USC/GC / EAD

Hi



Position below ……..



Send  me profiles : arj...@usmsystems.com



*Role: Sr. Program Manager - Claims Implementation*

*Location: Glen Burnie, MD*

*Duration: 12+months *



*Sr. Program Manager - Claims Implementation*

*This resource should have 10-15 years of progressive IT experience
including in-depth experience with healthcare payers.*

*Experience managing 2-3 implementations of healthcare payer claims
software such as HealthRules or Facets.*

Lead the tactical implementation of a healthcare claims processing software
application.

Establish standards and practices within a multi-vendor environment.

Develop and Manage project plan to align varying workstreams to common
go-live date.

Pro-actively identify conflict/integration issues and lead team members to
parse and synthesize issues of highest complexity, including cost/benefit
analysis and resource estimating.

Deliver executive reports and communication on project status.

Accurately estimate and plan resource usage.

Regularly review status of project and modify schedule as necessary.

Oversee and facilitate project team meetings and prepares status documents
periodically throughout the project; this includes: Project Plan, Status
Reports, Issues List.

Facilitate project planning sessions.

Effectively resolve roadblocks to project progress.

Influence the owner, sponsor, steering committee and other appropriate
senior management.

Have accountability and shared responsibility (with software vendor) to set
and drive toward the client specific deployment strategy, including
governance model and reporting, model office environment

Experience deploying and managing projects using agile techniques

Healthcare Insurance operational knowledge with the ability to effectively
communicate concepts related to clearinghouse, payment systems, EDI
transactions, Health Insurance Exchange, Billing &



Payment, Claims Processing, Sales & Enrollment, Quote to Card, Health
Management; operational experience working for a health plan preferred



*Preferred: PMP and CSM certifications*





*Thanks & Regards*
*ARJUN *

14175 Sullyfield Circle, Suite # 400,Chantilly, VA 20151, U.S.A

Email: *arj...@usmsystems.com <arj...@usmsystems.com>* , Phone:
*703-880-4177*

Skype: *arjunk_usm*

ISO 9001 ,ISO 20000, CMMI Level 3 Certified Company

Ranked No.7 in the Washington DC area-*Washington Business Journal, 2013;*

Smart CEO Award Winner By SMART CEO Magazine, Baltimore,
U.S.A­­­­­­­­­­­­­­­­­­­­­­­­­­­­­; *Inc5000*  *Recognized Fastest growing
private company in U.S.A. **www.usmsystems.com* <http://www.usmsystems.com/>*,
*

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