Medicaid Fee-For-Service Operations Manager (Program Manager III)

About the role

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! This position is not eligible for sponsorship.

Responsibilities

• Drives the development of the overall strategy and roadmap, research, requirements, and coordination for assigned programs.
• Follows outlined program management processes to manage the overall scope, planning, business requirements, implementation and delivery of software updates and other related requirements to assigned programs.
• Schedules product release timelines with IT department. Coordinates product development schedules and releases to production.
• Keeps current with and reviews state and/or federal requirements and regulations related to assigned programs to ensure that programs support client regulatory compliance.
• Manages large-scale, strategic, complex projects from start to finish and effectively leads project teams comprised of multiple business units.
• Develops client communications as needed to explain MedImpact response and/or changes in client responsibilities (related to drug benefit management).
• Attends client calls as needed to understand and address questions or issues for assigned programs.
• Maintains documentation for assigned programs including: Program Descriptions, Report Guides, Policies, Procedures, Work Instructions, training materials, etc.
• Serves as an expert resource for the line of business or for Government Programs and Services the focus will be on at least one regulated market, in addition to being a subject matter expert in assigned programs.
• Educates clients on program features. Provides expertise and training to other departments. Mentors less experienced program management team members and aids in cross training.
• Defines metrics to effectively measure the success of program and service processes and deliverables.
• Vendor oversight: if applicable for owned programs and services, monitors vendor operations, ensures appropriate metrics and PG’s are in place, and coordinates vendor changes as appropriate with MedImpact automation and/or work processes.
• Supervisory Responsibilities: No supervisory responsibilities

Qualifications

• BS/BA and 9+ years’ experience or equivalent combination of education and experience, and 6 years' of SME in respective areas.
• Advanced knowledge of Microsoft Office software (Outlook, Word, Excel and PowerPoint).
• Intermediate knowledge of at least one content management system (e.g. SharePoint, Confluence, wiki).
• Demonstrated ability to learn new software tools.
• SQL query development.
• Goldmine32 or other equivalent database browsing software.
• Excel macro programming.

Skills

• PMP or other project management certification, desired, but not required.
• Comprehensive knowledge of healthcare industry.
• Excellent communication skills (written/verbal).
• Proven ability to plan and facilitate effective meetings.
• Skilled at business requirements gathering and ability to prepare and maintain detailed project plans.
• Advanced presentation skills with the ability to present information at varying levels of abstraction depending on audience.
• Basic process improvement skills (e.g. tools and practices from agile, lean, six sigma).
• Basic to intermediate product management skills.
• Strong problem-solving skills to handle: (1) problems that span a single area (2) problems that span multiple areas, and (3) facilitate across functional teams in developing solutions.
• Ability to effectively lead and influence cross-functional as well as virtual teams including remote participants.