Project Manager, Medical Policy Processes

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $68k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👷‍♀️ Project Manager

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Evolent

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ 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

• Support team responsibilities and project management activities as assigned • Manage day-to-day operational aspects of Medical Policy team processes • Support publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines • Maintain source of truth information related to clinical guidelines application for utilization review requests • Support and maintain information critical to accurate guideline publication • Prepare reports and/or dashboards to represent project activity and status • Apply project management methodology and enforce project standards using approved toolkit templates

🎯 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) • Lean Six Sigma Black Belt or Green Belt • 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

🏖️ Benefits

• health insurance benefits