Project Manager

My name is Manik and I'm a Talent Acquisition Specialist with AgreeYa Solutions. I recently came across your profile and would like to share an opportunity that could be a great fit for you. We’re currently looking to hire a Project Manager for one of our clients based in San Jose, CA. I’d like set up brief call, based on your availability, to discuss this opportunity and share how AgreeYa can assist you in your next career move.

• Coordinate with disparate teams to meet Netsmart file intake needed to produce the 274 file and catch up to the DHCS timelines for compliance.
• Facilitate workgroup meetings, tracking deliverables, and timelines.
• Develop a quality program that aligns with National Committee for Quality Assurance (NCQA) standards and meet County's Quality goals and Compliance requirements.
• Develop and consolidate credentialing-related forms, certificates and workflows by working with identified stakeholders and owners.
• Define time expected for each step, owners and quality assurance if steps not completed.
• Drive to completion the development of provider education and resource documents to assist providers through the credentialing process.
• Drive to completion the development of BHSD delegation oversight and monitoring of credentialing activities, ensuring workflows, timelines to complete each step and ownership.
• Drive to completion the development of a process that incorporates quality requirements and grievance in the recredentialing process ensuring workflows, timelines to complete each step and ownership.
• Drive to completion a developed process for Valley Health Plan (VHP) credentialing of BHSD facilities.
• Develop a process for provider terminations from network ensuring workflows, timelines to complete each step and ownership.
• Ensure teams to create data map from VHP's SharePoint site into myAvatar. Determine the appropriate reporting and metrics to support BHSD's needs, including Provider Directories.
• Develop and maintain a RACI for the overall project and each task within an identified workflow that clearly define roles and responsibilities, expected time to complete tasks and QA for any process failures.
• Tasks include, but not limited to: File management, maintain master tracker of 274 layout, intake sources, intake source ownership, crosswalk of data sources master table, output file tracking, state response tracking PWA project tracking, risk tracking, task tracking, risk management, resource assignment, escalation, executive monthly updates and a final report and transition completed project and master tracker of 274 layout and associated files (cross walk, ownership, etc.) to County staff at the end of the project.

• Strong project management skills: organization, strong written and verbal communication- including meeting facilitation, deadline and deliverable tracking, note taking, comfort with escalation, etc.
• Comfort with technical design documents and data management language.
• Preferred experience with 274 and provider data, DHCS and/or plan operations.
• PMP certification
• Experience with data analytics and extensive ETL
• Uses Progressive Web Apps (PWA) for tracking
• Exceptional ability to coordinate disparate groups