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CareFirst
Baltimore, MD, United States
**Resp & Qualifications** **PURPOSE:** Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within CareFirst's provider partnerships. Initiates, engages, and motivates cross-functional teams to del
Job Source: CareFirstCareFirst BlueCross BlueShield
Baltimore, MD, United States
**Resp & Qualifications** **PURPOSE:** Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within CareFirst's provider partnerships. Initiates, engages, and motivates cross-functional teams to delive
Job Source: CareFirst BlueCross BlueShieldPyramid Consulting
Baltimore, MD, United States
Immediate need for a talented Senior Project/Program Manager. This is a 06+ months Contract opportunity with long-term potential and is located in Baltimore, MD (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-26621 Pay Range: $75 - $85/hour. Employee benefits include, but are not limited
Job Source: Pyramid ConsultingPyramid Consulting
Baltimore, MD, United States
Immediate need for a talented Senior Project/Program Manager. This is a 06+ months Contract opportunity with long-term potential and is located in Baltimore, MD (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-26621 Pay Range: $75 - $85/hour. Employee benefits include, but are
Job Source: Pyramid ConsultingHummingbirds Innovations
Baltimore, MD, United States
Must haves: Actual PM experience, experience with implementing systems, demonstrated ability to drive action items and to work independently. Role Summary: • Serves as the end-to-end project lead for large-scale, complex projects that are either standalone projects or part of a broader strategic program. • Drives benefit achievement by leading proj
Job Source: Hummingbirds InnovationsHummingbirds Innovations
Baltimore, MD, United States
Must haves: Actual PM experience, experience with implementing systems, demonstrated ability to drive action items and to work independently. Role Summary: •Serves as the end-to-end project lead for large-scale, complex projects that are either standalone projects or part of a broader strategic program. •Drives benefit achievement by leading proje
Job Source: Hummingbirds InnovationsCareFirst BlueCross BlueShield
Baltimore, MD, United States
**Resp & Qualifications** **PURPOSE:** Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coordinates activities internally and across departments. Facilitates process improvement and identifies an
Job Source: CareFirst BlueCross BlueShieldCareFirst
Baltimore
**Resp & Qualifications** **PURPOSE:** Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coordinates activities internally and across departments. Facilitates process improvement and identifies an
Job Source: CareFirstBaltimore
**Resp & Qualifications**
**PURPOSE:**
Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within CareFirst's provider partnerships. Initiates, engages, and motivates cross-functional teams to deliver optimal results. Identifies and mitigates risk and escalates as needed. Tracks progress and drives documentation to support project needs. Ensures end to end leadership for implementations, integration, business readiness and communications.
**Note:** **We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.**
**ESSENTIAL FUNCTIONS:**
+ Plans and initiates retrospective risk adjustment project resources, prepares budgets, monitors progress, tracks schedules and mitigates risks. Sequences complex initiatives from start to finish with multiple vendors, risk bearing provider entities, FQHC's and IPA's.
+ Provides end to end project management support in terms of reporting, project deliverable tracking and documentation for retrospective risk adjustment activities. Acts as a liaison across all areas to ensure effective and efficient goals, scope, progress, and completion of projects. Coordinates issues throughout CareFirst, and externally, when necessary, to promote accurately represented information across multiple line of business.
+ Provides direction and motivation to project teams in a matrixed environment. Drives outcomes with chart retrieval at CareFirst's provider partnerships by fostering a collaborative culture. Manages relationships with key stakeholders, including management and vendors. Leads the execution of the project.
+ Evaluates implications of existing or proposed projects, programs, processes, and policies/regulations through the use of critical and creative thinking and recommends improvements.
+ Performs mid-level advisory consulting work and provides strategic focus. Effectively conveys the big picture and alignment with corporate goals.
+ Synthesizes complex topics and project statuses into executive level presentations and influences decision making with product leadership for optimized chart retrieval and coding results. Effectively communicates with all levels of the organization. Liaisons with P&L ownership on DSNP and EGWP business lines and translates business needs into technology related action plans.
**QUALIFICATIONS:**
**Education Level:** Bachelor's Degree Preferred OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
**Experience:** 5 years working with retrospective risk adjustment chart review and coding projects.
**Salary Range** : $82,728 - $164,307
**Salary Range Disclaimer**
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
**Department**
Risk Adjustment
**Equal Employment Opportunity**
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
**Where To Apply**
Please visit our website to apply: www.carefirst.com/careers
**Federal Disc/Physical Demand**
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
**PHYSICAL DEMANDS:**
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
**Sponsorship in US**
Must be eligible to work in the U.S. without Sponsorship
\#LI-CB1
REQNUMBER: 19823
Email Alert for Senior Project Manager - Risk Adjustment Programs (Hybrid)_ jobs in Baltimore
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