1+ months

Medicare Advantage Project Manager

Medical Mutual
Cleveland, Ohio 44115
This role will evaluate requirements for new Medicare Advantage business opportunities, implement project deliverables and create policies/procedures for new product implementation, process changes and system enhancements. # CB
 
Responsibilities
  • Determines business requirements and implements process changes based on new CMS/HPMS guidance to ensure CMS regulations and reporting/audit requirements are met
  • Prepares regulatory submissions for state/federal applications and new product development
  • Evaluates changes impacting project plans, determines next steps and communicates updated timelines to accountable owners
  • Develops action plans, schedules and status checkpoints to ensure the completion of project deliverables
  • Maintains MA corporate reporting and assists with the preparation of policies/procedures, statements of work, project charters, schedules, milestone timelines, and tracking logs.
  • Troubleshoots and resolves unexpected Annual Election Period (AEP) issues by leveraging available information and relationships

Requirements

  • Bachelor's degree in Business Administration, Healthcare Administration or related field; or equivalent combination of training and experience. MBA preferred.
  • 5 years’ experience in coordinating project deliverables and documents while supporting project/program managers.
  • Proven ability to effectively interact with cross-functional teams toward a common goal
  • Medicare Advantage experience preferred; or equivalent experience with government health insurance programs
  • Project Management certifications preferred (PMP, CAPM, etc.)
  • Skilled in project coordination. Possesses strong multi-tasking and organizational skills
  • Strong interpersonal skills, including the ability to collaborate, make effective presentations, and utilize business judgment/analysis
  • Knowledge of Medicare Advantage plans (MA, MAPD) preferred
  • Knowledge of health insurance products/services and standard industry practices.
  • Intermediate to advanced Microsoft Office and Project skills (Word, Excel, Outlook, PowerPoint).

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:


A Great Place to Work:

  • Top Workplace in Northeast Ohio. Year after year we've received this recognition!
  • On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
  • On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
  • Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
  • Business casual attire

Excellent Benefits and Compensation:

  • Competitive compensation plans
  • Employee bonus program
  • 401(k) with company match and an additional company contribution
  • Excellent medical, dental, vision, and disability insurance

An Investment in You:

  • Career development programs and classes
  • Mentoring and coaching to help you advance
  • Education reimbursement up to $5K per year

About Medical Mutual:

We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

 

At Medical Mutual we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

 

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

Categories

Posted: 2019-10-01 Expires: 2019-11-15

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Medicare Advantage Project Manager

Medical Mutual
Cleveland, Ohio 44115

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