Agile Project Management: Lead and manage projects using Agile methodologies, ensuring timely delivery and adherence to project goals.
Claim Management and Adjudication: Oversee claim management processes, including claim adjudication, to ensure accuracy and efficiency.
Executive Communication: Utilize tools like Aha or Rally to produce executive-level communications and value studies.
Capital Planning: Develop and manage capital planning initiatives to support project and organizational goals.
Technical Oversight: Provide technical guidance and support to the team, leveraging your technical background to solve complex problems.
Healthcare Industry Expertise: Apply knowledge of the healthcare industry, particularly with organizations like UnitedHealthcare, United Health Group, Optum, or OptumRx, to improve operational quality and reduce administrative burdens.
Claim Attachment/Medical Record Capabilities: Implement and manage claim attachment and medical record capabilities to enhance operational quality and decrease provider administrative burden.
Qualifications:
Experience in the healthcare industry, particularly with an Enterprise Company
Experience with claim attachment/medical record capabilities that leverage technology to improve operational quality and reduce provider administrative burden
Strong background in Agile methodologies
Experience in claim management and claim adjudication
Proficiency with Aha or Rally for executive communication and value studies
Capital planning expertise
Technical background
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