Related skills
data analysis project management regulatory compliance healthcare_insurance📋 Description
- Lead end-to-end execution for Gold Card and Provider Incentive programs.
- Own the Source of Truth for the Prior Authorization list; govern updates.
- Ensure UM programs meet state/federal mandates and audits.
- Develop and maintain SOPs for new initiatives and repeatable blueprints.
- Drive refresh cycles for auto-approval rules and provider incentives.
- Lead cross-functional implementations: plan, engage, mitigate risks, deliver.
🎯 Requirements
- 4+ years in program management.
- 3+ years delivering projects/programs.
- 2+ years managing Prior Authorization List process.
- Experience in payer/health insurance.
🎁 Benefits
- Data-driven insights to improve programs.
- Fast-paced operations experience.
- Gold Card program management experience.
- Prior Authorization List management experience.
- Master\'s degree or PMP certification.
- Lean/Six Sigma certifications or healthcare experience.
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