Project Manager - Business Operations & Implementation

Posted 5 Days Ago
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Home, KS
In-Office
90K-105K Annually
Senior level
Healthtech • Software
The Role
Manage healthcare system project implementations, maintain communication with stakeholders, and ensure compliance with HIPAA regulations. Oversee project activities, mitigate risks, and maintain project documentation.
Summary Generated by Built In
Job Summary & Responsibilities

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

 

JOB SUMMARY: Apply principles, techniques and best practices in the planning, organizing and implementation of projects by preparing and managing project documentation, deliverables, milestones, resource management and schedules. Partner with Operations, IT, Customer Success, Growth teams to promote open lines of communication and adherence to the project management standards and processes.

JOB ROLES AND RESPONSIBILITIES:
1. Serve as Project Manager for the implementation of new and existing client requests and changes.
2. Initiate, plan, execute, control and close project activities.
3. Define and verify scope, develop project plans and timetables, and create roles and responsibilities matrix
4. Develop work plans for each subproject/department and prepare summary for management review.
5. Execute and maintain project plans; review, track, monitor and report on project status; identify, track and resolve issues by proposing viable solutions.
6. Calculate, mitigate and monitor risk, creating contingency plans and advising management, as appropriate.
7. Perform defect management
8. Establish and maintain working relationship with all departments, stakeholders and external customers involved with project.
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate commitment to the Company's core values.
Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
Preferred Qualifications

JOB REQUIREMENTS (Education, Experience, and Training):
* Must have 3 to 5 years of experience in Project Management capacity preferably in a fast paced, rapidly changing business operations environment. Experience in a Project Management Organization preferred.

* Strong experience within Healthcare industry, understanding all major workflows associated with the healthcare claim processing, healthcare operations. Must have exposure to working with Third Party Admins (TPA), Brokers, Employers.
* Must have experience driving small to mid scale projects across Operations, IT, Customer Success, Growth teams, managing client implementations, client onboarding, vendor implementations and operational projects. 

* Knowledge of broad range modern, agile, project methodologies and best practices. Exposure to Jira, Confluence, Excel preferred.
* Communication (oral, written and listening), project management, analytic, organization, interpersonal, prioritization, multi-tasking, initiating, communication, planning and technical skills.
* Ability to develop and maintain collaborative and cooperative relationships throughout the organization

* Ability to facilitate teams and client relationships to satisfy needs and identify improvements.

* Ability to demonstrate commitment to excellent customer service and follow-through.

* Ability to manage multiple simultaneous projects including continuous evaluation and re-ordering of priorities as business needs dictate.

* Ability to effectively present information and respond to questions from internal and external customers.
* Ability to be flexible and creative in problem solving and identifying process improvements.
* Ability to anticipate business needs and think with a business owner mind-set.
* Ability to recognize and apply project management best practices to fit a variety of situations.
* Ability to adhere to corporate work ethic standards.

* Bachelor's Degree or equivalent 6 years experience. Project Management Professional (PMP) Certification (or working towards it) preferred.
COMPENSATION

The salary range for this position is $90K to $105K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.


BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.  Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

 

Your benefits will include:

  • Medical, dental and vision coverage with low deductible & copay
  • Life insurance
  • Short and long-term disability
  • Paid Parental Leave
  • 401(k) + match
  • Employee Stock Purchase Plan
  • Generous Paid Time Off – accrued based on years of service
    • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
  • 10 paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

 

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here.

 

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

 

#LI – VG1

Top Skills

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The Company
HQ: McLean, Virginia
2,715 Employees

What We Do

Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all. We work across the healthcare value chain to expose imbalanced and inefficient pricing practices. Led by deeply experienced analysts, negotiators and innovators, Claritev provides tech-enabled solutions and services fueled by proprietary data from over 40 years of experience. Today, along with machine learning and AI, we utilize a robust enterprise platform to deliver price transparency, improve payment accuracy, and drive more meaningful analytics and decision-making.

Through Claritev, providers are able to make data-enabled decisions to optimize their service offerings, market position and ultimately deliver high-quality care. Payors and third-party administrators can deliver greater flexibility and value to plan sponsors. Employers can drive cost-efficient benefit design and patients can finally afford the care they need.

By focusing on customized solutions that that improve transparency, affordability and quality for all key players, we’re igniting a more competitive marketplace — one that lowers overall costs while improving quality. Claritev brings the transparency our nation needs to see its way to a better healthcare system.

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