Project Manager I
Health Services Advisory Group, Inc.

Saint Paul, Minnesota

Posted in Medical and Nursing


This job has expired.

Job Info


Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better for everyone?

Do you want the opportunity to give back to your community?

Do you want to have fun at work?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

Summary 

Under limited direction, the Project Manager is responsible for monitoring and supporting HSAG’s compliance with State external quality review (EQR) contracts. Ongoing support includes developing and managing work plans, organizing and conducting project work, meeting project timelines and deliverables, and ensuring follow-up, as necessary. This position is responsible for working with and managing both internal and external resources to achieve corporate, department, and project goals and objectives.

Essential Competencies, Duties, and Responsibilities

  • Conduct on-site and/or virtual compliance reviews of Medicaid managed care health plans based on CMS protocols, in alignment with federal regulations and State contract requirements. Onsite compliance reviews require travel (No travel in 2021 due to COVID-19 pandemic.)
  • Review corrective action plans, make recommendations, and determine appropriateness.
  • Serve as reviewer for record review activities, including waiver and non-waiver case management reviews. May assist with coordination of project activities including scheduling of reviews, project timelines and deliverables, remediation tracking, and assistance with report preparation and finalization. (Reviews may require travel; no travel in 2021 due to COVID-19 pandemic.)
  • Develop content and recommendations for annual technical reports.
  • Participate in EQRs of managed care entities based on state, federal, request for proposals (RFPs)/contract requirements including, but not limited to, documentation desk review, record review, report writing, and follow-up.
  • Maintain master-level proficiency on industry standards and federal regulations for Medicaid managed care regulations; provide technical assistance, including presentations of evolving federal regulations to Medicaid managed care plans in an accessible and understandable manner.
  • Identify opportunities to improve project processes and procedures, and support quality improvement activities accordingly.

Additional Tasks

  • Monitor and maintain EQRO external and internal information portals, including SFTP site, SharePoint hub, etc.
  • Prepare and deliver monthly progress reports to State contacts.
  • Communicate with project partners, clients, subcontractors, and other entities at the direction of the Director/Executive Director.
  • Participate in educational opportunities and conferences, as offered.
  • Assist with the development, collection, analysis, and reporting of data.
  • Project deadlines may necessitate occasional extended work hours.

Education and/or Experience

  • Master’s degree in the healthcare field preferred with at least four years’ experience.
  • Bachelor’s degree in healthcare field considered with ten years’ experience in healthcare.
  • Preference given to candidates with clinical degree/experience or experience with healthcare project management, quality improvement, or Medicaid managed care.

Other Qualifications

  • Excellent oral and written communication skills.
  • Excellent interpersonal skills.
  • Skilled with hosting and navigating online conferencing.
  • Organizational and time-management skills.
  • Knowledge of Medicaid and health care delivery systems preferred.
  • Experience and knowledge of quality improvement practices.
  • Proficient in Windows environment specifically Excel spreadsheets and Word tables.
  • Works well in a remote team environment and independently.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Vet/Disability


This job has expired.

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