Network Data Project Manager

Southwestern Health Resources is looking for a highly skilled Network Data Project Manager.

Work Hours:
Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

• Hybrid Position
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
• Contribute and work on a cross functional team

What You Will Do:

• 30% Point of contact for escalated network enrollment or relations errors.
• 10% Leads projects assigned to Network Relations and Database Management team. Responsible for project coordination, discovery, development, communication, and measuring project performance.
• 20% Responsible for key project deliverables and shares responsibilities and accountability with the project team for the successful delivery of the project's outcome. Executes project work plans and revises as appropriate to meet changing needs and requirements. Identify and coordinate internal and external resources necessary for executing project and assigns individual responsibilities.
• 10% Monitors and drives monthly/quarterly KPIs for Payor efficiency and effectiveness. Reviews weekly statistics and ensures monthly/quarterly audit activity completed as indicated in policy and procedure.
• 10% Responsible for managing audit findings, corrections and turnaround times in regards to payor contract adds/terms/changes, payor issues meeting action item completion, staff data entry accuracy and database functionality enhancements.
• 10% Collaborates with leaders in the planning and implementation process to support adherence to Payor contractual agreements as well as internal stakeholder and department polices and procedures.
• 10% Responsible for implementing the necessary revisions for internal processes and procedures to meet and satisfy all requirements.

What You Need:

• H.S. Diploma or Equivalent – Minimum of 9 years of experience in lieu of degree (Required)
• Bachelor's Degree – Required

• 5 Years Managed Care, Database Management and Process Improvement experience. Must include experience with leading projects and/or staff (Required)

• Experience seeing projects through the full life cycle.
• Proven ability to complete projects according to outlined scope, budget, and timeline.
• Strong familiarity with project management software tools, methodologies, and best practices.
• Proven ability to solve problems creatively.
• Strong interpersonal skills and extremely resourceful.
• Experience in Salesforce, Provider Data Management or Credentialing Databases.
• Ability to work in teams successfully.
• Managed Care Experience.
• Continuous mindset toward efficiency and process improvement.

Individual Contributor

Working Indoors 67% or more

Sedentary

Local 0% No Travel Required

• Job Field:
  Support Services
• Shift: Day Job
• Schedule:
  
  Full-time