Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You'll Be Doing:
As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines. Our team values collaboration, continuous learning, ongoing identification of efficiencies and process improvement, and a customer-centric approach, ensuring that every team member contributes to providing the best clinical guideline product.
Collaboration Opportunities:
The Project Manager will partner most closely with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups.
What You Will Be Doing:
Support team responsibilities and project management activities as assigned
Manage day-to-day operational aspects of Medical Policy team processes
Support publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory Guidelines
Maintain source of truth information related to clinical guidelines application for utilization review requests
Support and maintain information critical to accurate guideline publication
Prepare reports and/or dashboards to represent project activity and status
Apply project management methodology and enforce project standards using approved toolkit templates
Qualifications:
Bachelor's degree plus 2+ years' project management or job-related experience with a medium to large-scale corporation
High School or Associate's degree with a minimum of 5 years of project management or job-related experience within the past 8 years
Project Management Institute Certification (multiple certification options)
Lean Six Sigma Black Belt or Green Belt
Knowledge of project management and process improvement practices and methodologies
Basic knowledge of health care management (CPT Codes, Medicare/Medicaid
Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teams
Ability to resolve and/or escalate issues in a timely fashion
Understand how to communicate difficult/sensitive information tactfully
Proven ability to plan, organize, schedule, direct, control, and monitor project activities
Strong working knowledge of Microsoft Product Suite
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.
The expected base salary/wage range for this position is $. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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For more insights about Evolent Health, click on Life At Evolent (https://www.evolent.com/) to learn more!
