NEW JOB OPENING
MIGRATION PROJECT MANAGER
IN Remote, USA!

CLIENT JOB ID: 101299

The position is able to telecommute; however, work hours are either Eastern or Central time zones.



Qualifications:

• Bachelor''s Degree or equivalent experience

• 4+ years HEDIS® or CMS stars experience

• Health care industry experience with claims, member or provider data

• Demonstrated ability to manage and prioritize deliverables

• Experience leading functional or segment teams or projects

• Excellent communication, time/project management, problem solving, organizational, and analytical skills



Preferred Qualifications:

• Advanced proficiency in MS Excel



Our Quality Optimization and Insights (QOI) is an integrated team serving all businesses, focused on delivering operational efficiencies for centralized activities. Our Operations and Engagement group is vital to our success and are leaders in driving our future growth. Success in this role relies on many factors - your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone.



QOI combines talented individuals from many areas of quality. Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve. This role’s primary function is to perform and/or facilitate functions ensuring Prospective and HEDIS® quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications with the CQDB/Cloud migration. Position will support accurate and timely issue resolution and data reporting and provide overall support. All work supports Commercial, Medicare & Medicaid quality improvement programs. This position reports to the Senior Director, QOI Prospective Management & Custom Team (PMCT).



Primary Responsibilities:

• Perform and / or facilitate functions ensuring Prospective and HEDIS® quality reporting requirements are met in accordance with NCQA, CMS and State technical specifications with the CQDB/Cloud migration.

• Project management and collaboration with applicable internal stakeholders to obtain in-depth information / data about internal / external customer requirements for reporting

• QA / analysis of large data sets used for reporting and QA / analysis of subsequent deliverables, including review of work performed by others.

• Respond to inquiries in writing and/or verbally regarding rate results, data completeness / quality and review member / provider specific concerns. Identify and trouble-shoot anomalies in production process and subsequent deliverables

• Motivates and inspires other team members

• Works with minimal guidance; seeks guidance on only the most complex tasks



Soft Skills:

• Strong leadership and interpersonal skills

• Ability to work without a lot of direction

• Team player

• Strong communication skills

• Organized

• Ability to manage multiple projects at a time

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**