It Project Manager (Remote)

Position: Sr. IT Project Manager

Location: Fully Remote

Top Skills’ Details

Top Skills:

• 10+ years of experience as a Sr IT Project Manager with the ability to manager large and complex projects and programs
• Candidates must have prior Healthcare Payer / Health Insurance experience and have previously worked on a Payment Integrity project or program.
• Experience working with Executive Stakeholders (Sr Directors, VPs, and C Level). Must have the right attitude, ability, mindset, and communication skills to work with stakeholders across Business and IT organizations.
• Strong Project/Program management/Scrum Master experience where they were responsible for execution and delivery of enterprise engagements with large size and scale.
• Delivery and execution of projects in an agile and iterative approach. SAFe experience would be a big plus.
• Strong experience with Project management tools like Clarity, Rally, Jira, MS Project, or similar tool.
• The Sr Project Manager must have the ability to create effective project plans and schedule and run these plans themselves
• Ability to identify and plan for risk and implement risk mitigation on their projects

Job Description

Project Details:

The work is for a Sr. Project Manager to lead several projects under a Revenue Optimization and Shared Savings program sponsored by our Underwriting Vice President. The program has identified several projects (workstreams) that will allow CareFirst to maximize revenue and shared savings for our self-funded accounts. These are generated by pre and post-pay payment integrity programs, claim operation edits, Special Investigations Unit (SIU), and other utilization management activities (cost of care initiatives like prior authorizations).

While healthcare payer experience is needed, specifically it is important to have Payment Integrity and Claims Systems experience.

It is key that candidates have strong leadership and communications skills along with the business acumen and ability to dive into the details of the solutions we are working to implement. There are numerous stakeholders across the projects and we desire candidates who can demonstrate a command of the objectives, proactively lead and manage detailed plans.

QUALIFICATION REQUIREMENTS:

Required:

Bachelors degree in Computer Science, Business, or Management or equivalent work experience required. 8+ years of IT and business experience in strategic planning, development, implementation, and maintenance of systems, preferably across multiple hardware and software platforms. Previous project management experience in a dynamic high-technology environment is a key to success in this position.

Progressive broad-based information systems Project Management experience (which could include consulting) with state-of-the-art hardware and software systems is desirable; knowledge and implementation experience in new computing architectures and networked computing structures.

Experience in managing and implementing large scale transformational projects/programs aligned to corporate strategic goals.

Preferred:

Project Management certificate (PMP) from the Project Management Institute (PMI) or attainment in process. Master’s degree in Business or Technology related field. Prior Health insurance industry exposure a plus; specific experience with successful large-scale Program Management within a cross functional environment.

Abilities/Skills:

Ability to lead dynamic, energized, and highly creative multidiscipline high-performance work teams in learning and applying new skills/techniques to respond to business needs.

Ability to effectively adapt to rapidly changing technology and apply it to business needs.

Considerable experience managing and delivering Business and IT centric projects using (where appropriate) leading-edge technology, and older legacy systems.

Thorough knowledge and understanding of the company’s business practices and direction, business principles, and business processes, plus familiarity with the company’s products and resources.

Solid teamwork and interpersonal skills, with the ability to communicate and persuade customers, employees, and management at all levels and thrive in a cross-functional environment.

Excellent oral and written communications; an ability to present and discuss technical information in a way that establishes rapport, persuades others, and gains understanding by non technical audiences.

Exceptional program management skills and project management skills, effectively arranging resources and managing multiple small to large projects in a cross-functional environment.

Ability to analyze project needs and determine resources needed to meet objectives.

Strong analytical, problem-solving, and conceptual skills.

Competent in the Microsoft Suite of tools such as Powerpoint , Excel, Word, etc.

Experience with either MS Project, CA-PPM, Primavera, or Planview

Additional Skills & Qualifications

• They need this PM to ownership and consulting mindset while being able to work with small amount of direction
• Employee Value Proposition (EVP)
• This Program Manager and Project Managers will be supporting large scale IT initiatives ranging from CareFirst is also a very prestigious name in the Health Insurance Industry. They generate over $10 Billion dollars in revenue and support over 75% of all federal employee claims in the USA.
• Healthcare IT is a hot industry and there is a lot of opportunity for growth. Long-term opportunity. There are constantly new projects due to the need to keep up with regulations. With such a heavy workload, they keep people on projects long-term and are open to conversion as well.