Implementation/Project Manager

🕒 May 14

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Rising Medical Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1999

⚕️ Healthcare Insurance

☁️ SaaS

📋 Compliance

Healthcare Insurance • SaaS • Compliance

Rising Medical Solutions is a company that provides comprehensive solutions for managing the costs and quality of medical care. Their services include medical bill review, care optimization, provider negotiations, and analytics and technology solutions aimed at reducing medical costs and improving care outcomes. The company also offers Medicare compliance solutions, utilization review, peer review, and a variety of management services tailored to enhance the efficiency and effectiveness of medical claims management. Rising Medical Solutions focuses on delivering optimal care at the right price, using advanced analytics and risk modeling to inform decisions and improve service delivery for clients.

📋 Description

• Provide planning and leadership on projects and client integrations to both internal and external customers • Translate business requirements into technical requirements and solutions • Represent Rising in client meetings regarding new business initiatives and/or changes • Utilize statistical concepts and quantitative methods to develop baseline measures, identify root cause and reduce and/or eliminate internal/external failures • Proactively identify improvement opportunities • Provide guidance to both the client and internal project members for the utilization of best practices and workflows efficient for both parties • Demonstrate ability to quantify results in terms of cost savings and impact on key performance indicators • Formulate use cases, process flows and training material on projects and client integrations • Support the creation of and/or create test plans and training materials relevant to the project • Collaborate with resources to ensure all system design requirements adequately reflect the defined business processes and fully support all components of the functional business requirements • Will oversee the Implementation Team, while working directly with senior leadership and other department heads

🎯 Requirements

• Bachelor's degree in technical or management field, or related experience • 5+ years' experience in Business Analysis or Project Management • Project Management Certification • Experience in workers’ compensation insurance, medical bill review or healthcare industry a strong advantage • Experience implementing client server and web-based applications • Experience interacting with business users to define clear scope and create and manage proper cross-functional teams • Experience working with project managing large scale custom software development projects • A strong working knowledge of business process reengineering and requirements analysis • Previous leadership experience a plus • A working knowledge of database and data modeling tools and concepts • Ability to communicate technical information clearly and lead collaborative meetings with representatives from internal departments and client companies • Ability to manage multiple projects at once • Ability to understand shifting priorities and make quick decisions • Ability to travel (up to 10%)

🏖️ Benefits

• Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more. • Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within! • Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers. • A relaxed, yet upbeat work environment.