Senior Project Manager, Medicare Advantage

🔥 3 horas atrás

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Curana Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🤝 B2B

⚕️ Seguro de Saúde

B2B • Healthcare Insurance

A Curana Health é uma provedora de serviços de saúde focada em cuidados primários para idosos e serviços clínicos no local em comunidades de enfermagem especializada e moradias para idosos. A empresa faz parcerias com operadores, pagadores e planos Medicare Advantage para implementar modelos de cuidado baseado em valor, oferecendo equipes de cuidados lideradas por médicos, serviços de diretores médicos, coordenação de cuidados (incluindo RPM e APCM), saúde comportamental e cuidados paliativos. A Curana enfatiza a redução de readmissões hospitalares, quedas e polifarmácia, ao mesmo tempo em que melhora a satisfação dos residentes por meio de um cuidado integrado, baseado na comunidade, apoiado por tecnologia e parcerias com pagadores.

Descrição

• Drive high-priority initiatives across our Medicare Advantage product portfolio. • Manage complex, deadline-driven projects in a regulated healthcare environment. • Coordinate closely with clinical, compliance, finance, and operations teams to deliver results on time and at scale. • Translate regulatory and operational complexity into clear updates for internal and external partners. • Run effective working sessions, drive decisions, and document outcomes. • Manage multiple annual project cycles against tight deadlines. • Monitor risks and prepare mitigation plans. • Use project management tools such as Smartsheet, Jira, MS Project, Asana, or similar platforms. • Monitor and evaluate data and trends while partnering with Finance, Product, and other leadership teams.

🎯 Requisitos

• Bachelor's degree required; a field of study in Business, Healthcare Administration, Public Health, or a related area is preferred. • Project Management Professional (PMP) certification preferred. • Lean Six Sigma certification preferred. • 5 to 8+ years of project management experience. • Direct experience managing CMS applications and submissions (e.g., MA bid, PBP, HPMS, service area expansions, SNP Model of Care). • Experience managing state regulatory filings and Department of Insurance (DOI) applications. • Prior experience overseeing supplemental benefit vendors (e.g., OTC, transportation, dental, vision, hearing, flex card, meal programs). • Experience managing vendor contracts, SLAs, and performance scorecards. • Background in cross-functional program management involving clinical, compliance, finance, and operations teams. • Familiarity with ISNP, C-SNP, or dual-eligible program operations is a strong plus.

🏖️ Benefícios

• Competitive salary • Flexible work hours • Professional development opportunities • Remote work options