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Project Manager-Clinical Quality-Ohio

  2025-10-06     Elevance Health     Columbus,OH  
Description:

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The MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.

Project Manager

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. When reporting to the office, the office assigned is OH-COLUMBUS, 8940 LYRA DR, STE 300. Alternate Office locations within Ohio may be considered if candidates reside within a commuting distance from an Ohio office. Travel within the state of Ohio as needed may be required.

*Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Schedule: This position will work a first shift from 8:00 am- 5:00 pm EST Monday thru Friday.

The Project Manager is responsible for working with business partners to identify and implement medium to large projects that support achievement of simple to complex non-clinical and clinical quality improvement activities/projects to improve the quality of care for members. Projects may be business and/or technical (software implementation or application updates) in nature. Works with moderate guidance and is responsible for applying project management knowledge, skills, tools and techniques to project deliverables, processes, and systems. Operates within defined parameters using project management methodology.

Primary duties may include, but are not limited to:

  • Manages the development of a prescribed planning document.
  • Partners with sponsors to secure project approval.
  • Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
  • Leads interactions with regulators or oversight entities.
  • Defines project team roles and responsibilities, develops work plan structure and project schedule.
  • Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
  • Identifies, documents and prioritizes scope changes and facilitates approval process.
  • Maintains and updates all project documents and maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
  • Secures the appropriate skill sets for project.
  • Sets and manages expectations with resource managers and team members;
  • Provides performance feedback to team members and resource managers.
  • Maintains issue log and facilitates resolution of issues.
  • Executes communication plans and regularly reports status.
  • Manages and monitors ROI throughout the project lifecycle.
  • Tracks and manages time and budget against plan.
  • Conduct project close-out activities and prepares and participates in quality review checkpoints.
  • Obtain/secure and archive necessary approvals.
  • Manage and update project plan.
  • Requires a BA/BS in a related field and minimum of 3 years professional project management experience, which at least 2 years are spent leading and directing project tasks; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Demonstrated ability to create an effective team environment, build strong relationships, solving problems and issues in a matrix environment and communicating effectively at all levels of an organization is strongly preferred.
  • Project Management Professional (PMP) certification preferred.
  • Experience working in a lead role on one or more projects strongly preferred.
  • Medicaid Experience, IHI Model for Improvement experience strongly preferred.
  • HEDIS and CAHPS experience strongly preferred.
  • Certification in applicable field (CPHQ) preferred.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

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