Job Overview
JOB SUMMARY
Requirements
- High School Diploma or GED Equivalent
- Excellent communication skills and strong analytical ability required.
- Ability to work cross-functionally across departments.
- Ability to adapt to constant change and competing priorities and ability to manage multiple projects simultaneously.
- Must be able to think strategically while managing tactical execution.
- Excellent organizational/project management skills
- Sense of urgency necessary to meet goals, objectives and deadlines
- 1-2 years’ experience with Managed Care Plans and Medicare Plans
Responsibilities
- Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans.
- Works closely with cross functional teams such as Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Clinical/Network Management, and senior management in implementing new products, product enhancements, business implementations and, end to end process improvements.
- Plans, schedules, monitors, and reports on activities related to a project or assignment.
- Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted.
- Serves as the subject matter expert on product requirements to other business units.
- Must be able to perform additional duties as required
- Participate in the CMS Bid Planning and Submission processes
- Research and Analyze Market Trends
Desired Qualifications
- Excellent interpersonal skills
- Able to work with people of varied management levels
- Knowledge of Company policy, procedures and organizational structure
- Masters degree from an accredited institution
- Experience completing and submitting a CMS Bid
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