Job Description

Accountable for and manages the development, implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implementation and may impact one or more business unit/function. Project scope typically impacts one or more of the following: process, system, function, product and/or service.

• Develop detailed project plans and schedules, identify goals, objectives, risks and resource allocation.
• Monitor project status for significant deviations in quality, cost or schedule. Interface with various departments, senior management and external individuals providing value and support for continuous improvement.
• Support development of project budgets and update, as required.
• Coach and mentor team members.
• Provide feedback on team performance.
• Ensure that expectations are developed, controlled, and executed in a timely manner.
• Represent leadership staff at meetings in their absence.
• May provide supervision to others.
• Other duties as assigned.

" Qualifications"

• Bachelor's Degree in related field required.
• Five (5) or more years' experience in related field.
• Three (3) years project management experience in health plan operations or related field
• Project Management Professional Certificate preferred.
• Leadership and/or analytical experience with data, systems, and operations.
• Knowledge of program management preferred.
• Excellent analytical, organizational, problem solving, verbal and written communication skills.
• Knowledge of project management tools and methodologies.
• Ability to work independently, within a team environment and with multiple priorities.
• Proficient in current industry standard PC applications and systems (e.g., Access, Excel and Word).
• Ability to work closely with the technical support team in understanding and resolving systems issues.
• Ability to develop, implement, and monitor policies and procedures.
• Other related skills and/or abilities may be required to perform this job.

Departmental Summary / Preferences:

The Health Care Value (HCV) Execution Excellence team partners across the organization to identify opportunities, solve complex operational challenges, and implement sustainable improvements that enhance efficiency, quality, and member and provider experiences. The team leads discovery efforts, business process assessments, root cause analysis, workflow redesign, implementation support, performance improvement initiatives and post project assessments. Execution Excellence consultants work closely with leaders and stakeholders to transform ideas into measurable outcomes while promoting a culture of continuous improvement.

This role serves as an internal consultant and trusted partner to business leaders across HCV. The consultant is responsible for assessing operational challenges, leading discovery efforts, identifying root causes, facilitating stakeholder discussions, recommending practical solutions, and supporting implementation. Success in this position requires a balance of analytical thinking, relationship building, project leadership, facilitation, and continuous improvement expertise.