Project Manager, Medical Policy Processes

Job not on LinkedIn

🕒 July 23

🇺🇸 United States – Remote

💵 $68k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👷‍♀️ Project Manager

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 24%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Evolent

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🏥 Healthcare

☁️ SaaS

Healthcare Insurance • Healthcare • SaaS

Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.

📋 Description

• Manage team responsibilities and project management activities as assigned • Manage day-to-day operational aspects of Medical Policy team processes • Manage publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines • Lead development and oversight of centralized clinical guideline governance • Drive data integrity, process standardization, and cross-functional alignment for utilization review operations • Manage and maintain information critical to accurate guideline publication • Develop and maintain reports, dashboards, and project tracking tools • Communicate project status, progress, risks, and key performance metrics • Apply project management methodology and enforce project standards using approved toolkit templates • Partner with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups

🎯 Requirements

• Bachelor's degree plus 2+ years' project management or job-related experience with a medium to large-scale corporation • High School or Associate’s degree with a minimum of 5 years of project management or job-related experience within the past 8 years • Project Management Institute Certification (multiple certification options) • Knowledge of project management and process improvement practices and methodologies • Basic knowledge of health care management (CPT Codes, Medicare/Medicaid) • Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teams • Ability to resolve and/or escalate issues in a timely fashion • Understand how to communicate difficult/sensitive information tactfully • Proven ability to plan, organize, schedule, direct, control, and monitor project activities • Strong working knowledge of Microsoft Product Suite • Lean Six Sigma Black Belt or Green Belt • High speed internet over 10 Mbps at home • Submission of a government issued photo ID • Comprehensive background check • In-person I-9 verification • May be subject to drug screening prior to employment • Artificial intelligence tools during interviews are prohibited • Must complete identity verification steps

🏖️ Benefits

• Work/life balance • Flexible work arrangements • Autonomy • Diversity and inclusion • Health insurance benefits for qualifying employees