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Sr. Project Manager
St Paul, Minnesota  |  Remote
Contract Position
It appears that you have already applied to this job.
Applied on June 19, 2021
Job Id #47823 Posted May 21, 2021


Job description:

  • Client is obligated by Centers for Medicare and Medicaid Services (CMS) to comply with the following Transparency in Coverage Rule (TCR) mandate and follow on Consolidated Appropriations Act (CAA).
  • This project focuses on is enhancing the Client mobile applications for members to adhere to the Transparency in Coverage Rule.

TRANSPARENCY IN COVERAGE FINAL RULE (From CMS)

  • The final rules set forth requirements for group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information upon request to a participant, beneficiary, or enrollee (or his or her authorized representative), including an estimate of the individual's cost-sharing liability for covered items or services furnished by a particular provider.
  • Under the final rules, plans and issuers are required to make this information available on an internet website and, if requested, in paper form, thereby allowing a participant, beneficiary, or enrollee (or his or her authorized representative) to obtain an estimate and understanding of the individual's out-of-pocket expenses and effectively shop for items and services.
  • The final rules also require plans and issuers to disclose in-network provider negotiated rates, historical out-of-network allowed amounts, and drug pricing information through three machine-readable files posted on an internet website, thereby allowing the public to have access to health coverage information that can be used to understand health care pricing and potentially dampen the rise in health care spending.
  • The Department of Health and Human Services (HHS) also finalizes amendments to its medical loss ratio (MLR) program rules to allow issuers offering group or individual health insurance coverage to receive credit in their MLR calculations for savings they share with enrollees that result from the enrollees shopping for, and receiving care from, lower-cost, higher-value providers.
  • Looking for a Project Manager that has Scrum Master (CSM) experience and background with application development projects and or IT projects.
  • The individual holding this position is responsible for the success of the project through intentional leadership of assignments, strong professional conduct, project management methodology and agile principles, the use of project management tools, and interpersonal skills.
  • This individual will be working closely with the assigned program manager, business owner and matrix-ed project team. Participates in the coaching, and mentoring of Scrum and agile principles to others.

A Day in the Life:

  • Understand the strategy and future direction of the organization, as well as challenges and opportunities that are inherent to that strategy and direction.
  • Ensure that the objectives and priorities of the project or program are aligned with the company's strategic direction.
  • Directs the activities of individuals representing multiple business areas to achieve results in a matrix-ed organizational structure, managing across the organization to achieve project objectives.

Nice to Have:

  • Master’s degree in business or related field.
  • Knowledge of team leadership and team member mentoring for success.
  • Experience in the Healthcare industry.

Required Skills and Experiences:

  • Bachelor’s degree and a 7 years’ experience leading large, complex initiatives with increasing responsibilities in project management or continuous improvement or 11 years of equivalent work experience in lieu of a degree.
  • Demonstrated track record of achievement with ability to identify and exceed customer expectations.
  • Excellent continuous quality improvement and/or project management skills.
  • Must have a high level of intellectual curiosity and openness to change.
  • Strong conflict resolution, facilitation, and negotiation skills, capable of adapting the approach as needed.
  • Excellent verbal, written and presentation communication skills.
  • Demonstrated creative problem-solving skills, able to anticipate, identify and eliminate problems.
  • Proven ability to collect and analyze feedback and data and transform findings into project-level strategies.
  • Demonstrated ability to work independently with little to no direction and make decisions as needed.

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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EQUAL OPPORTUNITY EMPLOYMENT SURVEY

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

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