Senior Project Leader
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
The Sr. Project Leader will be responsible for working with cross-functional teams and various levels to define and meet project requirements, deliverables related to operational readiness and optimization projects. Key areas of responsibility include planning, organizing, facilitating meetings and leading projects that support end-to-end operational readiness aligned with the business goals of Premier Client Operations as well as key functional areas within Independence. Key functional areas include but are not limited to Claims Operations, Appeals, Audit, Business Technology, Configuration, Operations Reporting, Informatics, Sales, etc. The Sr. Project Lead will also analyze current policies, procedures and processes to identify gaps and areas for improvement; develop work plans and timelines; create policies, procedures, control processes, and develop reporting; effectively work with managers and subject matter experts from multiple functional areas for workgroups and project teams; facilitate meetings and provide trouble-shooting and problem resolution support in support of identified projects.
Responsibilities:
· Independently plan, manage and coordinate activities of individuals at both the management and staff levels. Ensure that key goals and objectives are accomplished in keeping with established priorities, timeframes and budgets.
· Identifies and effectively communicates risks and issues. Develops ongoing action plans to improve performance and outcomes. Identify key gaps for which formal action plans need to be developed. Collaborate with cross-functional areas in action plan development and implementation.
· Manage client facing claim impact reporting quality program, review claims reporting and collaborate with reporting analysts to refine criteria. Provide reviews and approvals on reports before client distribution to ensure reports meet the needs of the client. Coordinate the prioritization of the report backlog to align with client and leadership needs.
· Coordinate inter-departmental and intra-departmental teams to develop policies, procedures, processes and programs to meet key business objectives, performance goals and regulatory requirements.
· Develops and manages project plans, reports on progress weekly. Manages and coordinates every phase of the project
· Creates and maintains policies, desk procedures, program descriptions and training materials to ensure that programs and processes can be efficiently and effectively maintained.
· Organizes and leads meetings with cross functional areas. Creates presentations, agenda and minutes. Ensures timely distribution of meeting minutes to team members as appropriate.
Qualifications:
· An undergraduate degree.
· A minimum of 5 years progressive employment experience in a health insurance organization and demonstrated experience in project management is required.
· Ability to effectively utilize project management software and other Microsoft office applications (Access, Word, Excel, PowerPoint).
· Candidate must be able to work independently, manage multiple priorities effectively and have excellent analytical, organizational and problem solving skills.
· Proven ability to effectively interact and give direction to staff at all levels of the organization, including senior staff, is required.
· Excellent verbal and written communications skills are also required.
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Inclusion and Belonging
At AmeriHealth Administrators, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
AmeriHealth Administrators is one of the largest national third-party administrators providing innovative, value-based health benefits programs and outsourcing services for self-funded health plans and other organizations.
The company also provides customized outsourcing services for TPAs and other payers, student health plans, and fully insured products.
AmeriHealth Administrators serves 1 million plan members in all 50 states and processes over 6 million claims annually.
Equal Employment Opportunity
AmeriHealth Administrators is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Administrators employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Administrators and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Administrators or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.