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Position:

Sr. Operations Project Manager

Position Summary:

Accountable for overseeing and guiding a wide variety of duties related to the development, implementation and ongoing management of Population Health Services Organization functions. Owns success of day-to-day operations and projects.

Job Description:

P rimary Responsibilities

• Responsible for the day-to-day provider data management operations for our Clinically Integrated Network (CIN) including adds/terms/changes and roster submission to value-based contract partners.

• Responsible for the day-to-day operations of advance practice providers credentialing process seeking entry to our Clinically Integrated Network.

• Serves as network liaison and point of triage with independent providers contracted with our Clinically Integrated Network.

• Provides population health management support to our Independent Primary Care network, which includes onsite visits.

• Manages annual network reconciliation and annual re-credentialing processes.

• Serve as team project and testing lead for integration of new provider data management application.

• Create continuous process improvement opportunities for network team.

• Document new and revise existing policy, process, and standard procedures.

• Supports enterprise team as necessary.

• Provides administrative support for CIN Committee meetings and projects as assigned.

Q ualifications

• Bachelor's degree

• 5+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role

• Experience in a health system, accountable care organization, or health plan with exposure to and knowledge of population health activities

• Solid project management skills with the ability to yield results

• Strong presentation, interpersonal, and verbal and written communication skills

• Ability to operate within expedited timelines.

• Conflict management skills

• Technology skills with the ability to learn and apply new technologies

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$84,600.00-$113,775.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page (https://www.lumeris.com/healthcare-consulting-careers/) .

Member Facing Position:

No- Not Member or Patient Facing Position

Location:

Ohio

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Join Our Growing Team!

Lumeris is bringing common sense back to the business of healthcare by empowering value-based care. We create the partnerships and perspectives that are making healthcare safer, more affordable and more personalized for providers, patients and payers alike.

We were founded on the belief that it should be easier to provide the right care, at the right time, at the right cost. Our model is bringing that belief to life, improving outcomes and empowering financial sustainability along the way.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.