Project/Program Manager I (Non-IT) jobs in United States
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Integrated Resources, Inc ( IRI ) · 1 week ago

Project/Program Manager I (Non-IT)

Integrated Resources, Inc (IRI) is seeking a Project/Program Manager I (Non-IT) primarily responsible for investigating allegations of privacy violations. The role involves responding to incidents, analyzing data, conducting interviews, and maintaining documentation for privacy incidents.

BiotechnologyHealth CareHuman ResourcesRecruitingStaffing Agency
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H1B Sponsor Likelynote

Responsibilities

Collaborative and team-oriented
Respond to all allegations of privacy violations
Conduct investigations of privacy incidents involving members, providers and employees
Analyze data, contract terms, and other documentation to substantiate and/or unsubstantiate privacy allegations and identify potential patterns
Apply regulatory and contractual requirements as well as internal policies and procedures to the case investigation process
Perform data analysis, research, and review of privacy violations to identify trends, patterns, outliers
Conduct interviews to gather additional evidence
Research and investigate member and/ or health plan cases through internal Alert line
Communicate with members, providers, and internal stakeholders routinely regarding issues including investigative findings
Compile, report and present privacy incidents to the appropriate regulatory agency
Maintain the integrity of documentation for privacy incidents
Update case management system to ensure documentation of all calls, evidence, referrals, inquiries and case events are accurate for record keeping purposes and for 'Discovery' in court related cases
Prepare Board of Director and ad hoc reports as necessary
Use investigative findings and trends to determine where there is a need for a corrective action plan (CAP) based on line of business (LOB), severity of issue, regulatory compliance requirements and health plan exposure
Develop and maintain relationships with key business units within specific product line and geographic region

Qualification

Healthcare experienceInvestigatory skillsRegulatory interpretationMicrosoft OfficeBilingual (Spanish)Analytical skillsInterpersonal skillsCommunication skillsProblem-solving skillsDetail-oriented

Required

Bachelor's Degree; (preferred graduate degree); equivalent combination of education and experience
Fluent in Spanish
5 years of healthcare experience
Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions
Proven ability to research and interpret regulatory requirements
Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels
Excellent oral and written communication skills
Intermediate/advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet
Strong logical, analytical, critical thinking and problem-solving skills
Initiative, excellent follow-through, persistence in locating and securing needed information
Ability to multi-task and operate effectively across geographic and functional boundaries
Detail-oriented, self-motivated, able to meet tight deadlines
Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities
Energetic and forward thinking with high ethical standards and a professional image
Ability to work independently

Preferred

Bilingual/ English & Spanish would be a plus

Company

Integrated Resources, Inc ( IRI )

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Integrated Resources Inc.

H1B Sponsorship

Integrated Resources, Inc ( IRI ) has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (5)
2023 (13)
2022 (9)
2021 (25)
2020 (39)

Funding

Current Stage
Late Stage
Company data provided by crunchbase