environment with changing priorities
  • Advanced Ability to work in a matrixed environment
  • Advanced Ability to lead/manage others in a matrixed environment
  • Advanced Demonstrated project management skills
Licenses and Certifications:
A license in one of the following is required:
  • Preferred Project Management Professional (PMP)
Technical Skills:
  • Required Advanced Microsoft Outlook
  • Required Advanced Microsoft Word
  • Required Advanced Microsoft Excel
  • Required Advanced Microsoft Visio
  • Required Advanced Microsoft Project
  • Required Intermediate Other Ability to interpret an extensive variety of technical instructions in mathematical form and deal with several abstract and concrete variables.
  • Preferred Episource, Sentauri, or Change Healthcare experience
  • Preferred Vendor Management Experience is a plus

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

States

TN  

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