EmblemHealth

Project Leader, Behavioral Health

EmblemHealth$120K — $145K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in psychology, social work, or public health.
  • Master's degree or MBA preferred.
  • PMI Certification - Project Management Professional (PMP) preferred.
  • 10-12 years of professional business experience, preferably in Healthcare Payer.
  • Minimum 10 years experience managing large, complex Healthcare Payer projects.
  • Project experience in Behavioral Health preferred.
  • 3+ years experience in Management Consulting preferred.
  • Strong ability to develop risk mitigation strategies.
  • Excellent communication skills across all levels of an organization.
  • Expert knowledge of Microsoft Office Suite.

Responsibilities

  • Oversee multiple complex projects aligned with enterprise strategy.
  • Track and manage project action items to resolution.
  • Plan and evaluate mental health programs meeting clinical standards.
  • Ensure compliance with relevant regulations.
  • Improve quality and accessibility of mental health services.
  • Lead project status meetings and steering committees for critical projects.
  • Create and adapt mental health programs to meet evolving needs.

Benefits

  • Opportunity to work with a strategic project portfolio in a leading healthcare organization.
  • Collaborative environment focused on mental health innovation.
  • Engagement with executive sponsors and leadership to influence business strategy.
  • Possibility for developing comprehensive community-focused mental health services.
Full Job Description
Summary of Position

Develop change and innovation in BH strategy in concert with key business stakeholders across EmblemHealth. Translate strategy into defined tactics, program priorities, and timelines, and ensure alignment and attainment of business unit strategic plans to turn strategy into reality. Build and leverage relationships to provide innovative solutions to complex business problems. Lead a strategically oriented project portfolio and/or program (a group of projects), while monitoring internal and/or external dependencies. Ensure projects are properly funded and staffed, have/maintain executive sponsorship, and key stakeholders are continuously engaged and aware of projects status and critical issues. Serve as the subject matter expert in Project and Portfolio Management methodology and best practices. Partner with the Executive Sponsors, business owners, and when necessary, the IT organization. Manage a variety of viewpoints to build consensus and create positive outcomes for all parties involved. Uphold the enterprise's compliance and code of ethics and business conduct.

Principal Accountabilities
  • Oversee and support multiple, complex projects based on the overall enterprise strategy and resource capabilities.
  • Track and manage all project action items to timely resolution.
  • Oversee the planning, implementation, and evaluation of mental health programs, ensuring they meet clinical standards and address community needs.
  • Ensure compliance with relevant regulations.
  • Work to improve the overall quality and accessibility of mental health services.
  • Support department executive in executing business strategy, enhance organizational culture, team development and process improvement.
  • Actively lead in project status meetings; may lead on project Steering Committees of mission critical projects.
  • Create and implement new mental health programs and services, adapting existing ones to meet evolving needs, and develop strategies to improve service delivery.
  • Ensure programs adhere to relevant laws, regulations, and accreditation standards, as well as implementing quality improvement initiatives.
  • Reprioritize work as business and strategy needs dictate and facilitate discussions at all levels of the organization.
  • Provide oversight of the relationships between the entire project team including external vendors and suppliers that are engaged with the project.
  • Manage project completion postmortem to ensure gathering of Lessons Learned and call outs for future projects.
  • Establish and implement strategic project management documentation and methodologies including policies, standards, procedures, and necessary technologies.
  • Contribute to decision making regarding utilization of project resources.
  • Identify critical resource needs and negotiate with functional resource managers to secure allocation to the project and to ensure projects progress in accordance with agreed upon deliverables.
  • Monitor program effectiveness, collecting and analyzing data, and preparing reports to assess program outcomes and identify areas for improvement.


Qualifications
  • Bachelors' Degree in related field, such as psychology, social work or public health
  • Masters' Degree or MBA preferred
  • PMI Certification - Project Management Professional (PMP) preferred
  • 10 - 12+ years' professional business experience, preferably in the Healthcare Payer business (Required)
  • Minimum 10 years' experience managing large and highly complex Healthcare Payer projects (Required)
  • Project experience in Behavioral Health (Preferred)
  • 3+ years' experience in Management Consulting (Preferred)
  • Ability to assess and develop risk mitigation strategy recommendations (Required)
  • Strong understanding of project related business case development and cost benefit analysis (Required)
  • Ability to build and maintain relationships with staff up to and including leadership (Required)
  • Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
  • Expert knowledge of Microsoft Office tools, (Excel, Word, PowerPoint, Teams, Outlook) (Required)

About EmblemHealth

EmblemHealth is a non-profit health insurance company based in New York City. It is one of the largest non-profit health insurers in the United States, serving over 3 million people. EmblemHealth offers a range of health insurance plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. The company also offers wellness programs and disease management services. EmblemHealth was formed in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). The company has offices in New York City and Albany, New York.
Learn more about EmblemHealth
Size
3,000 employees
Industry
Net Income
-$100 million
Founded
2006
5 Year Trend
-5%
Revenue
$10 billion
NASDAQ

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