Bachelors’ Degree (Required), 10+ years in Healthcare Payer projects (Required), Excellent communication skills (Required).
Key responsabilities:
Lead and oversee complex projects aligned with enterprise strategy
Manage project action items and support strategic initiatives
Act as liaison to Executive Sponsors and ensure project outcomes
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EmblemHealth is one of America’s largest not-for-profit health insurers, serving more than three million people in the New York tristate area. With an 85-year legacy of serving New York communities, EmblemHealth offers a full range of commercial and government-sponsored health plans to employers, individuals, and families. We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born — a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 85 years, our purpose as a not-for-profit is still the same — to provide quality, affordable health insurance for New Yorkers and their families. The EmblemHealth family of companies provides insurance plans, primary and specialty care, and wellness solutions. The family of companies covers the whole health journey, starting with affordable coverage through EmblemHealth, and ConnectiCare, a leading health plan in Connecticut. The family of companies also includes the AdvantageCare Physicians medical practice, and WellSpark Health, a barrier-breaking digital wellness company. As a family of companies with deep community roots, EmblemHealth Neighborhood Care and ConnectiCare Centers offer free wellness and community resources. Together, the family of companies creates healthier futures for customers and communities. We think of ourselves as an 85-year-old start-up — big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration, and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us.
Develop strategy in concert with key business stakeholders across EmblemHealth enterprise. Translate strategy into defined tactics, program priorities, and timelines, and ensure alignment and attainment of business unit strategic plans to turn strategy into reality. Build and leverage relationships to provide innovative solutions to complex business problems. Lead a strategically oriented project portfolio and/or program (a group of projects), while monitoring internal and/or external dependencies. Ensure projects are properly funded and staffed, have/maintain executive sponsorship, and key stakeholders
are continuously engaged and aware of projects status and critical issues. Serve as the subject matter expert in Project and Portfolio Management methodology and best practices. Partner with the Executive Sponsors, business owners, and when necessary, the IT organization. Provide guidance and oversight on mission-critical projects to meet business deadlines; develop mitigation strategies as warranted; and work with business on monitoring financial performance of funded projects. Manage a variety of viewpoints to build consensus and create positive outcomes for all parties involved. Uphold the enterprise’s code of ethics and business conduct.
Responsibilities
Oversee and support multiple, complex projects based on the overall enterprise strategy and resource capabilities.
Track and manage all project action items to timely resolution.
Contribute to the development, coordination and administration of strategic initiatives in support of enterprise objectives and goals. Assist in annual Project Portfolio planning, scoping and prioritization.
Oversee centralized services such as project definition, planning, scheduling, pricing, risk assessment and tracking to effectively monitor the committed time, scope and budget of the projects.
Serve as primary liaison to Executive Sponsors/Senior leaders in support of attaining desired project outcomes.
Actively lead in project status meetings; may lead on project Steering Committees of mission critical projects.
Support department executive in executing business strategy, enhance organizational culture, team development and process improvement.
Reprioritize work as business and strategy needs dictate and facilitate discussions at all levels of the organization.
Partner with IT as needed for technical workstream as part of overall project. This can include submitting PPMs for the business and tracking status to ensure meeting business deadlines.
Provide oversight of the relationships between the entire project team including external vendors and suppliers that are engaged with the project.
Manage project completion postmortem to ensure gathering of Lessons Learned and call outs for future projects.
Establish and implement strategic project management documentation and methodologies including policies, standards, procedures, and necessary technologies.
Provide active consultation and mentoring to the project management community throughout the project lifecycle and monitor adherence to PM standards and methodology. Identify, provide direction, and/or remediate, when possible, any major project management risks that would affect expected performance of the portfolio.
Drive decision making regarding utilization of project resources.
Identify critical resource needs and negotiate with functional resource managers to secure allocation to the project and to ensure projects progress in accordance with agreed upon deliverables.
Qualifications
Bachelors’ Degree (Required); Masters’ Degree or MBA (Preferred)
PMI Certification - Project Management Professional (PMP) (Preferred)
10 – 15+ years’ professional business experience, preferably in the Healthcare Payer business (Required)
Minimum 10 years’ experience managing large and highly complex Healthcare Payer projects (Required)
3+ years’ experience in Management Consulting (Preferred)
Ability to assess and develop risk mitigation strategy recommendations (Required)
Strong understanding of project related business case development and cost benefit analysis (Required)
Ability to build and maintain relationships with staff up to and including leadership (Required)
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
Expert knowledge of Microsoft Office tools - Excel, Word, PowerPoint, Teams, Outlook (Required)
Additional Information
Requisition ID: 1000001658
Hiring Range: $105,000-$195,000
Required profile
Experience
Level of experience:Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.