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Moda Health · 4 hours ago

Population Health Project Manager

Portland, OR

Full-time

Hybrid

Senior Level

$64K/yr - $80K/yr

5+ years exp

Moda Health is a company committed to quality healthcare, founded in Oregon in 1955. The Population Health Project Manager will oversee a portfolio of projects, manage cross-functional activities, and serve as a Subject Matter Expert in the Population Health and Quality Department, focusing on process improvement and project deliverables.

BankingHealth CareHealth InsuranceInsurance

Responsibilities

Identify, size and prioritize key initiatives. Define, scope, plan, communicate and execute assigned projects

Manage projects associated with implementing/operationalizing new programs, policies and/or procedures. Includes end-to-end project oversight, calculating, reconciling and auditing programs and their impact. Report findings and status to all levels of the organization, including executives

Identify opportunities for improved efficiency and/or effectiveness associated with Healthcare Services business objectives. Gather business requirements and assist in Healthcare Services department business process re-engineering

Conduct process analyses to identify and develop improvements. Make recommendations on next steps and manage deliverables

Monitor project compliance with Moda, CMS, QHP, State Specific, and NCQA requirements. Ensure development of supporting P&P and workflow. Consistently monitor for changes to requirements and work with internal stakeholders to implement new requirements

Develop and document policies, procedures, processes and workflows for Population Health and Quality department functions

Work with other department stakeholders to assess upstream and downstream impact of process improvement efforts. Document and communicate changes to standards and workflow processes

Participate in daily and project driven activities relating to the support of Healthcare Services Division

Perform other duties as assigned

Qualification

Healthcare ServicesProject ManagementData AnalysisBusiness Process ImprovementCommunication SkillsConfidentiality

Required

Bachelor degree in Business Administration, Health Services Administration, or related field, required. Masters preferred

5+ years of business experience in project management and/or project coordination roles or equivalent

Strong verbal, written, and interpersonal communication skills

Knowledge of health insurance business as it relates to provider and vendor contracts, marketing, processing of claims, handling of billings, customer service, and other related information

Ability to work well under pressure, work with frequent interruptions, and shifting priorities

Ability to maintain confidentiality and project a professional business image