JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.

This position does not require clinical licensure and/or certification.

Essential Job Duties

• Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
• Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.

• May engage and oversee the work of external vendors.

• Focuses on process improv...