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Project Management
Minnetonka, Minnesota  |  Remote, Onsite
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Applied on January 25, 2022
Job Id #52556 Posted December 6, 2021


Program Description:

  • The Clinical & Admin Data Services Management Team is focused on building clinical data exchanges with providers in order to improve data accuracy and quality of care as part of collective clinical programs.
  • This program is also involved in delivery of an integrated prospective and retrospective HEDIS processing, and simplification of provider onboarding and data submission.
Role Description:
  • This position is responsible for the coordination and completion of major Clinical Data Services initiatives.
  • The Project Manager will provide reasonable level of subject matter expertise in respective area of work including project management, project scope definition, risk identification, project methodology, resource allocation and meeting facilitation.
  • The successful candidate is expected to complete his/her project on time and within scope and budget, provide project reports and manage indirect reports.

Primary Responsibilities:

  • Collaborate with all applicable areas (Regional Leads, PPMs and Field Staff, C&S, M&R, E&I, Stars)
  • Assure procurement of required documentation from provider groups required for audit (section 5), include EHR profiles, existing provider group attestations, PSV. This includes developing processes, educating staff, testing approaches, and troubleshooting as needed.
  • Document processes, materials, decisions, outcomes, and communicate across teams.
  • Lead or contribute to the development of program or project scope document, RACI, program/project charter, Statement of Work, Business Case/Vision Document.
  • Manage project plans, dashboards and open issues/action items, change requests, budget and SOWs
  • Monitor and document project milestones and outcomes throughout the project lifecycle to ensure adherence to established quality standards.
  • Develop, communicate and implement program and project risk, issue management plans and strategies.
  • Develop and implement contingency and recovery plans when deliverables are missed (e.g., identify critical path, document, plan for getting back to Green, Business Continuity Plan, failover plan)
  • Manage various meetings (including kickoff meetings, requirements gathering meetings, weekly program status meetings, and issue resolutions).
  • Work closely with the supervisor to support managing the team from a project management perspective
  • Coordinate and facilitates project meetings, prepare status reports, liaison with other cross-functional groups.
  • Work with the Business and IT on reviewing business case/vision documents, business requirements documents, and detailed design documents, as necessary.
  • Ensure necessary quality assurance processes are in implemented and followed. Also support UAT (User Acceptance) testing for implemented solutions.
  • Coordinate with Operation teams and validate successful file implementation and track file processing related performance.
  • Partner with Technical team in optimizing and automating Provider onboarding, File ingestion, parsing, End2End Provider life cycle management, Dashboard and Reporting processes.

Required Qualifications:

  • 5+ years project management experience.
  • 3+ years of experience within automation, optimization of file/data processing and data integration.
  • 2+ years of experience facilitating and leading data solution design, architecture & delivery planning activities across geographically diverse and multi-disciplinary teams
  • Experience with complete software development life cycle including using Agile delivery methods.
  • Ability to gather detailed requirements from analyst, developers and end-users and writing business requirements for clinical data applications and data interfaces
  • General understanding of CMS Stars ratings, HEDIS and standard health care file formats included CCD, CCDA, XML, V3, C32, HL7, ORU, etc.
  • PMP certification.

Preferred Qualifications:

  • Proficient with MS Office Suite (Word, Excel, PowerPoint)
  • Proficient at using SharePoint
  • Knowledge of FHIR, REST and web services APIs.
  • Knowledge of SQL and clinical data analysis.
  • Excellent organizational, written and oral communication skills.
  • Ability to work under pressure and manage multiple tasks simultaneously.
  • Strong communication skills including explaining complex concepts, negotiation and persuasion, conflict resolution, and presenting to executive levels management
  • Demonstrated ability to build and maintain relationships and must possess strong interpersonal skills
  • Demonstrated ability to drive projects and be self-directed and motivated.
  • Identifies and resolves issues and roadblocks inhibiting completion of milestones.
  • Experience in healthcare vertical including EMR, HIE or other provider or clinical data integration systems.
  • Experience with integration technologies such as, Ensemble, Cache, HealthShare or other interoperability platforms such as Mirth, Orion Rhapsody, InterSystems.
  • Experience with both common and emerging interoperability standards such as HL7 V2.x, (essential). Knowledge of IHE, FHIR, REST and web services APIs.
  • Medicare and/or Healthcare industry experience.

Team and Team size:

  •  Generally: 1 PM, 1 developer, 1 QA lead, 1 data quality SME, 1 HL7 Data Integration SME, 1 Operations rep, external vendor staff, 1 connectivity lead, 1 business sponsor/lead.

Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.

In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.

All applicants applying must be legally authorized to work in the country of employment.

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You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Horizontal is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.

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