Resolves barriers, improves processes, and ensures quality execution.
Demonstrates NASCO system and operational knowledge, including GDO and SBP projects.
Provides expertise in MAPPO, Commercial, HMO, and PPO products.
Manages benefit administration, implementation, configuration, validation, and testing.
Demonstrates strong organizational skills and sound judgment in ambiguous situations.
Possesses customer service knowledge and may guide or supervise staff while performing other assigned duties.
Communicates effectively and confidently with external customers and organizational leadership.
Accountable for and manages the development, implementation and ongoing maintenance of long-term project(s) typically spanning two years or more planning to implementation with relatively more complex scope and deliverables that may impact multiple business unit/function or business critical program. Project scope impacts one or more of the following: process, system, function, product and/or service. Project span across enterprise. Aligns with enterprise initiatives, multi-faceted and strategy.
Monitor progress, produce project status reports, timelines, budget reports, project metrics.
Plan projects, including the concept, design, planning, project scope, cost and benefits, testing, acceptance, implementation and post-implementation review of project deliverables.
Leads cross functional teams comprised of various internal customers and vendor resources. Provide assistance and mentor staff on project management related issues.
Lead complex development initiatives. Manage teams and ensure that project resources are utilized in an effective and efficient manner. Ensure project goals are met or exceeded via the facilitation and resolution of barriers prohibiting the progress on projects.
Recommend and implement process changes to increase project execution performance. Review system and tools to ensure quality and efficient implementation of development and enhancement efforts.
Monitor project risk and consult on mitigation plans.
May provide supervision to others.
Other duties as assigned.
"Qualifications"
Bachelor's degree in related field required
Seven (7) or more years experience in related field
Five (5) years project management experience in health plan operations or related field
