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Project Manager III

Role overview

Summary

This role is for a Project Manager III at Qlarant, responsible for leading complex projects that align with organizational objectives. You will oversee project execution, optimize resource allocation, and enhance project management processes to ensure high-quality delivery of healthcare and human services programs.

Qualifications

  • Bachelor's Degree required.
  • 5 - 7 years of experience required; 8 - 11 years preferred.
  • Preferred: Active and current Project Management Professional (PMP) certification
  • Preferred: Certified Professional in Healthcare Quality (CPHQ)
  • Preferred: Certified Professional in Healthcare Management (CPHM)

Responsibilities

  • Lead and direct the planning and execution of high-priority projects, setting strategic goals and defining project scope.
  • Assess project proposals to determine feasibility, resource requirements, and potential risks.
  • Develop and implement advanced project management processes and tools to enhance project execution.
  • Monitor and control project budgets, timelines, and quality metrics, making adjustments as necessary.

Key facts

Hard skills

Other skills

  • Quality Assurance
  • Strategic Planning
  • Governance
  • Leadership
  • Coaching
  • Mentorship
  • Team Effectiveness
  • Communication

About the company

Qlarant logo

Qlarant

  • Public Health
  • Large
  • 501–1,000
For 49 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.

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Job description

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.

Best People, Best Solutions, Best Results

Job Summary:

Leads and oversees complex projects, ensuring that all project goals are met within prescribed timeframes and budgetary constraints. This role provides strategic direction for project execution, optimizes resource allocation, and enhances project management processes. The Project Manager III is responsible for aligning projects with organizational objectives, mentoring team members, and driving project performance to meet customer and contractual requirements.

Essential Functions:

  • Leads and directs the planning and execution of high-priority projects, setting strategic goals, defining project scope, and ensuring alignment with organizational objectives and customer needs.
  • Assesses project proposals to determine feasibility, resource requirements, and potential risks, making strategic decisions on project prioritization and resource allocation.
  • Develops and implements advanced project management processes and tools, integrating best practices to enhance project execution and drive consistent performance improvements.
  • Monitors and controls project budgets, timelines, and quality metrics, making adjustments as necessary to ensure projects are delivered on time, within scope, and within budget.
  • Confers with senior management and stakeholders to provide project updates, forecast project needs, and align project goals with broader business strategies.
  • Improves team performance through coaching and mentoring, guiding project team members to enhance their skills, adhere to project timelines, and achieve project objectives.
  • Establishes governance frameworks to ensure compliance with industry standards, contractual obligations, and quality assurance processes across all phases of project delivery.
  • Identifies and mitigates risks proactively, implementing strategies to address potential project obstacles and ensure the continuity of project execution.
  • Regulates project reporting and performance analysis, ensuring that project data is accurate, relevant, and supports decision-making at all levels of the organization.
  • Monitors and manages private investigations licensing actions, including understanding state specific requirements and individual investigator licensing requirements

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
5 - 7 years of experience required; 8 - 11 years preferred

Certification(s):
Preferred certifications: active and current Project Management Professional (PMP), Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Management (CPHM), Certified Case Manager (CCM), Registered Nurse (RN), Certified Professional Coder (CPC), and/or Certified Fraud Examiner (CFE)

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.

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