Senior Payment Integrity Project Specialist

Posted:
8/21/2024, 5:00:00 PM

Location(s):
Grand Rapids, Michigan, United States ⋅ Michigan, United States

Experience Level(s):
Senior

Field(s):
Business & Strategy

Workplace Type:
Hybrid

Not able to hire remote in New York, Washington D.C., and California

Not able to sponsor visa now or in the future

Not able to hire if on F-1 OPT status.

Job Summary

Under general supervision, is responsible for the assessment, analysis, planning, implementation and evaluation of major programs and / or projects. Acts as a change agent to create and support a positive change process.

Essential Functions

  • Oversees medium to large sized, multi-faceted projects varying in complexity and involving cross functional experts. These projects could be system-wide.

  • Drives progress of the project including overseeing the assessment, analysis, planning, implementation and evaluation. Manages work plan, scope and aids in assessment of resource requirements in order to achieve desired outcomes and directs re-engineering efforts. Ensure that the project is achieving the expected business outcomes. Analyzes and documents, processes, procedures and outcomes to seek continuous improvement.

  • Communicates, collaborates, networks with and acts as a consultant to key stakeholders/business partners / executive level leadership in order to ensure continuity and coordination of services and appropriate utilization of resources. Acts as a mentor to others.

  • Participates on committees/task forces as member, consultant and/or chair. Develops and leads teams which are larger in scope.

  • Acts as a change agent to advance the knowledge and use of project management

  • Recommends and takes action to direct the analysis and solution of significant issues and develops recommendation for leadership consideration. Competent to work all phases of the project with executive level leadership. Provides guidance, direction and training to less experienced Project Specialists.

How Corewell Health cares for you

  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

  • On-demand pay program powered by Payactiv

  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

  • Optional identity theft protection, home and auto insurance, pet insurance

  • Traditional and Roth retirement options with service contribution and match savings

Qualifications

Required

  • Bachelor's Degree or equivalent

  • 5 years of relevant experience related experience

  • Previous management/project management experience

Preferred

  • Third Party Liability experience

  • Analytics experience

  • Claims experience

  • Facets experience

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Primary Location

SITE - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Claims Services Third Party Liability

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.