[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

• Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. It was founded in 1990, and is headquartered in Edison, New Jersey, US, with a workforce of 501-1000 employees. Its website is http://www.sunrisesys.com.

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