| Urgent Hiring For Program Manager :::: REMOTE at Baltimore, Maryland, USA |
| Email: [email protected] |
|
http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=1768395&uid= From: Kayla Cooper, Adame Services [email protected] Reply to: [email protected] Hi Partner, We are hiring for the below job role. Please have a look and let me know if you have any suitable candidates. Position Name: Program Manager Location: Baltimore, MD Remote Job Description: 10 15 years of experience Strong program and project management Healthcare is MUST HAVE One more PM might be involved Cost of care initiative undertaken by CareFirst Payment Integrity is the area of work Avalon is the vendor to help reduce cost of care for lab benefits, overall manage lab expenses and creating better utilization Will touch all areas -- Commercial, FEP, Medicare, Medicaid, FEP Program Management and Project Management skillset Excellent communication Conflict resolution, negotiation skillset is a MUST Understanding the vendor space, SOWs, managing deliverables Budget management -- $10M - $20M of budget Scaled Agile background is helpful Delivered initiatives in payment integrity space. is this must have Payment Integrity MUST HAVE understand business terminology, engage with business, understand medical/lab benefits policy. Claim processing a provider or hospital, provider sends a claim to insurance company, insurance company can pay the claim, claim should be paid accurately and are valid. Before adjudications occur, there are certain fields are checked to ensure claim is valid. Post-payment adjudication also occurs. Wther Pharmacy and Lab experience is a plus Willing to role up the sleeves, be flexible Will interact with IT teams, someone with Scaled Agile background is helpful Pre-pay and Post Adjudication phase this is the extension of this Creating and presenting PowerPoints to leadership PMP is plus Thanks | Regards Kayla Cooper |Technical Recruiter C: + 12142544223 Ext : 110 https://www.linkedin.com/in/khushboo-kundra-5b8a47251/ www.adameservices.com Adame Services 1309 Coffeen Avenue STE 1200, Sheridan, Wyoming, 82801 | USA Keywords: cprogramm information technology Maryland Urgent Hiring For Program Manager :::: REMOTE [email protected] http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=1768395&uid= |
| [email protected] View All |
| 03:28 AM 20-Sep-24 |