Facilitates complex projects and functions of high importance as an independent project lead. Plans and manages the project development process and oversees implementation. Analyzes intricate project objectives, data sources, methodology, data summaries and findings, and prepares and edits draft, revised and final reports for dissemination to key project sponsors to meet

Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs Lead and implement internal controls; facilitate definition of data and other information requirements; define efficient data assembly methods; and maintain adequate documentation for general reference and audit purposes. Interp

Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization. Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities. Monitor market t

Project Management and Administration Provides leadership to project to assure inclusion of data analysis, reporting capabilities and overall project scope is intact. Utilize project management techniques to research, document and coordinate activities to ensure deliverables are met. Perform network analysis that supports business operations and project management. Assist

Quality Improvement Interventions Analysis and Development Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions. Develop reports, analyses, and data mining to support program planning and interventions. Complete program and initiative evaluations such as return on investment and health outcomes. Apply detailed analy

Manage projects that involve research, analysis, planning, development, and implementation activities. Monitors the progress and timeline; communicating with project stakeholders, management, and other relevant parties. Will also focus on process improvement activities. Facilitate/participate in cross functional workgroups. Ensure alignment with other teams across the org

Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. Proactively promote HMSA and USAble product o

Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by Researching and collaborating with other units or departments to find a solution Accurately updating member records Contacting external partners who provide services for/to HMSA's

This position will establish and execute consistent, repeatable software build and release processes tracking and controlling the promotion of project software and hardware products and documentation between the development, Test and Production environments. Interface with IT Project Management, Developers, Enterprise Architects, Production Support, other team members and

Program and Project Management Plan and implement multiple cross departmental programs and project(s) with guidance from program managers, executive sponsors, subject matter experts, and project staff. Manage deliverables and timelines. Gather business requirements to determine timelines and budgets. Conduct ongoing assessments to reprioritize as needed and to make mid co

Coordinate and monitor daily workload of MM operations staff to ensure all applicable performance standards/expectations are met. Act as primary point of contact and back up for certain tasks as assigned. Evaluate and document the accuracy of various work processes through monitoring/audits. Identify training needs and report to management. Develop, document, and communic

Program and Project Management Responsible for strategic and tactical planning of HMSA's approach to delivering excellent performance and value for Federal Plan 87 and providing clear leadership, training, guidance, and coordination to all HMSA and partner/vendor resources supporting Federal Plan 87. Responsible for managing and cultivating HMSA's relationship with OPM, a

Strategic planning and project management. Collaborate with cross functional teams to develop comprehensive marketing plans and multiplatform campaigns to engage target audiences. Contribute to the development and implementation of various marketing plans, best practices, and guidelines. Contribute to strategic marketing plans to promote HMSA's brand. Collaborate with lea

Sales Activities Meet established marketing plan goals and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Must generate robust sales activities including self generated marketing and email campaigns, outbound calls to assigned existing lead lists. Perform quick and efficient transaction f

Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value based deals and special provider projects. Design, develop and operationalize next generation payment models for key partners in market. Will collaborative build next gen models with key ACOs leaders / PO leaders and high value physic