Project Manager III - Medicaid Fee For Service

Project Manager

Working within the Government Programs and Services (GPS) department, the Project Manager provides leadership, organization and coordination for the key initiatives and activities related to MedImpact's program and product offerings. This position creates, coordinates and develops complete project plans and associated documentation. Leads the efforts of a multi-disciplinary project team through various stages of the project lifecycle, including vision and scope, requirements analysis and requires close partnership with internal/external client counterparts, the internal Implementation Management team, Information Technology (IT), Account Management, Operations, Health Services, and other departments as needed throughout the duration of the project. The position works in partnership with the centralized GPS Department as well as with enterprise-wide functional leaders, stakeholders and project team members to manage complex business projects across multiple programs including: Medicare Part D, Medicaid programs (State FFS program, Medicare/Medicaid Program (MMP), Medicaid Managed Care (MMCO), Children's Health Insurance Plan (CHIP) as well as public federally-facilitated or state-based marketplace exchange programs.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Leads the efforts of multi-disciplinary project teams through various stages of the project development lifecycle, including vision and scope, requiring analysis and partnership with various departments throughout the duration of projects.
• Creates as well as coordinates and develops project prioritization, project scope, project plan, project tracking and other project-related activities and associated documentation; guides project stakeholders in defining project scope.
• Reviews project proposals and plans to determine timing of deliverables, funding limitations, procedures for accomplishing projects, staffing requirements and allotment of available resources to various phases of a project; establishes work plans, schedules, resources for each phase of projects; coordinates and arranges for recruitment or assignment of project personnel.
• Communicates with project staff to outline work plan, assign duties, responsibilities, and scope of authority. Coordinates and interfaces with other departments to secure project team resources.
• Responsible for completeness of project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project.
• Manages project progress by establishing regular meetings scheduled with project teams. Assesses project progress versus milestones, and identifies areas of potential concern in adequate time in order to mitigate risk.
• Creates and communicates status reports for management, clients and key stakeholders.
• Tracks projects and issues closely, foster collaboration from both the business and technology groups and leads issue resolution meetings during projects.
• Assumes responsibility for delivery by ensuring all components of a project are successfully completed.
• Assesses performance of assigned project personnel and provides feedback to management.
• Ensures all projects administered by the PMO adhere to the best practices and standard approaches for project management.
• Assists in building the PMO by interviewing applicants and helping to train and mentor new members of the PMO team.

Supervisory Responsibilities

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 9+ years' experience or equivalent combination of education and experience, and 6 years' of SME in respective areas

Computer Skills

To perform this job successfully, an individual should be proficient in Microsoft Office (Access, Excel, Word, and PowerPoint) and Microsoft Project.

Certificates, Licenses, Registrations

PMP certification required and Six Sigma/Lean background desired, not required. PMP certification should ideally be obtained within first 12-months of employment.

Other Skills and Abilities

• Excellent working knowledge and experience in the role of Project Manager of complex business projects that include both business process, service delivery and information technology solutions
• Experience in all phases of systems development lifecycles and/or business process engineering methodology
• Ability to effectively present information and respond to questions from groups of managers, employees, and clients
• Experience operating in a matrix management organization
• Experience in PBM, pharmaceutical or managed health care industry a plus
• Executes and delivers within the confines and timeframes provided by regulatory agencies
• Advanced presentation skills with the ability to present information at varying levels of abstraction depending on audience
• Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.
• Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.
• Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Reasoning Ability

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Language Skills

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with