Implementation/Project Manager

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Rising Medical Solutions

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 1999

⚕️ Krankenversicherung

☁️ SaaS

📋 Compliance

Healthcare Insurance • SaaS • Compliance

Rising Medical Solutions ist ein Unternehmen, das umfassende Lösungen zur Verwaltung von Kosten und Qualität der medizinischen Versorgung bietet. Ihre Dienstleistungen umfassen die Überprüfung von Arztrechnungen, Optimierung der Pflege, Verhandlungen mit Dienstleistern sowie Analysen und Technologie-Lösungen zur Senkung der Gesundheitskosten und Verbesserung der Versorgungsqualität. Das Unternehmen bietet auch Lösungen zur Einhaltung von Medicare-Vorgaben, Nutzungsüberprüfungen, Peer Reviews und eine Reihe von Managementdienstleistungen, die darauf abzielen, die Effizienz und Effektivität des medizinischen Forderungsmanagements zu verbessern. Rising Medical Solutions konzentriert sich darauf, optimale Pflege zum richtigen Preis zu liefern, indem fortschrittliche Analysen und Risikomodelle genutzt werden, um Entscheidungen zu informieren und den Service für die Kunden zu verbessern.

Beschreibung

• 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

🎯 Anforderungen

• 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%)

🏖️ Vorteile

• 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.