Senior Project Manager

Company :

Job Description : 

JOB SUMMARY

The Senior Project Manager will be responsible for leading key projects directly engaging with our provider network around risk adjustment activities. This role demands a professional with excellent communication and interpersonal skills, capable of fostering strong relationships and leading productive discussions with provider groups and clinicians. A crucial aspect of this role involves the ability to identify when and how to effectively engage Highmark clinical teams to support and drive provider education initiatives. A critical eye for detail, superior organizational abilities, and advanced proficiency in Microsoft Excel and PowerPoint are essential for success. The ideal candidate thrives in a fast-paced environment, demonstrating strong decision-making skills, and brings a track record of successful project delivery. While not required, experience in risk adjustment programs (MA, ACA, and/or Medicaid) will be highly valued.

ESSENTIAL RESPONSIBILITIES

• Project Leadership & Management: 
  • Lead the planning, execution, and successful completion of key projects, particularly those involving direct engagement with provider networks.
  • Manage project scope, timelines, and resources to ensure projects are delivered on time and within scope.
  • Identify and proactively mitigate project risks, developing contingency plans as necessary.
  • Develop and maintain comprehensive project documentation, including project plans, status reports, and stakeholder communications.
• Provider Engagement & Communication:
  • Serve as the primary point of contact for provider groups, including clinicians.
  • Facilitate and lead productive meetings and discussions with diverse provider stakeholders.
  • Build and maintain strong, collaborative relationships with provider partners.
  • Translate complex project information into clear and actionable communications for various audiences.
• Clinical Team Collaboration & Provider Education:
  • Proactively collaborate with Highmark clinical teams to develop and deliver targeted provider education initiatives.
  • Act as a liaison between project teams, providers, and Highmark clinical resources to ensure aligned efforts in education and support.
• Data Analysis & Reporting:
  • Utilize advanced proficiency in Microsoft Excel to analyze project-related data, track performance, and identify trends.
  • Prepare clear and compelling presentations using Microsoft PowerPoint to report project status, outcomes, and recommendations to stakeholders.
• Decision Making & Problem Solving:
  • Demonstrate critical decision-making skills, especially in a fast-paced and dynamic project environment.
  • Address project challenges and unforeseen issues effectively and efficiently, seeking optimal solutions.

EDUCATION

Required

• High School Diploma or equivalent

Substitutions

• None

Preferred

• Bachelor's degree

EXPERIENCE

Required

• 4 years of experience in a project manager role

Preferred

• PMP certification or equivalent training
• Healthcare Insurance industry business and operational knowledge
• Experience managing large, complex projects
• Very good leadership skills
• Very good organizational and planning skills
• Experience with an industry standard software development life-cycle

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Experience with customer relationship management
• Presentation skills
• Negotiation skills
• Experience with conflict resolution
• Experience with Risk Mitigation Planning

Language (Other than English)

None

Travel Requirement

0% - 25%

Position Type

Office-based or Remote

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Occasionally

Disclaimer: The job description has been designed to indicate the general nature and esse