Consultant, Program Portfolio Management - Fully Remote

Magellan Health Remote
management remote management operations operational financial quality improvement operational integration integration project management magellan leadership health
November 23, 2022
Magellan Health
Maryland Heights, Missouri
FULL_TIME

Serves a key role in planning, managing and measuring the overall activities of large scale, multi-functional projects and quality improvement initiatives across strategic business unit(s), including vendor operational integration, merger operational integration, client launches, system migration, re-engineering, operations improvement, and quality improvement activities as identified. Takes the lead in working with the executive management team on priority initiatives designed to meet strategic priorities. Has responsibility to provide project and quality management planning, execution, reporting, IT project management, and budget management.
  • Development and implementation of key operational initiatives including vendor operational integration, merger operational integration and other quality and operational effectiveness activities.
  • Report project status and apprise management of issues requiring resolution in order to maintain progress on a timely basis. Assists senior management with development/implementation of plan operations. On a regular basis, communicates project updates (summarizing progress, barriers, any resources needed, etc.)
  • Conduct inter-functional area or inter-departmental project meetings as needed.
  • Meet with Magellan operations leadership and appropriate personnel to identify the project's goals, objectives, critical quality factors, and success measures.
  • Facilitate multi-disciplinary project team communications with functional/division management to include collaboration efforts with Leadership, Legal, IT, Operations, Finance, Claims, Network, Compliance, and QI (quality improvement).
  • Coordinates various aspects of divisional operations by working with local leadership to ensure implementation of best practices, meeting accreditation and regulatory requirements, and meeting financial objectives. Ensures operations are attractive to the marketplace.    
  • Partner with leaders to identify opportunities for administrative efficiencies or quality improvement initiatives.
  • Responsible for supporting each site in identifying opportunities to leverage technology to increase efficiency and quality
  • Develop and report key indices related to project expense and anticipated benefit in conjunction with Magellan Performance Measurement department employees.

Other Job Requirements

Responsibilities

12+ years' project management experience in the healthcare industry.
7+ years of management experience in a managed care environment.
Requires profit/loss experience and strong operational knowledge of health plan operations, claims management/resolution, customer service/call centers, network, HMO, financial, information technology and corporate project management.
Experience leading in a matrixed environment on a fast paced team.
Demonstrated track record of managing change with proven results in the achievement of goals (financial and performance).
Proven ability to plan, organize, schedule, direct, control, and monitor large-scale, multi-functional project activities.
Ability to perform basic financial and quantitative analysis.
Well-developed interpersonal skills as well as excellent oral/written communication skills.
Knowledge of information systems, quality improvements, methodologies, electronic data interchange (EDI), and e-health technologies.

General Job Information

Title

Consultant, Program Portfolio Management - Fully Remote

Grade

31

Work Experience - Required

Managed Healthcare, Management/Leadership, Operations, Project/Program Management

Work Experience - Preferred

Education - Required

Bachelors

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

LSSBB - Lean Six Sigma Black Belt Certification - Enterprise, LSSGB - Lean Six Sigma Green Belt Certification - Enterprise, PMP - Project Management Professional - Enterprise

Salary Range

Salary Minimum:

$117,860

Salary Maximum:

$200,360

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.


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