Hi,

Please share good resource for below mention position;

*Please share resume at **[email protected]
<[email protected]>.*

*Role : Program Management Director (Medicaid and Medicare Enrollment and
Billing) *

*Location :  Long Beach, CA*


Description
HEALTHCARE - PROGRAM MANAGEMENT DIRECTOR


POSITION SUMMARY
Responsible for leading/overseeing multiple projects and project teams
implementing projects of various sizes (scale), complexity, and duration to
deliver business solutions and services to the organization. Alternatively,
responsible for leading business integration or new business implementation
projects which encompass the entire panorama of health plan functions.
Project teams are likely to be comprised of cross-functional internal and
external resources. Oversees direct reports' interactions with internal
staff, external corporate departments, and Health Plans to define the
project parameters and develop detailed project documentation to include
business requirements, project plans, project schedules, workflow
solutions, and project status reports/communications. Projects may vary to
include the following: system implementations, internal/cross functional
department process improvement initiatives, implementation of new state
health plans, and implementation of new product lines.

*ESSENTIAL FUNCTIONS *


Duties and Responsibilities
• Manage multiple projects using staff and matrixed resources.
• Staff, organize, monitor, and maintain an effective, consistent Project
Management function.
• Develop business case, project profile, business requirements, and other
project work products for large and strategic-initiative level projects.
• Translate strategy into implementation tactics, acting as a change agent.
• Prepare and submits comprehensive project status reports to management.
• Manage team budget.
• Provide leadership in effectively applying Project Management and
Business Analysis best practices.
• Ensure departmental and individual performance goals are met
• Adhere to and consistently apply organization and departmental policies,
procedures and protocols.
Knowledge, Skills and Abilities
• Ability to define and develop an effective project approach for a variety
of projects
• Ability to organize complexity into successfully manageable work plans
• Ability to estimate staffing requirements, including resource skills, and
assemble a team
• Ability to manage several projects concurrently, or a complex project
with multiple sub-teams (overseeing sub-team PM's)
• Ability to predict risk areas and have mitigation/contingency strategies
designed
• Ability to effectively manage and resolve very complex project issues as
well as proactively planning to prevent issues
• Ability to clearly articulate how changes in one area of a health plan's
functions can impact the business and/or a technology implementation
• Demonstrate understanding of emerging technologies and trends applicable
to health plans
• Ability to manage multiple projects using staff and matrix resources
• Ability to work independently, within a team, and collaboratively across
teams
• Analysis, synthesis, and problem solving skills
• Deductive and inductive thinking skills
• Attention to detail and accuracy
• Demonstrated ability to make effective business decisions
• Multi-tasking skills and planning for prioritizing workload
• Ability to staff, organize, monitor, and maintain an effective Project
Management function
• Ability to ensure departmental and individual performance goals are met
• Demonstrated skill in influencing, coaching, and motivating
• Ability to both adhere to and consistently apply organization and
departmental policies, procedures and protocols
• Strong verbal and written communication skills
• Ability to assimilate and articulate complex business solutions and
project approaches
• Strong interpersonal skills
• Strong consultative, customer-focus skills
• Ability to abide by  policies
• Ability to maintain attendance to support required quality and quantity
of work
• Maintain confidentiality and comply with Health Insurance Portability and
Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work
relationships with coworkers, clients, members, providers and customers
• Other duties as assigned.
QUALIFICATIONS
Required Education:
• Bachelor’s Degree
Required Experience:
• MUST HAVE knowledge of Medicaid and Medicare Enrollment and Billing
processes.
• Minimum of 10  years proven project-based experience
• At least 5 years managed care experience
Preferred Licensure/Certification:
• PMP or similar certification a plus







*Regards*

*Gudhal Chauhan*

*Techwire Solutions, Inc*

101 Hudson St, Suite # 2100, Jersey City, NJ 07302 USA

Phone: 201-884-6357 [O]

Email: [email protected] || Web: www.techwiresol.com



*Office Locations: New Jersey || California || Washington || New Delhi ||
Noida || Pune || Hyderabad *

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