Posted 3 months ago
Healthcare Project Manager - Care Management/CM/UM/DM
AI Summary
A Healthcare Project Manager oversees end-to-end project execution for payer care management programs, coordinating Care Management, Disease Management, and Utilization Management initiatives from a health insurance perspective.
About this role
Healthcare Project Manager - Care Management/CM/UM/DM
•Healthcare experience from a Payer’s perspective (this is a must-have)
•Care Management (CM) – healthcare payer perspective
•Disease Management (DM) – healthcare payer perspective
•Utilization Management (UM) – healthcare payer perspective
•ICD 9/10 experience is helpful
•CMS (Centers for Medicare & Medicaid Services)
•Experience with end to end processing
•Big 4 or Consulting background will put you to the top of the list
Qualifications
SKILLS:
• Must have 7-10+ years of experience managing projects in the health insurance industry, preferably in the Quality or Care Management area.
• Healthcare Insurance domain background is a must-have
• Project Methodologies experience – Agile, Waterfall, or Hybrid is all okay.
• MS Project, SharePoint, Excel, Visio, PowerPoint.
• Bachelor’s degree or equivalent work experience – Education is helpful, not necessary
• PMP Certification – beneficial but not a must-have
Additional Information
All your information will be kept confidential according to EEO guidelines.
Skills
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