Project Manager - PMP

Company: Diversant LLC
Location: Minneapolis
Posted on: May 16, 2022

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