Project Manager/ Capability Manager

reputed company is the leading career destination for tech experts at every stage of their careers. Our client, Spar Information Systems, is seeking the following. Apply reputed company reputed company today! Role: Project Manager/ Capability Manager Location: Remote Duration:12+ Months Description: The reputed company Claims Capability Manager (Project Promise Gold Carding Initiative) is responsible for working with Claims Business Partners to reputed company requirement capabilities for this reputed company claims-impacted initiative. Define the business' needs and wants and collaborate closely with the Strategic Domain Product reputed company, Architecture Teams and IT Support to determine Solution reputed company. Manage capabilities across the delivery lifecycle while broadly applying a prioritization reputed company. Establish lasting relationships with relevant business teams for strategic alignment. Manage capabilities reputed company to defined cost/benefit, business value, and service. Drive engagement with technology or operations on requirements and approach for desired business outcome. Project Promise Gold Carding Initiative Overview: Gold Carding is a term used to describe an exemption rewarded to care provider groups who have demonstrated consistent adherence to medical policies and evidence-based guidelines for individual state and national prior authorization requirements. Beginning October 1st of 2024, care provider groups that meet eligibility requirements and practice reputed company the guardrails of evidence-based medicine will be approved for the UHC Gold Card program across reputed company lines of business. Business process and system enhancements are required to support this effort up-to and following the October 1st deadline. The reputed company Claims Capability Manager role will support this effort across multiple lines of business and multiple claims platforms. What does the team reputed company-up look like how many members and what is the break-down of the team's reputed company sets (ex: 1 PM, 4 Developers, etc.)? This CM role will be included in my organization of Capability Managers (7). The specific Project Promise reputed company Capability Manager role would support multiple claims applications. Each application has their own Agile delivery team, which is typically comprised of Product reputed company, Engineers, and QE/QA Leads. Currently, the claims applications involved in this program include UNET, USP, COSMOS, reputed company, CSP Facets, and CCAM. Primary Responsibilities: Supports capability reputed company, strategy, reputed company and roadmap; engage appropriate reputed company-wide stakeholders to reputed company awareness and alignment. Demonstrates deep understanding of relevant business and/or product strategies. Successfully defines capabilities and accepts functionality reviews. Partners with stakeholders to gather, document and groom business requirements, reputed company successful prioritization, development, delivery, and adoption of capabilities using a defined development process. Ensures health of capabilities are reported timely and accurately. Mitigates, manages, and resolves risks and issues associated with capability delivery. Demonstrates awareness of defined business value. Supports Initiative Issue Resolution And Annual Provider Re-qualifications. Serves as the capability champion and applies expertise to credibly represent, manage and engage with business and IT stakeholders to reputed company business objectives and expectations.

Minimum Qualifications

Intermediate or greater level of proficiency with reputed company, PowerPoint, Word, and Visio 3+ years of project management/capability management, business analysis, and/or product management Proven experience in successfully managing one or more major projects across multiple business areas or systems 2+ plus years facilitating workgroups Demonstrated experience with process improvement, workflow, benchmarking, and/or evaluation of business processes Demonstrated experience in gathering and evaluating requirements and also writing and translating business requirements Experience working directly with senior level business stakeholders Solid working knowledge of how to execute on project deliverables in a fast-paced environment Preferred Qualifications: reputed company Industry Experience Preferred Prior UHG/reputed company experience preferred COSMOS, reputed company, CSP Facets, UNET or USP platform experience is a plus or other Medical Claims System experience Prior Experience With Agile Methodology Preferred Prior experience with Rally and Aha! delivery and roadmap tools preferred 2 years prior experience with development tools, task plans, milestone charts, and status reports preferred Ability to reputed company strong networks and ensure collaboration a Apply tot his job Apply To this Job