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Health Management Systems, Inc. Sr. Program Manager - Healthcare in Dallas, Texas

HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.

We are seeking a talented individual for a Sr. Program Manager who manages an account(s) or significant project(s). Responsible for supporting and for smaller clients, managing the client relationship. Manages budget and revenue expectations and the implementation and ongoing execution of the contract. Works closely with account management team on generating sales opportunities and with the operations team on successful delivery of HMS services to the client. Job responsibilities include oversight and management of projects, analysis of data, building reports and creating and/or review of client deliverables.

Essential Responsibilities:

  • Builds and manages client relationships with support from the Program Director; responsible for ensuring client satisfaction.

  • Oversight and management of small contracts, specific products/services of a contract or special projects

  • Builds relationships and collaborates effectively with HMS contract operations and implementations to ensure successful delivery of services to client(s).Assist in the creation and/or review of client deliverables

  • Works with client(s) to design project approach and develop implementation plans.

  • Continuous monitoring and timely reporting to management progress toward business goals.

  • Assist in the development of reports to monitor operational and financial performance

  • Prepares, monitors, and manages budget and revenue expectations for assigned client(s).

  • Identifies sources of revenue through process improvements, client relationships, local policy initiatives, and strategic agendas and partnerships

  • Identifies sales opportunities and assists the account management team with successful close of sale (including proposal development process)

  • Monitors state legislative (including MES and Modernization activity), regulatory, and competitive environment and alerts management to risks and opportunities.

  • May supervise additional account management staff (i.e. Program Specialist.)

  • Assists in the development of product test plansto align with client expectations and in support of CMS Certification

Non-Essential Responsibilities:

  • Supports collaboration between account management team and operations staff.

  • Performs other functions as assigned

Knowledge, Skills and Abilities:

  • Work independently

  • Apply rigor to detail.

  • Multi-task and to meet deadlines.

  • Negotiate and collaborate internally and externally.

  • Manage expectations, resolve problems, and develop opportunities.

  • Lead and manage projects.

  • Work proficiently with Microsoft Excel, Word, PowerPoint and company databases.

  • Understand the basics of data table structures and report building.

  • Strong presentation skills

  • Able to develop client presentations and proposal content with minimal direction.

  • Effective communicator- strong verbal and written communications

  • Ability to analyze information and use logic and process to address work-related issues and problems.

  • Strong strategic account planning in line with specific State strategy.

  • Demonstrates exceptional customer service and follow up skills.

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment

  • Ability to communicate and exchange information

  • Ability to comprehend and interpret documents and data

  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)

  • Requires manual dexterity to use computer, telephone and peripherals

  • May be required to work extended hours for special business needs

  • May be required to travel at least 50% of time based on business needs

Minimum Education:

  • Bachelor’s degree required

  • In lieu of degree, 5 years relevant work experience required with experience in one of the following areas preferred: Health insurance, Government, Client service/business to business, Healthcare policy, Project Management, PMP – Strongly Preferred

Minimum Related Work Experience:

  • 5 years of account management experience required with experience in one of the following areas desired: Health Insurance, Government, Client Service/business to business, Health Policy

  • 2 years project management experience; 3 years of demonstrated experience growing client revenue

  • 2 years of CMS certification experience,including all phases of associated testing

  • Healthcare or Medicaid experience strongly preferred

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

HMS is an Affirmative Action and Equal Opportunity Employer who offers a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a disable veteran or veteran of the Vietnam era.

Title: Sr. Program Manager - Healthcare

Location: Texas-TX-Remote

Requisition ID: 200010TY

EEO/Minorities/Females/Protected Veterans/Disabled.

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