Take on a key leadership role within a world-class, award-winning health system. Support positive patient experiences. Take your career in an exciting new direction. You can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project schedule management, scope, IT and business resources, identificat... more details
General Information
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Work Location: Los Angeles, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday, 8:00am - 5:00pm PST
Posted Date
03/13/2024
Salary Range: $64800 - 137600 Annually
Employment Type
2 - Staff: Career
Duration
indefinite
Job #
14323
Primary Duties and Responsibilities
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Take on a key leadership role within a world-class, award-winning health system. Support positive patient experiences. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project schedule management, scope, IT and business resources, identification and mitigation of risks and issues to ensure successful completion of initiatives. You will:
Direct large-scale, complex projects at a strategic business level
Oversee significant, system-wide projects
Ensure achievement of project commitments
Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts
Lead the design, testing, planning, and implementation of complex projects
Build, lead, and coach project teams throughout project lifecycles
Continuously improves project management toolkits and methodologies
Present reports that define plans, problems, and resolutions
Identify opportunities and lead organizational change
Salary Range: $64,800 - $137,600 Annually
Job Qualifications
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We’re seeking a self-motivated, service-oriented, results-driven individual with:
Bachelor’s Degree in Business Administration, Information Systems, Health Care or other related field required or equivalent work experience
Minimum of 5 years’ experience in a Medicare or Managed Care environment managing enrollment, claims, premium billing or encounters project is required
Minimum of 5 years’ experience with CMS processes in a Medicare or Managed Care environment required
Project Management Professional certification is a plus
Experience managing vendors to contractual requirements
Knowledge of the health care model, capitation, and other managed care IPA and provider reimbursement methodologies
Strong leadership, communication, and interpersonal skills
Ability to analyze/organize complex federal and private insurance regulations
Computer proficiency with Microsoft Office and project management tools
Strong critical thinking, problem identification, resolution, and analytical skills
Ability to adapt operational procedures to changing operational needs
Ability to identify and implement methods and systems to improve efficiency
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
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