Project Manager - PMP
Company: Diversant LLC
Location: Minneapolis
Posted on: May 16, 2022
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Job Description:
Job DescriptionDiversant is seeking a Project Manager for a
Contract to Hire Role. This Role can be 100% Remote. Candidate
should have a PMP (Project Management Professional)
Certification.As part of data acquisition operations, every year
NCQA audits the data chain of custody for all data sources against
the NCQA Audit Guidelines. Only NCQA approved sources are loaded
into the HEDIS - Rules Engine for Official Retrospective
processing. This role includes ensuring vendor compliance with NCQA
Technical Specification released every year, completing the Audit
Section-5 documentation per NCQA requirements, providing additional
supporting documentation such as data process flows, data mapping,
transformation rules, and provide source EMR screen shots as
requested by Auditor. This backfill role is critical and directly
impacts regulatory compliance, as well as NCQA, HEDIS - program
compliance and is a key driver of M Stars goal of achieving 80% of
membership in a 4 Star Plan (key enabler for ***B in Stars
revenue).Responsibilities:Lead or contribute to the development of
program or project scope document, RACI, program/project charter,
Statement of Work, Business Case/Vision Document.Manage project
plans, open issues/action items, change requests, budget and
SOWsMonitor and document project milestones and outcomes throughout
the project lifecycle to ensure adherence to established quality
standards.Partner with technical team in optimizing and automating
provider onboarding, file ingestion, end to end provider life cycle
management, dashboard and reporting processes.Accelerate what is
working well and identify obstacles hindering the provider
onboarding process.Build strong relationships and collaborate with
key stakeholders across Client, Optum and external business
partners.Develop, communicate and implement program and project
risk, issue management plans and strategies.Develop and implement
contingency and recovery plans when deliverables are missed (e.g.,
identify critical path, document, plan for getting back to Green,
Business Continuity Plan, failover plan)Manage various meetings
(including kickoff meetings, requirements gathering meetings,
weekly program status meetings, and issue resolutions).Coordinate
and facilitates project meetings, prepare status reports, liaison
with other cross-functional groups.Document processes, materials,
decisions, outcomes, and communicate across teams.Requirements:7+
years project management experience2+ years of experience in HL7 or
healthcare technologyExposure to multiple PM methodologies
including AgileProficient with MS Office Tools (SharePoint, Word,
Excel, PowerPoint, Visio)General understanding of CMS Stars
ratings, HEDIS and standard health care file formats included CCD,
CCDA, XML, V3, C32, HL7, ORU, MDM etc.PMP CertifiedPreferred
Requirements:Experience facilitating and leading data solution
design, architecture & delivery planning activities across
geographically diverse and multi-disciplinary teamsKnowledge of
data analysisAbility to gather detailed requirements from analyst,
developers and end-users and writing business requirements for
clinical data applications and data interfacesAbility to adapt to a
fast-paced, quickly changing environment.
Keywords: Diversant LLC, Minneapolis , Project Manager - PMP, Executive , Minneapolis, Minnesota
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