Job Description

Job Description

Job Description

Typical Experience: 36-60 months
NC DHHS Division of Health Benefits Provider Operations monitors the enrollment and credentialing of NC Medicaid Providers. In this position you will be responsible for Project management within the Unit.

Job Description:

The Provider Operations Project Manager willassume project management duties in Provider Operations, overseeing the dailyactivities of new initiatives and monitoring of ongoing projects specific toProject Management, Communications, Training, and Healthy Opportunities(PM/Comm/Training/HO). The ProviderOperations Project Manager will:

Assisting to identify, evaluate,and resolve complex issues and collaborate closely with leadership and othersto develop, implement, and expand new program initiatives.

Oversee new initiatives asassigned, to include participation in planning and development meetings,educational meetings with vendor and state staff throughout implementation,monitoring of work to ensure schedules are maintained and deadlines met, and tominimize uncertainty, maintain effective communication by keeping the customerseducated and informed.

Oversee the development and accuracyof provider communications to stakeholders and vendors as well as effectivecommunicate cross functionally with Provider Operations Teams and all othersections within DHB and the Fiscal Agent

Assess, analyze, and establishprocesses and procedures to ensure the accuracy of provider participation andthat the Division does not enroll or retain fraudulent entities ornon-participating providers.

Manage the oversight, monitoring,and direct operational performance of vendors, designing applicableprotocols/tools/forms to ensure contractual compliance as assigned.

Skills:

Knowledge of NC Medicaid programs and familiaritywith Provider Operations.

Excellentanalytical, critical thinking and problem-solving skills.

Communication and interpersonal skills.

Attention to details to ensure accuracy in assignedwork.

Ability to negotiate and resolve conflicts.

Building commitment within the team.

Required/Desired Skills
SkillRequired /DesiredAmountof ExperienceKnowledge of NC Medicaid programs and familiarity with Provider OperationsRequired3YearsExcellent analytical, critical thinking and problem-solving skillsRequired3YearsCommunication and interpersonal skillsRequired3YearsAttention to details to ensure accuracy in assigned workRequired3YearsAbility to negotiate and resolve conflictsRequired3YearsBuilding commitment within the teamRequired3Years
Questions
No.QuestionQuestion1Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you accept this requirement? Question2Hybrid expectation is 4 days a month ONSITE. Do you accept this requirement?Question3Candidate must be able to attend a webcam interview. Do you accept this requirement?Question4Please list candidate s email address. Question5Please indicate how soon this candidate is available to start work. Vendors are encouraged to submit candidates that are available for the duration of the assignment.Question6Vendor must notify the agency if any portion of the requirements listed in this task order is to be outsourced to other countries. Do you accept this requirement?Question7Candidates submitted above the rate of $$$ will not be considered. Do you accept this requirement? Question8Payment for all approved hours will be paid at the straight hourly rate regardless of the total hours worked by the engaged resource. It is the responsibility of the supplier to adhere to any applicable compensation laws including payment for overtime hours. Do you accept this requirement?Question9Please confirm you have thoroughly validated, and attest to the accuracy of, the credentials listed throughout this candidate s VectorVMS profile and resume pursuant to Section 5.2.5 of ITS-009440. Do you confirm?

Job Tags

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