- Lead business case development for proposed initiatives
- Support strategic and business planning, including initiative prioritization
- Ensure initiatives align with strategic business plans and business objectives
- Transition approved business cases into initiatives with clear documentation and responsibilities
- Lead large-scale, cross-functional initiatives focused on performance improvement, financial gains, customer satisfaction, and improved compliance
- Provide strategic and policy guidance for assigned initiatives
- Organize work teams, drive consensus, facilitate meetings, document recommendations, and oversee implementation
- Analyze data, workflows, policies, procedures, staffing organization, and skills
- Use project management software including Excel, PowerPoint, Visio, and Microsoft Project
- Lead staff responsible for operating-plan initiatives and support their development and completion
- Assist other project leaders with facilitation, analysis, process mapping, brainstorming, and project management issues
- Write and deliver communications across all organizational levels
- Provide related support to improve business performance
- Perform other duties as assigned
Requirements
- Bachelor's Degree in a related field or equivalent experience required
- 6+ years managing projects required
- Certified Project Management Professional (PMP)-PMI required
- Master's Degree in a related field preferred
- Experience in health care and/or insurance preferred
- Process quality certification preferred
- Compliance with all policies and standards
- Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Core Competencies
Demonstrates expertise in leading large-scale, cross-functional initiatives focused on performance improvement and compliance, while effectively managing project teams and aligning initiatives with strategic business objectives. Proficient in project management methodologies and tools to drive successful outcomes.
Highest-signal resume keywords
- Project Management Professional (PMP)
- Business Case Development
- Data Analysis
- Process Mapping
- Health Care Experience
ATS Optimization Keywords
Hard Skills
- Project Management
- Initiative Prioritization
- Performance Improvement
- Financial Analysis
- Compliance Management
Soft Skills
- Leadership
- Facilitation
- Communication
- Consensus Building
- Team Organization
Certifications & Qualifications
- Certified Project Management Professional (PMP)
- Process Quality Certification
Industry Keywords
- Health Care
- Insurance
- Strategic Planning
- Policy Guidance
- Business Performance
Tools & Technologies
- Microsoft Project
- Excel
- PowerPoint
- Visio
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Payment Integrity Specialist – Regulatory Arbeitgeber: Jobtailor
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