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A Sr. Analyst, Project Management (IC) role, reporting to the AVP of Medical and Pre-Payment Policy combines high-level project management with detailed administrative and operational tasks. This dual function is crucial for ensuring the smooth operation and strategic execution of medical policy initiatives, including developing, implementing, and enforcing payment and policy rules for healthcare services.
Job Responsibility:
Lead and manage key strategic projects related to implementation of new regulatory rules, new large-payment programs and/or scoreable action items from conception to implementation
Conducts routine collaboration with stakeholders to define project objectives, requirements, and deliverables
Drafts correspondence, presentations, and reports
Use a centralized platform to track policy initiatives, monitor progress, and provide regular reports
Plan and facilitate meetings, including creating agendas, preparing presentation materials, documenting meeting minutes, and tracking action items
Serve as the primary point of contact and liaison between the AVP and key internal and external stakeholders
Manage the AVP's complex calendar, including scheduling meetings, coordinating travel, and prioritizing appointments
Takes ownership of special projects or ad-hoc assignments
Conducts project post-mortems to capture and apply lessons learned
Prepares and delivers project progress reports highlighting achievements, risks, and mitigation strategies
Administers leadership and guidance to project teams
Installs project management best practices, methodologies, and tools to drive efficiency and effectiveness in project execution
Requirements:
5+ years of progressive experience in health plan clinical operations with a focus on medical and pre-payment policies
Familiarity with medical terminology, healthcare policy, and governance
Understanding of the Centers for Medicare & Medicaid Services (CMS) or other regulatory bodies
Exceptional organizational, communication, and time-management skills
Ability to handle confidential information with discretion
High-level proficiency in productivity software such as Microsoft Office Suite (Word, Excel, PowerPoint) and other document management systems
Commitment to fostering diversity, equity, inclusion, and a culture of continuous improvement
Bachelor's degree in business administration or a related field and/or equivalent experience
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