ProjectProgram Manager II remote
ProjectProgram Manager II remote
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1 Vacancy
Job Description
Job Title: Project/Program Manager II (NonIT)
Request ID: 692421
Start Date: April 21 2025
End Date: December 31 2025
Location: Remote Must reside in AZ FL GA ID IA KY MI NE NM NY OH TX UT WA or WI
Work Hours: Monday Friday 8:00 AM 5:00 PM PST
Employment Type: Contract to Permanent up to $55/hour
Industry: Managed Care
Position Overview
A managed care organization is seeking a Project/Program Manager II (NonIT) to support internal and external initiatives related to delegated Utilization Management and Claims reporting. This fully remote role is ideal for professionals with prior experience in managed care strong communication and organizational skills and a solid foundation in Microsoft Office tools.
Key Responsibilities
IPA Report Tracking: Monitor and manage incoming IPA reports.
Stakeholder Communication: Send communications and provide education to delegated provider groups on reporting protocols.
File Management: Ensure appropriate teams receive files for manual system entry.
Claims Tracking: Oversee and track pending claims while educating delegated groups.
Troubleshooting: Identify and resolve delegate submission and reporting issues.
Project Management:
Lead midtolargescale business projects through their full lifecycle.
Define scope schedule resources costs risks and quality.
Develop and maintain detailed project documentation including plans schedules workflows and status reports.
Conduct regular status meetings track milestones and ensure timely delivery.
Collaborate with various departments including health plan operations and external partners.
Process Development: Create and refine process workflows for operational improvements.
Required Qualifications
Education: Bachelors degree
Experience:
24 years of formal project management experience
24 years of experience in systems implementation
Experience working within or supporting managed care operations (UM or Claims)
Required Skills
Familiarity with health plan operations and reporting processes
Proficient in Microsoft Office Suite including Excel Word Project PowerPoint and Visio
Excellent written and verbal communication
Strong problemsolving and analytical skills
Ability to lead crossfunctional project teams
Attention to detail and organizational skills
Knowledge of health plan product lines and performance metrics
Comfortable working independently and as part of a team
Required Experience:
Manager
Employment Type
Contract
