Enterprise Program Manager (Healthcare Operations) Retail & Wholesale - Boston, MA at Geebo

Enterprise Program Manager (Healthcare Operations)

Why This Role is Important to Us:
The Enterprise Program Manager is a visible senior project delivery leadership role with the Enterprise Project Delivery Team responsible for multiple high profile, cross functional projects based on corporate priorities.
The successful candidate will demonstrate program leadership by leveraging strong program management experience, leadership, influence, communication, and negotiation based on well-established stakeholder management abilities and strong collaborative working relationships.
The ideal candidate is a proven leader who takes initiative to resolve complex delivery challenges.
The Enterprise Program Manager is primarily responsible for leading complex cross functional programs with minimal direction.
This includes but is not limited to managing through all aspects of both business and software development lifecycles using industry standard practices such as risk management, program scheduling, vendor management, resource management, financial management and stakeholder management.
Programs will involve enterprise-wide initiatives aimed at improving multiple domains of the health plans operations, including claims, call center, enrollment, encounter management and billing, authorization operations, and other functions that span multiple executives.
What You'll Be Doing:
Key Responsibilities
Contribute to the corporate project portfolio prioritization process.

Serves as a key resource to resolve complex and critical delivery issues across the prioritized project portfolio
Lead the development of proposed project business cases, scope, estimates, delivery schedules and interdependencies mapping.

Drive delivery related to all aspects of assigned programs to business implementation
Identify, measure, monitor and control cross program interdependencies with other programs and business areas
Identify and communicate issues, risks, and status to propose solutions, drive decisions and manage stakeholder expectations
Forecast resource demand and constraints across project deliverables and other prioritized projects
Manage a team of matrixed business and technology project managers to deliver program business results, including but not limited to providing performance feedback and professional development suggestions
Consistently develop and deliver outstanding presentations to all types and levels of audiences
Skillfully facilitate critical program meetings, including but not limited to program steering committee with senior executives
Negotiate conflict resolution and awareness of organizational dynamics
Forecast and management all financial aspects of assigned projects
Facilitate and manage appropriate vendor statements of work and performance
Adapt project plans and priorities to address changes, risks, and resource management What We're Looking For:
Education:

Bachelors degree or equivalent
Masters degree preferred
Experience:

10
years of program management experience demonstrating growth in managing increasingly complex and cross functional efforts involving business and technology Knowledge, Skills & Abilities:

Ability to think and act strategically across multiple business, technology, and program delivery concepts
Demonstrated experience as a Program Manager leading multiple cross functional business and technology implementations with limited reliance on direct manager
Thorough understanding of project management techniques and methods
Demonstrated ability to lead self and others through change
Ability to independently develop and deliver effective presentations with executive management
Outstanding communication and influencing skills with senior stakeholders
Outstanding leadership and organizational awareness skills
Outstanding problem-solving ability
Experience working in a managed care organization preferred
Excellent knowledge of MS Office; specifically, program/project management software (MS Project etc.
) Preferred:
Thorough understanding of managed care/Medicare plan operations preferred EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable).
Commonwealth Care Alliance is an equal opportunity employer.
Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
Recommended Skills Billing Call Centers Claim Processing Conflict Resolution Finance Financial Management Estimated Salary: $20 to $28 per hour based on qualifications.

Don't Be a Victim of Fraud

  • Electronic Scams
  • Home-based jobs
  • Fake Rentals
  • Bad Buyers
  • Non-Existent Merchandise
  • Secondhand Items
  • More...

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.