healthcare
Posted YesterdayProject Manager, Medical Policy Processes
at Evolent
GlobalRemote
Requirements
- Qualifications (Required and Preferred): Bachelor's degree plus 2+ years' project management or job-related
- experience with a medium to large-scale corporation High School or Associate’s degree with a minimum of 5 years of project management or job-related
- experience within the past 8 years Project Management Institute Certification (multiple certification options) Lean Six Sigma Black Belt or Green Belt Knowledge of project management and process improvement practices and methodologies Basic knowledge of health care management (CPT Codes, Medicare/Medicaid) Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teams Ability to resolve and/or escalate issues in a timely fashion Understand how to communicate
- All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment.
- The use of artificial intelligence tools during interviews is prohibited and monitored.
- Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.
- experience required for the position and commensurate with
- experience of selected individuals, which may vary above and below the stated amounts.
Benefits
- Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
- The expected base salary/wage range for this position is $68,000.
- As part of our total compensation package, Evolent is proud to offer comprehensive
- benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and
Contact
- If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance.
Additional details
- Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.
- Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done.
- We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work.
- That's one reason why diversity and inclusion are core to our business.
- What You’ll Be Doing: As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines.
- Our team values collaboration, continuous learning, ongoing identification of efficiencies and process improvement, and a customer-centric approach, ensuring that every team member contributes to providing the best clinical guideline product.
- Collaboration Opportunities: The Project Manager will partner most closely with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups.
- responsibilities and project management activities as assigned Manage day-to-day operational aspects of Medical Policy team processes Support publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines Maintain source of truth information related to clinical guidelines application for utilization review requests Support and maintain information critical to accurate guideline publication Prepare reports and/or dashboards to represent project activity
- We conduct identity verification during interviews, and final interviews may require onsite attendance.
- Misrepresentation will result in immediate disqualification from consideration. Technical