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Job Description:

Summary:

Responsible for delivering quality projects and programs to plan and within budget.

Essential Accountabilities:

Level I

• Plans, directs, and coordinates matrixed team(s) activities to manage and implement interrelated projects from contract/proposal initiation to final operational stage.

• Plans, schedules, monitors, and reports on activities related to the project. Leads the project team(s) in determining customer requirements and translating requirements into operational plans.

• Determines, monitors, and reviews all project economics to include project costs, operational budgets, staffing requirements, project resources, and project risk. Identifies and assembles the appropriate blend of talent and additional resources to meet project needs and requirements.

• Formulates contingency plans to address schedule revisions, manpower adjustments, fund allocations, and work requirements. Ensures adherence to regulatory requirements, customer short and long-term strategic goals and line of business strategic objectives. Controls project requirements, scope, and change management issues.

• Establishes appropriate metrics for measuring key project criteria. Develops, proposes, and negotiates project proposals, quotations, and add-ons to leadership and the customer. May be responsible for preparing incoming management for transition from implementation to operating stage. Maintains currency on emerging technologies and project management techniques.

• Ensures Business Sponsor vision and product is driven and achievable throughout the project cycle.

• Works closely with other Departments for input and integration. Ensures all perspectives are considered and develops processes and timelines to incorporate planning and execution of strategies across departments.

• Ensures that departmental practices comply with State and Federal laws. Ensures adherence to corporate, divisional, and departmental policies, standards, and procedures. Ensures the effective utilization of material resources by developing budgets and maintaining operational costs within corporate guidelines.

• Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies. Produces work plans according to required standards that defines detailed business components, requirements and workflow specifications by leading operational development of new and existing health plan products. Works with colleagues to produce/recommend/develop long-term plans.

• Serves as Vendor Relationship Manager for appropriate health plan vendors. Provides support and expertise when requesting information/proposals from prospective health plan vendors.

• Continuously explores ways to increase efficiencies and productivity, reducing waste, and reducing costs.

• Matrix manages cross-functional suppliers: internal IT, outsource partners, contractors, third-party consultants, etc., in delivering solutions.

• Ensures bid submissions for NYS Exchange and Medicare PBP participation are executed annually for the Health Plan to participate each year.

• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values and adhering to the Corporate Code of Conduct.

• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

• Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities are compliant with regulatory and product requirements.

• Performs other functions as assigned by management.

Level II (in addition to Level I Accountabilities)

• Manages projects of large, complex scope with multiple cross functional teams.

• Serves as a subject matter expert in multiple areas or products within the division.

• Coaches and counsels’ members of cross-functional teams to accomplish projects, meet established schedules, or resolve technical/operational issues.

• Represents the division both internally and externally in areas of expertise; serves as the product and benefit consultant for major account implementations of customized products and services.

Level III (in addition to Level II Accountabilities)

• Mentors Team Members by fostering a positive attitude thereby, ensuring quality performance and service level agreements are met

• Acts as Change Leader implementing changes that benefit Excellus Heath Plan.

• Communicates and comprehends business strategy and drives strategic recommendations and facilitates related implementations.

Training and Development:

• Willingness to obtain and maintain PMI certification, comparable training and/or education, and to follow departmental training strategies and protocols.

• Obtains continuing training in those management skills needed to accept further responsibility for activities within service delivery. Emphasis should be placed on quality tools, analytical/problem solving skills, planning skills, risk management, change control, financial management, and staff selection.

• Maintains up-to-date knowledge of all aspects of Excellus-wide Operations that impacts the operational and developmental environments, particularly those aspects assisting productivity and service quality.

• Obtains broad management and business training in those skill areas needed to function effectively in the environment of senior management.

• Successfully completes trial experiences that involve those skills of higher competency required at the next level of advancement.

Minimum Qualifications:

NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

All Levels

• In lieu of degree, an additional 4 years of work experience in a related field may be considered. Bachelor’s degree in Business Administration, Health Administration, or IT.

• Three or more years’ experience in Project Management.

• PMI Certification and/or comparable training/education preferred.

• Demonstrated skills in developing and achieving project scope, costs, and planning.

• Demonstrated knowledge and experience of health insurance industry.

• Demonstrated skills in quality principles especially root cause analysis and problem solving.

• Demonstrated analytical, business process development, and problem-solving skills.

• Demonstrated leadership, conflict resolution, and negotiation skills.

• Demonstrated skills in forming and fostering high performance, cross-functional teams.

• In-depth knowledge of management structures and reporting procedures.

Level II (in addition to Level I Qualifications)

• Five or more years’ experience in Project Management.

• Demonstrated competence in staff leadership and project leadership tasks.

• PMI Certification or comparable training/education preferred.

Level III (in addition to Level II Qualifications)

• Seven or more years’ experience in Project Management.

• Demonstrated leadership, decision making, and team building skills.

• PMI Certification or comparable training/education preferred.

Physical Requirements:

• Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.

• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

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In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Minimum: $60,410 - Maximum: $106,929

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

With about 4,000 employees, 31 counties, and serving the needs of over 1.5 million members, you can imagine the gamut of skills it takes to keep our organization growing and our members flourishing. As an internal job seeker, this means growth and development in many directions, divisions, and roles.Take a look at information regarding our hiring process here. https://lifethc.sharepoint.com/sites/HumanCapitalManagement/SitePages/Talent-Acquisition-%26-Onboarding.aspx#hiring-process All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.