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Migration Project Manager - Telecommute
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)
The Project Manager is responsible for the successful project design, management of the project, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Migration Integrated Network teams that focus on specific lines of business or states to improve the quality and timeliness through improvements in appropriateness and effectiveness. Project Managers may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis, while maintaining the timelines and ensuring the success of the project.
Primary Responsibilities:
Represent the Migrations department on the project
Lead the project and have knowledge of the resources and dependencies as well as time lines
Anticipate customer needs and proactively develop solutions to meet them
Serve as a key resource on complex and/or critical issues
Solve complex problems and develop innovative solutions
Perform complex conceptual analyses
Review work performed by others and provide recommendations for improvement
Forecast and plan resource requirements
Authorize deviations from standards
Lead functional or segment teams or projects
Provide explanations and information to others on the most complex issues
Motivate and inspire other team members
Support activities related to the Migrations; this would include working closely with assigned health plan representatives, IT project managers, and Business Analysts to drive success
Support and develop migrations requirements and output for new Migration products being deployed; this would include maintaining ongoing status of deliverables and attending all preparatory meetings regarding provider directories for new product launch
Maintain active relationships with UHN and network strategy functional areas to support continuous improvement of end to end processes and provider data quality of products
Support and maintain ongoing meetings with each Health Plan to promote and update on status of Migration activities
Survey and maintain the needs of each Health Plan on issues being incurred related to provider data
Maintain working documentation on provider data, to include progress, risks, and milestones met
Maintain working repository of provider data migration documentation, to include regulatory requirements, mailing dates, mass mailing schedules, prioritization of current issues, and documentation supporting migration process
Plan and coordinate updates to standard migration process related to business climate change or regulatory requirement changes; this would include instituting the appropriate IT project requests
Requirements
Required Qualifications:
5+ years of experience in claims processing, provider data maintenance, contracting, or contract loading
Intermediate level of proficiency with all facility/ancillary contract reimbursement methodologies
5+ years of experience with claims systems
Intermediate knowledge of business processes that impact facility/ancillary contact loading and auditing
3+ years of experience with contract submission, validation and maintenance
Project Management experience
Excellent communication skills required including ability to communicate effectively with various levels of leadership
Advanced proficiency in MS Excel and Access
Preferred Qualifications:
Undergraduate degree
- Proficiency in MS Office Visio, Project and PowerPoint
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Project Manager, Migration Project Manager, telecommute, telecommuter, telecommuting, work from home, remote,
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