Job Information
Healthfirst Behavioral Health Project Manger in Hybrid, New York
Regulatory Compliance:
- Ensure adherence to regulatory initiatives and requirements, actively participating in relevant meetings as assigned.
Documentation Management:
- Maintain Job Aides and Policies & Procedures, updating them in response to changes or new regulatory mandates, products, or processes.
Project Oversight:
- Oversee team and departmental projects, diligently managing timelines to meet established deadlines.
Collaboration:
- Collaborate closely with Care Management and Utilization Management teams on network requests, identifying root causes and offering strategic solutions to mitigate challenges.
Network Analysis:
- Analyze provider networks to verify compliance with Health Plan Network (HPN) State Requirements, ensuring alignment with organizational objectives.
Reporting:
- Develop and maintain a variety of reports, including daily, weekly, monthly, quarterly, and ad hoc reports, to provide insights into business unit performance.
Solution Recommendations:
- Offer recommendations for addressing deficiencies identified during analysis, taking ownership of implementing solutions.
Presentation Preparation:
- Prepare compelling PowerPoint presentations as needed to communicate project updates, findings, and recommendations effectively.
Additional Responsibilities:
- Undertake any additional duties as assigned, demonstrating flexibility and adaptability in fulfilling organizational needs.
Minimum Qualifications:
High School Diploma or GED from accredited school.
Bachelors degree in a relevant field; advanced degree preferred.
5 years of experience in project management or a related field, preferably in the healthcare sector.
Strong understanding of regulatory requirements and compliance frameworks.
Excellent communication, collaboration, and problem-solving skills.
Proficiency in Microsoft Office Suite, particularly PowerPoint and Excel.
Ability to thrive in a fast-paced, dynamic environment while maintaining attention to detail.
Proven ability to prioritize tasks and manage multiple projects simultaneously.
Preferred Qualifications:
- Associates degree
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.