Healthcare Project Manager (PM) / Consultant

Job Title: Healthcare Project Manager (PM) / Consultant
Client: Healthcare Client
Location: Remote role
Type: Contract

Description:
We are seeking a skilled Healthcare Project Manager (PM) to join our team and support our healthcare client. The ideal candidate should have experience in the following areas:

- Implementing APL 22-008: Non-Emergency Medical and Non-Medical Transportation Services and Related Travel Expenses, including updates to P&P and implementation support.
- Addressing unresolved issues with PHC related to Major Organ Transplant under APL 21-015: Benefit Standardization/CalAIM.
- Finalizing UM letter templates as required by APL 21-011: Grievance and Appeal Requirements, Notice And “Your Rights” Templates.
- Coordinating benefits and resolving NCAL CCS billing issues for Hearing Aid services.
- Providing audit support, particularly in the areas of provider enrollment, MOT, and other relevant subject matter expertise (SME).
- Updating TPMG Medi-Cal Provider Manual.

Qualifications:
- Medi-Cal, Health Plan, and Consulting experience.
-Strong PowerPoint and Presentation skills
- Strong critical thinking skills with the ability to connect the dots across functional areas.
- Active listening, inquisitive, and curious nature with a genuine interest in understanding the project requirements thoroughly.
- Previous Kaiser experience is beneficial.
- Proficient in creating deliverables by understanding requirements, conducting gap analysis, documenting necessary changes for the KP system, and developing workplans.
- Experience in implementation planning.
- Effective identification and communication of project risks.
- Healthcare Operations experience is advantageous.
- Data analytic experience is helpful.

If you possess the skills and expertise mentioned above, we encourage you to apply for this contract position. As a remote team member, you'll play a crucial role in supporting our healthcare client's initiatives and achieving successful project outcomes.