Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

* Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

* Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

* Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

* Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

JOB SUMMARY
Organize programs and activities in accordance with the mission and goals of the organization. Provide strategic guidance to teams and project managers that support the organizations strategy. Monitor progress of programs to ensure all programs deliver the desirable outcomes to our organization.
Lead complex, multi-disciplinary and enterprise-wide projects. Establish, develop, implement, and control best practices for Community Health Choice's (Community's) Project Management Office (PMO).

JOB SPECIFICATIONS AND CORE COMPETENCIES

Strategy and Planning:
Work closely with program sponsor and PMO manager and/or director to develop program governance and reporting structure.
Collaborate with program sponsor, cross-functional teams, and work in conjunction with PMO manager and/or director to assigned project managers to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
Organize and coordinate programs and provide strategic guidance to teams and project managers.
Develop new programs to support the strategic direction of the organization.

Operational Management:
Manage program and project teams for optimal return on investment, and coordinate and delegate cross project initiatives, resolve projects¿ higher scope issues and prepare reports for programs, strategies, and roadmaps.
Monitor the outputs and outcomes of a program's component activities and ensure that the program adapts appropriately to them.

Project Management:
Manages complex, multi-disciplinary and enterprise-wide projects.
Responsible for adherence to the project governance guidelines, including the approval process and project and reporting structures. Establishes project specific governance and conducts steering and work team meetings. Provides leadership to staff or team member(s) to help achieve the goals of the project.
Manage individual implementation and RFP projects, as assigned, according to project management best practice. Create project charter and define measurable project objectives. Facilitates, communicates, listens, and works with project team members and other project managers to continuously update the detailed project plan in addition to the risk and issues plan.
Plans and executes smooth transition of responsibilities to support staff at completion of project.

Process Improvement:
Determines, analyzes, and formulates current practices, user needs and workflow process, issues, and potential solutions on complex projects.
Leads and communications the value of each improvement to support the development of process tools and templates based on project management best practices.

Department Goals:
Assist with leading yearly planning of department goals. Provides quarterly updates on status of goal at IT Town Hall and other define avenues. Monitors departmental goals, provides bi-monthly updates to IT leadership team on progress including but not limited to goals at risk and other potential issue that may impact the success of achieving goals.

Collaboration and Teamwork:
Promotes cooperation, commitment, and respectful interactions among individuals and within teams to achieve goals and deliverables.
Demonstrates and models respect for others by ensuring deadlines are met and commitments are kept.

Actively contributes to achievement of departmental goals, as identified in
Departments' annual business plan, including specific departmental process improvement plans, and other duties as assigned.

Qualifications: 


Education/Specialized Training/Licensure:

  • Bachelor's degree

-OR-

  • Four (4) years of project management experience plus two (2) years in an advanced management role in program management may be substituted in lieu of degree (6 years).


Work Experience (Years and Area):

  • 8 years' experience in project management to include 4 with IT and/or healthcare or health insurance experience and 2 years of program management in an advanced management role.

Management Experience (Years and Area):

  • Experience managing cross- functional teams and vendors.


Software Proficiencies: Microsoft Office (Word, Excel, Outlook), MS Project

Application Instructions

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