Job Details

A company is looking for a Program Manager - Medical Management - Remote.Key ResponsibilitiesDevelop, evaluate, coordinate, implement, and monitor all Payment Integrity (PI) initiatives across the health planOversee and drive accountability through the Plan PI Committee, including trackinginitiatives and addressing roadblocksCreate manual and automated workflow pathways, and vet plan policies, regulations, contracts, and benefitsRequired QualificationsBachelor's Degree3 years of healthcare experience in project coordination, including operations analysis and quality improvement3 years of experience with performance improvement and organizational change tools3 years of change management experienceExperience in Six Sigma and/or Lean methodology