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Payment Integrity Project Specialist

Sunrise Systems Inc

Grand Rapids, MI

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JOB DETAILS
SKILLS
Budget Management, Budgeting, CRT (Cathode Ray Tube) Displays, Cadence, Calendar Management, Communication Skills, Consulting, Content Management Systems (CMS), Continuous Improvement, Cross-Functional, Customer Satisfaction, Healthcare, Leadership, Maintain Compliance, Matrix Management, Medical Coding, Medical Writing, Mentoring, Multitasking, Negotiation Skills, Organizational Skills, People Management, Process Analysis, Program Management Professional (PgMP), Project Development, Project Management Professional (PMP), Project Planning, Project Schedule, Project Tracking, Project/Program Management, Quality Metrics, Relationship Management, Requirements Management, Resource Management, Resource Utilization, Sales Management, Schedule Development, Service Delivery, Service Level Agreement (SLA), Time Management, Vendor/Supplier Management
LOCATION
Grand Rapids, MI
POSTED
8 days ago

Job Title: Payment Integrity Project Specialist
Job ID: 26-02533
Location: Grand Rapids, MI (100% Hybrid (Onsite Cadence: Tuesday, Wednesday, Thursday.)
Duration: 05 months on W2 contract
 
TECHNICAL SKILLS
 
Must Have
 

  • Claims/Healthcare
  • Influencing role
  • Project management of large scale complex implementations.
  • SLA agreements.
 
Nice To Have
 
  • Clinical editing.
  • CMS
  • Medical Coding
  • Payment integrity.
 
JOB DESCRIPTION
 
Expenses allowed: to be decided
 
Client Health Equipment to be Provided
 
Job Summary
 
Ensuring adherence to the Client Health Project Management methodology and quality standards, oversees various high-priority projects of mid to large size requiring considerable resources and high levels of functional integration. Responsible for assembling technical and operational project team members, coordinating activities, assigning individual responsibilities, identifying appropriate resources needed, and developing schedules to ensure timely completion of a project. Takes projects from original concept through final implementation. Able to grasp concepts required to understand the overall project scope, and to communicate effectively with project team members, end users and external resources. Manages the integration of vendor tasks and deliverables. Competent to work at the highest levels of all phases of project leadership. Regularly provides guidance, direction and training to less experienced Project Managers.
 
Essential Functions
 
  • Oversees highly complex projects/programs with appropriate departmental and leadership relationship management, and project management. Responsible for the management of multiple projects: Develops project plans, budgets and schedules. Coordinates project work, and completes projects on time and within budget. Works with/leads the constituent Project Managers/workgroup leads responsible for the execution of their areas of a project to monitor cost, schedule and technical performance of component project and operation, while working to ensure the ultimate success of the program. Acts as a mentor and/or consultant to others.
  • Assesses resource requirements for projects and negotiates for resources with management to meet project plan deliverables. Organizes and works with appropriate leadership, departments and leaders to plan and schedule the coordination of people and tasks as needed to accomplish project objectives.
  • Appropriately manages vendors from initial contracting through project completion. Serves as the leader for assignment of work activities, escalation of project related issues, service delivery, and customer satisfaction. Able to coordinate activities of numerous, diverse areas simultaneously.
  • Serves as a liaison for projects between various departments within Client Health. Communicates, collaborates, networks with and acts as a consultant to stakeholders and business partners in order to ensure continuity and coordination of services and appropriate utilization of resources.
  • Analyzes and documents processes, procedures and outcomes to seek continuous improvement.
  • Ensures adherence to the Client Health Project Management methodology and quality standards. Acts as a change agent to advance the knowledge and use of project management and the Client Health project management methodology and toolset.
 
Qualifications
 
  • Required Bachelor's Degree or equivalent
  • Preferred Master's Degree or equivalent
  • 3 years of relevant experience in the field Required
  • 5 years of relevant experience in the field Preferred
  • Experience in a project management role that adheres to Project Management Institute (PMI) principles and practices, and which includes: leading multiple moderately-sized project teams of eight or more team members within a matrix organization; supervising or leading resources directly or indirectly in a cross-functional team environment; and projects in multiple technologies and/or business functions Preferred
  • CRT-Project Management Professional (PMP) - PMI Project Management Institute preferred Or
  • CRT-Program Management Professional (PgMP) - UNKNOWN Unknown preferred

 
Contact:
Jaya Balaji: jayabalaji.s@sunrisesys.com | (732) 515-5373 | URL: www.sunrisesys.com

About the Company

S

Sunrise Systems Inc

Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. More than two and a half decades later, we pride ourselves on being at the forefront of the staffing industry. Combining our deep industry expertise, insights, and global resources, we have partnered with our clients to connect them with top professionals across several different industries.

We provide cost-effective Managed Staffing Solutions, Information Technology and Information Technology Consulting Services to several Fortune 500 companies and U.S. Government agencies. We provide our clients with flexible engagement models and customized products that are budget and time specific. Understanding the challenges that every business faces, we offer our services either on-site at the clients' site or from one of our globally distributed technology centers. Our onshore and offshore development capabilities ensure that we excel at meeting customer requirements every single time.

Our collective business experience spans over two and a half decades and ranges from:

  • Business, management, and technical fields
  • Information technology consulting and software solutions.
  • Providing strategic support for the development and long-term growth of new business ventures across several industries including but not limited to; accounting, banking, finance, and recruitment.
  • Motivating technology staff and establishing partnerships with Fortune 500 companies

Sunrise Systems has a vast range of competence in:

  • Design, development, and support of cloud-based solutions from simple to highly complexed
  • Database administration of multi-platform applications, complex databases, and web-based environments that include all aspects of installation, planning, maintenance, and monitoring.
  • Data processing and data migration
  • Application re-engineering and platform migration
  • Working with the Information Systems and end-user communities at all levels to resolve issues and establish consensus.
COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1990
WEBSITE
http://www.sunrisesys.com/

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