Project Manager Medicaid - REMOTE

Summary

With direction, oversees designated projects through various stages, including requirements gathering, project design, project planning, initiation, implementation, monitoring, and completion. Responsibilities include collecting and organizing data; conducting assessment and analysis to support project objectives; developing and maintaining project plans, timelines, and status updates; monitoring progress against established milestones; coordinating with internal teams, external partners, subcontractors, and other stakeholders; facilitating meetings and follow-up activities; and preparing clear written reports, summaries, and other project deliverables.

Essential Competencies, Duties and Responsibilities

Under supervision:

• Manage assigned Medicaid, EQR, compliance, quality improvement, and technical assistance projects through established project methodologies and guidance.
• Develop, maintain, and track project workplans, timelines, task assignments, deliverables, and action items to ensure contractual requirements are met.
• Coordinate project activities with internal staff, subcontractors, health plans, providers, and state agency partners to support successful project execution.
• Conduct document reviews, compliance reviews, interviews, validation activities, and other project tasks in accordance with federal, state, and contractual requirements.
• Prepare drafts of reports, findings, workplan updates, presentations, meeting materials, and other project deliverables.
• Monitor project progress and identify risks, barriers, schedule concerns, and resource needs, escalating issues when appropriate.
• Facilitate routine meetings, conference calls, interviews, and project discussions, ensuring documentation of decisions and follow-up activities.
• Support corrective action plan monitoring, issue tracking, and follow-up activities related to compliance reviews and quality studies.
• Collaborate with team members to ensure projects remain on schedule, within scope, and aligned with client expectations.
• Apply knowledge of Medicaid managed care requirements, EQR protocols, quality improvement principles, and state-specific program requirements to assigned work.
• Build effective working relationships with clients, health plans, subcontractors, and internal partners through professional and responsive communication.
• Ensure assigned deliverables are accurate, complete, timely, and consistent with HSAG standards and contractual requirements.
• Contribute ideas for improving project processes, tools, workflows, and quality while supporting implementation of established best practices.
• Manage multiple assignments simultaneously, prioritize competing demands, and consistently meet established deadlines.
• Represent HSAG in a professional manner, at all times.

Education and/or Experience

• Bachelor’s degree required. Master's preferred.
• Must have project management experience developing and managing projects and timelines for multiple activities.

Other Qualifications

• Excellent oral and written communication and interpersonal skills.
• Experience in EQR activities preferred.
• Experience and knowledge of Medicaid, managed care delivery systems, and quality improvement processes and practices.
• Familiarity with Windows environment, specifically Word documents and Excel spreadsheets.