Pinnacle Method Consulting's mission is to help job seekers reach their career peak by accessing top-tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers. Employer Industry: Healthcare Services Why Consider This Job Opportunity
Salary up to $182,549
Eligible for bonuses, commissions, or short-term incentive programs in addition to base pay
Comprehensive benefits package including medical, dental, and vision coverage, paid time off, and retirement savings options
Opportunity for career advancement and growth within the organization
Work with passionate colleagues who prioritize safety, quality, and innovation in healthcare
Chance to make a positive impact on healthcare operations and patient outcomes
What To Expect (Job Responsibilities)
Lead and manage complex, cross-functional claims and medical management projects from initiation through execution and delivery
Act as a strategic partner to Operations leadership, analyzing business workflows, policies, and rules to design and implement effective solutions
Collaborate closely with IT teams to manage technical project components and ensure alignment with business goals
Develop and maintain detailed project documentation, including project plans, process flows, and status reports
Utilize data analytics and reporting tools to identify trends, solve problems, and drive continuous process improvement
What Is Required (Qualifications)
5 years of proven experience leading health plan or medical management projects in a healthcare or managed care environment
Strong analytical skills with proficiency in data analysis, reporting, and visualization tools (e.g., Excel, Power BI, Tableau)
Demonstrated ability to create and interpret process flows, business requirements, and technical documentation
Familiarity with healthcare regulations, utilization management, claims processing, and healthcare operations
Excellent organizational skills with strong communication and interpersonal skills
How To Stand Out (Preferred Qualifications)
Proven track record in meeting project milestones and negotiating for resources
Advanced user of PowerPoint with demonstrated ability to create executive summaries and presentation materials
Experience in business analysis, including gathering and translating requirements and stakeholder engagement
#HealthcareServices #ProjectManagement #CareerOpportunity #CompetitivePay #BenefitsPackage We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. #PinnacleMethodConsulting