Implementation/Project Manager
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Rising Medical Solutions
US
Summary
The Implementation/Project Manager will lead client integrations and project planning while translating business requirements into technical solutions. They will oversee the implementation team and collaborate with senior leadership to improve workflows and quantify project results.
Job Description
Join the Rising Medical Solutions Team for your chance to make your mark in the world of client implementation! Rising is looking for a leader who can use their broad skills spanning from client management to BA to further our mission in the medical cost containment field. Rising prides itself on progressive development and exceptional customer service, so join our team if you're looking to up your game!
- Provide planning and leadership on projects and client integrations to both internal and external customers
- Translate business requirements into technical requirements and solutions
- Represent Rising in client meetings regarding new business initiatives and/or changes
- Utilize statistical concepts and quantitative methods to develop baseline measures, identify root cause and reduce and/or eliminate internal/external failures
- Proactively identify improvement opportunities
- Provide guidance to both the client and internal project members for the utilization of best practices and workflows efficient for both parties
- Demonstrate ability to quantify results in terms of cost savings and impact on key performance indicators
- Formulate use cases, process flows and training material on projects and client integrations
- Support the creation of and/or create test plans and training materials relevant to the project
- Collaborate with resources to ensure all system design requirements adequately reflect the defined business processes and fully support all components of the functional business requirements
- Will oversee the Implementation Team, while working directly with senior leadership and other department heads
- Bachelor's degree in technical or management field, or related experience
- 5+ years' experience in Business Analysis or Project Management
- Project Management Certification
- Experience in workers’ compensation insurance, medical bill review or healthcare industry a strong advantage
- Experience implementing client server and web-based applications
- Experience interacting with business users to define clear scope and create and manage proper cross-functional teams
- Experience working with project managing large scale custom software development projects
- A strong working knowledge of business process reengineering and requirements analysis
- Previous leadership experience a plus
- A working knowledge of database and data modeling tools and concepts
- Ability to communicate technical information clearly and lead collaborative meetings with representatives from internal departments and client companies
- Ability to manage multiple projects at once
- Ability to understand shifting priorities and make quick decisions
- Ability to travel (up to 10%)
- Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
- Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
- Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
- A relaxed, yet upbeat work environment.
Rising Medical Solutions is a national managed care firm that provides medical cost containment and medical care management services to the workers' compensation, auto, liability, and group health markets. Our client base includes insurance carriers, TPAs, self-insured employers, and public-sector and government entities of varying sizes from small to large tier.
Since 1999, our managed care services have positively impacted hundreds of thousands of employee lives and saved billions in total claim costs for payers across the country. Our flagship bill review service and technologies consistently deliver over 60% in national bill review savings, which includes application of fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities.
However, our solutions portfolio goes far beyond the standard repricing of medical bills. Our integrated programs deliver clinical and cost-saving expertise before, during, and after treatment. Our proprietary VISION™ platform is the industry’s only multi-product, multi-line, single-sign-on, medical management enterprise system. VISION™ provides claims professionals with unprecedented ancillary referral and medical management capabilities across the entire medical care continuum, from early intervention to payment processing. Together with our passionate, mission-driven employees, Rising delivers an unparalleled user experience for those providing, receiving, and paying for medical care.
Rising also directs and publishes the annual Workers’ Compensation Benchmarking Study, a national research program examining the complex forces impacting claims management in workers’ compensation today. The study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations since its 2013 inception.
Founded
1999
Company size
51-200 employees
Industry
Insurance
Org type
Privately Held
Headquarters
Chicago, IL
Rising Medical Solutions is a national managed care firm that provides medical cost containment and medical care management services to the workers' compensation, auto, liability, and group health markets. Our client base includes insurance carriers, TPAs, self-insured employers, and public-sector and government entities of varying sizes from small to large tier.
Since 1999, our managed care services have positively impacted hundreds of thousands of employee lives and saved billions in total claim costs for payers across the country. Our flagship bill review service and technologies consistently deliver over 60% in national bill review savings, which includes application of fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities.
However, our solutions portfolio goes far beyond the standard repricing of medical bills. Our integrated programs deliver clinical and cost-saving expertise before, during, and after treatment. Our proprietary VISION™ platform is the industry’s only multi-product, multi-line, single-sign-on, medical management enterprise system. VISION™ provides claims professionals with unprecedented ancillary referral and medical management capabilities across the entire medical care continuum, from early intervention to payment processing. Together with our passionate, mission-driven employees, Rising delivers an unparalleled user experience for those providing, receiving, and paying for medical care.
Rising also directs and publishes the annual Workers’ Compensation Benchmarking Study, a national research program examining the complex forces impacting claims management in workers’ compensation today. The study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations since its 2013 inception.
Founded
1999
Company size
51-200 employees
Industry
Insurance
Org type
Privately Held
Headquarters
Chicago, IL
