[Remote] Program Manager- HEDIS

Note: The job is a remote job and is open to candidates in USA. Sunrise Systems, Inc. is a leading Insurance Company seeking a Program Manager- HEDIS for a 6-month remote contract role. The Program Manager will assist with daily operations, support strategic development, and ensure project execution aligns with quality initiatives and budgetary constraints.

Responsibilities

• Support the Director, HEDIS Program Management in strategic development and implementation of quality initiatives through process improvements across the Program
• Assist with internal resources and third parties/vendors for the flawless execution of projects
• Oversee client reporting for all completed screenings
• Responsible for client monthly invoicing
• Work to ensure that all projects are delivered on time, within scope and within budget
• Control project scope by gaining initial alignment with internal stakeholders
• Facilitate meetings, follow up on tasks/issues, and transfer important information to leadership as needed
• Measure and track project performance using appropriate tools and techniques
• Develop spreadsheets, diagrams, and process maps to document needs
• Perform risk management to minimize project risks
• Create and maintain comprehensive project documentation
• Report and escalate to management as needed
• Meet budgetary objectives and adjust project constraints based on financial analysis
• Perform other related duties as assigned

Skills

• MUST HAVE HEDIS experience
• Strong analytical skills
• Program or project experience would be ideal
• Strong excel knowledge
• Must be able to pull and put together raw data in a summary
• Bachelors degree in a related field or equivalent experience
• 3-5 years of experience with Program Management
• 3-5 years of experience with health care or HEDIS Programs
• Excellent client-facing and internal communication skills
• Excellent written and verbal communication skills
• Solid organizational skills including attention to detail and multitasking skills
• Strong working knowledge of Microsoft Office
• 2+ years of experience in data gathering, research & analytics, problem identification, and presenting solution recommendations
• Experience with financial and risk analysis, making recommendations and preparing business cases including cost benefit analysis
• 2+ years of experience using project planning techniques and methodologies
• 2+ years business process analytics skills within Excel, flowcharting, activity diagrams and workflow models
• Understanding and ability to explain related IT systems and their impacts
• Ability to multi-task and work in a team environment
• Ability to effectively communicate information to a wide variety of technical and non-technical individuals or groups
• Regularly exercises discretion and independent judgment in the performance of his/her job duties

Benefits

• ACA compliant medical coverage/dental insurance/vision insurance to all employees
• Sick time benefits as required per State regulations

Company Overview