Job Description
The Business Change Manager is responsible for working with management to identify and implement varied projects, programs and plans that support the achievement of business unit and enterprise goals. Responsible for support of non-par strategy in new markets and maintenance of reimbursement schedules and logic for these new markets, as well as Cost of Care project identification and implementation, operational support, education, future regulatory changes, and enterprise commercial initiatives.
How you will make an impact: May specialize in one area of organization effectiveness (planning, project portfolio, or culture/change) or be assigned to directly support a business unit and ensures activities are aligned with corporate strategy.
• Identifies potential issues, project change, and scope data.
• Support for pricing updates, rate loading, and troubleshooting
• Leads efforts to identify best practices.
• Identifies impacted parties, business partners, and resources required.
• Develops and designs processes and systems that support business needs.
• Designs methods for integrating functions and processes.
• Conducts cost/benefit analysis.
• Builds support for business change throughout the business unit.
• Provides process, project, and change management methodology coaching/consulting support to both local and enterprise-wide initiatives.
• Leads the project prioritization and scheduling activities for the business unit.
• Provides expertise in process planning and portfolio management activities.
• Supports the execution of the operating plan.
Minimum Requirements: Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
• Claims system expertise including experience in reviewing claims is preferred.
• Proficiency in data and research to successfully identify and execute ideas.
• Preferred knowledge in provider reimbursement methodologies.
• Knowledge of planning models and methodology, project management and change management experience (strategic and execution) strongly preferred.
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