Project Manager

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $77k - $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👷‍♀️ Project Manager

👻 Ghost score 0%

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Health Services Advisory Group, Inc. (HSAG)

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1979

🏥 Healthcare

⚕️ Healthcare Insurance

🏛️ Government

Healthcare • Healthcare Insurance • Government

Health Services Advisory Group, Inc. (HSAG) is a mission-driven healthcare quality improvement organization that partners with federal and state agencies, health plans, and providers to improve care delivery and patient outcomes. HSAG provides data science and advanced analytics, survey administration, medical record case review, audits, and healthcare consulting services to support Medicare and Medicaid quality programs, waiver evaluations, kidney health initiatives, and national patient surveys. The organization focuses on regulatory compliance, performance measurement, and evidence-based quality improvement to drive better outcomes across the healthcare continuum.

📋 Description

• Conduct annual Medicaid compliance reviews and readiness reviews • Contribute to annual external quality review (EQR) technical reports • Provide day-to-day project management and support for contracted EQR activities • Develop, coordinate, and manage project work plans and timelines • Communicate with State Medicaid agencies, health plans, internal staff, project partners, clients, subcontractors, and other entities • Prepare project documentation and key deliverable support documentation • Identify opportunities to improve project processes and support quality improvement activities • Create, distribute, and receive compliance review and readiness review tools and materials • Prepare audit packets, including onsite/virtual document review packets • Coordinate health plan document submissions for desk review • Conduct onsite or virtual compliance reviews of Medicaid managed care health plans • Assist with development, collection, analysis, and reporting of data • Assist with developing audit reports and compiling team-member documents • Assist with annual EQR technical reports • Research, interpret, and apply state contract requirements, CMS rules, and state regulations • Monitor and maintain EQRO information portals, including FTP and SharePoint sites • Coordinate project tasks and communications • Maintain State, health plan, and corporate communication protocols • Coordinate and assist with EQR-related work as assigned • Monitor and support HSAG’s compliance with State EQRO contracts

🎯 Requirements

• Bachelor’s degree in a health-related field, or a non-healthcare related bachelor’s degree and five years of experience in Medicaid managed care compliance at a health plan or State Medicaid agency • Medicaid and/or dual-eligible (Medicaid/Medicare) managed care experience • Minimum five years of program evaluation/auditing experience in a health plan, state Medicaid agency, or other healthcare-related field • Excellent oral and written communication skills • Excellent interpersonal skills • Organizational and time-management skills • Experience and knowledge of quality improvement, utilization management, and/or care management practices • Proficient in Windows environment, specifically Outlook, Word, and Excel • Ability to work well in a remote team environment and independently • Onsite compliance reviews require travel • Ability to accommodate atypical work schedules due to time zone differences and occasional extended work hours

🏖️ Benefits

• Salaried full-time exempt position • Remote work arrangement • Reasonable accommodations for individuals with disabilities • EEO protections for veterans, minorities, women, and individuals with disabilities