Operations Sr. Project Leader
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Position Summary
The Client Set Up and Product Operations Readiness Sr. Project Leader will be responsible for working with cross-functional teams and various levels to define and meet project requirements, deliverables related to Peak and Customer Service operational readiness and projects. Key areas of responsibility include planning, organizing, facilitating meetings and leading projects that support end to end operational readiness aligned with the business goals of Service Operations as well as key functional areas within Independence that support Group, Consumer and Medicare product implementations. Key functional areas include but are not limited to Medicare Product Management, Medicare Service Operations, Product Management, Regulatory Compliance, Pharmacy Services, Underwriting, Sales, etc. The Sr. Project Lead will also analyze current policies, procedures and processes to identify gaps and areas for improvement; develop work plans and timelines; create policies, procedures, control processes, develop reporting; effectively work with managers and subject matter experts from multiple functional areas for workgroups and project teams; facilitate meetings and provide trouble-shooting and problem resolution support in support of identified projects.
Responsibilities
Independently plan, manage and coordinate activities of individuals at both the management and staff levels as well as Client Set Up Vendors (Highmark, Optum, Davis Vision, UCCD, etc.). Ensure that key goals and objectives are accomplished in keeping with established priorities, timeframes and budgets. Coordinate inter-departmental and intra-departmental teams to develop policies, procedures, processes and programs to meet key business objectives, performance goals and regulatory requirements. Managing contract document and relationship with vendor to ensure contractually obligated PG's and compliance items are met timely. Develops and manages project plans, reports on progress weekly. Manages and coordinates every phase of the project. Creates and maintains policies, desk procedures, program descriptions and training materials to ensure that programs and processes can be efficiently and effectively maintained. Organizes and leads meetings with vendors and key functional areas. Creates presentations, agenda and minutes. Ensures timely distribution of meeting minutes to team members as appropriate. Identifies and effectively communicates risks and issues. Develop ongoing action plans to improve performance and outcomes. Identify key gaps for which formal action plans need to be developed, works with staff in barrier analysis, action plan development, implementation, and integration of activity into centralized performance monitoring / reporting process. Facilitates meetings, effectively develops and maintains effective business relationships with core areas within the organization.
Qualifications
Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Project Leader • Philadelphia, PA, US