Note: The job is a remote job and is open to candidates in USA. Meridian of Illinois, part of Meridian Health Plan, supports healthcare access and outcomes through risk adjustment programs and strategic initiatives. The Program Manager I coordinates cross-functional teams, monitors program performance, translates reporting into actionable insights, manages deliverables and documentation, and supports process improvement across clinical, operational, compliance, provider, and vendor functions.
Responsibilities
- Support business department initiatives that promote, quality, safety and cost of care opportunity including requirements gathering, creation of plans and schedules, obtaining and managing resources, and facilitating program execution and deployment
- Translate program data and reporting into clear, actionable insights for internal stakeholders and external clinical providers, including presenting risk adjustment trends, outcomes, and recommended next steps
- Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures
- Coordinates with the PMO and Compliance team on timeline(s), status updates, business requirements and deliverables
- Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable
- Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation
- Communicate program status to management and key stakeholders
- Identify resources, resolve issues, and mitigate risks
- Identify requirements, procedures and problems to improve existing processes
- Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives
- Manage programs through the full program life cycle
- Performs other duties as assigned
- Complies with all policies and standards
Skills
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor's degree in related field or equivalent experience required
- 1+ years of project management or business process experience
- Applicants residing in Illinois (greater Chicago area) highly preferred due to business need and in-person department meetings
- Project management and health care experience preferred
- Experience supporting healthcare programs within Medicaid, Medicare, Commercial, or managed care environments
- Experience analyzing program performance metrics and reporting to support decision making and operational improvement
- Professional certification in project management, program management, process improvement, or Agile methodologies (e.g., PMP, CAPM, Scrum, Lean, or Six Sigma)
Benefits
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
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