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CTG PROJECT MANAGER FOR UTILIZATION MANAGEMENT (UM) in San Jose, California

PROJECT MANAGER FOR UTILIZATION MANAGEMENT (UM)

San Jose, California, United States

New

Healthcare IT

Aug 07, 2019Post Date

19207687Requisition #

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CTG is currently seeking a Utilization Management (UM) Project Manager to oversee a Health Plans 90 day UM work plan to completion. Our client is located in Northern California and project will run through the end of 2019. Local candidates are preferred (Monday – Friday). Highly qualified travel consultants considered (Monday – Thursday). Sorry, no remote work will be available for this project.

Responsibilities:

  • Documents Identified scope and objectives;

  • Oversees deliverables and established schedules and timelines;

  • Documents number of project resources and skill level of necessary resources;

  • Assigns work to the project team;

  • Monitors budget constraints and internal customer satisfaction levels with project status;

  • Provides technical advice and recommendations regarding the creation or modifications of policies, procedures, enhancements, and acquisition of information systems, software, and services to internal customers;

  • Advises on project feasibility and recommends solutions to business owners if projects have material deviations from the project plan;

  • Plans, designs, builds, tests, implements, maintains, and enhances complex business systems;

  • Meets with internal customers to document and establish production goals, priorities, and major work schedules for information technology and utilization management projects;

  • Develop project plans and document status of projects: including timelines, schedules, process work diagrams, data flows and resources;

  • Meets with internal customers, and technical staff to identify problems and potential solutions in order to facilitate the resolution of problems, revises project plans to document changes;

  • Meets commitments within established timeframes and budget;

  • Meets with customers such as UM, claims, appeals and grievances, QI and IT staff to establish production goals, priorities, and major work schedules;

  • Meets with Chief Medical Officer to discuss the status of projects: including timelines, schedules and resources;

  • Meets with customers defined above, vendor support, and technical staff to identify problems and potential solutions in order to facilitate the resolution of problems, revises project plans to document changes;

Qualifications:

  • Bachelor’s Degree in computer science, information systems, business or a closely related field

  • Three (3) years’ experience in the following areas: information systems analysis, data analysis and mapping, and/or database knowledge.

  • Demonstrated expertise leading complex, enterprise-wide IT and Utilization management project implementations utilizing appropriate project management tools (e.g., project plans, gantt charts, process maps, etc.).

  • Principles and practices of program development, implementation, management and evaluation;

  • Knowledge of information systems and database structure;

  • Knowledge of Utilization Management systems;

  • Experience working in a Healthcare Information Technology related role within a Managed Care setting preferred;

  • Principles and practices of personnel management, training and supervision;

  • Ability to lead project teams of various sizes and see them through to completion including work as a team but also work independently with minimum supervision;

  • Advance knowledge of personal computers and common office applications including but not limited to Microsoft Office Suite, Project, and Visio.

CTG (NASDAQ: CTG) provides industry-specific IT services and solutions that address the business needs and challenges of clients in high-growth industries in North America and Western Europe. CTG also provides strategic staffing services for major technology companies and large corporations. Backed by more than 50 years of experience and proprietary methodologies, CTG has a proven track record of reliably delivering high-value, industry-specific staffing services and solutions to its clients. CTG has operations in North America, Western Europe, and India.

CTG's greatest asset is its people, and as such, we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work in Healthcare company by Modern Healthcare (2013-2016) in North America, and a Best Workplace in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Additional Information

  • Job Function: Chemistry

  • Education Level: Bachelor's Degree (±16 years)

  • Work Remote: No

  • Travel: No

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