Provider Operations Project Manager

  • Location: Raleigh, NC
  • Type: Contract
  • Job #34911
  • Hybrid

Provider Operations Project Manager
*Local to Raleigh, NC, only please
*This is a Hybrid position

Description:

  • The Provider Operations Project Manager will assume project management duties in Provider Operations, overseeing the daily activities of new initiatives and monitoring of ongoing projects specific to Project Management Communications Training and Healthy Opportunities PM/Comm/Training/HO.
  • Assisting in identifying, evaluating, and resolving complex issues and collaborating closely with leadership and others to develop, implement, and expand new program initiatives.
  • Oversee new initiatives as assigned to include participation in planning and development meetings, educational meetings with the vendor and state staff throughout implementation
    monitoring of work to ensure schedules are maintained, and deadlines met, and to
    minimize uncertainty, maintain effective communication by keeping the customer informed, and educated.

  • Oversee the development and accuracy of provider communications to stakeholders and vendors, as well as effectively communicate cross-functionally with Provider Operations Teams and all other sections within DHB and the Fiscal Agent.
  • Assess, analyze, and establish processes and procedures to ensure the accuracy of provider participation and that the Division does not enroll or retain fraudulent entities or non-participating providers.
  • Manage the oversight, monitoring, and direct operational performance of vendors designing applicable protocols/tools/forms to ensure contractual compliance as assigned.

     

Skills/Knowledge/Experience:

  • Knowledge of NC Medicaid programs and familiarity with Provider Operations.
  • Excellent analytical, critical thinking, and problem-solving skills.
  • Communication and interpersonal skills.
  • Attention to detail to ensure accuracy in assigned work.
  • Ability to negotiate and resolve conflicts.
  • Building commitment within the team.

Required Skills/Knowledge/Experience:

  • Knowledge of NC Medicaid programs and familiarity with Provider Operations, Required 3 Years
  • Excellent analytical, critical thinking and problem-solving skills, Required 3 Years
  • Communication and interpersonal skills, Required 3 Years
  • Attention to details to ensure accuracy in assigned work, Required 3 Years
  • Ability to negotiate and resolve conflicts, Required 3 Years
  • Building commitment within the team, Required 3 Years

Attention Applicants: Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
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