Description

This position will be responsible to lead multiple simultaneous data and product integration projects while providing customer support and data operations leadership.

Project Management

• Lead and manage the full lifecycle of implementation and proof of concept projects from initiation to completion.
• Develop and maintain detailed project plans, timelines, and budgets.
• Coordinate with cross-functional teams to ensure project deliverables are met on time and within scope.
• Identify and mitigate project risks and issues promptly.

Stakeholder Management

• Communicate project status, progress, and any issues to stakeholders regularly.
• Build and maintain strong relationships with clients, ensuring their needs and expectations are met.
• Coordinate with internal teams to align project goals and deliverables with business objectives.

Customer Support

• Provide exceptional customer support throughout the project lifecycle, addressing client queries and concerns promptly and effectively.
• Coordinate customer communications with product management/customer support management during the implementation phase, ensuring a smooth and satisfactory experience.
• Gather and analyze customer feedback to improve processes and service delivery.

Data Operations

• Familiarity with data operations processes to integrate customer processes with 4L Data Intelligence processes.
• Collaborate with data engineering teams to develop and maintain ETL pipelines.
• Ensure data quality and integrity through the implementation process.
• Hands on experience with data modeling or data engineering is a plus.

Requirements

Education and Experience: 

•  Bachelor's degree in Computer Science, Information Technology, Business Administration, or related field (Master's degree preferred).
• Program/Project Management Certification
• Proven experience (3+ years) in project management, particularly in technology implementation and integration.

Skills and Knowledge:

• Healthcare or insurance industry experience is highly desirable including experience with or understanding of some or all the following: 
• Healthcare data protection policies and procedures, including HIPAA and applicable regulations. 
• Claims adjudication or EMR or EHR workflow process or systems/technologies, including those in a Hospice environment. 
• Payment integrity or network optimization 
• Claims payment (includes refunds/recoupments) process flow on either payor or provider side of the transaction. 
• Medical coding-including claims editing or code editing tools/technologies. 
• Claims Data (835, 837 format) and/or claims processing.  
• Provider network management - provider directory and integrity data management.  
• Provider data and/or provider contracting or credentialing. 
• Special Investigations Unit (SIU) for fraud detection 
• Experience with Microsoft and Java Platforms.
• Experience with IT Service Management (ITSM) and ITIL framework. 
• Experience in IT planning, organization and development.