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Senior Program Manager - Bismarck, United States - Highmark Health
Description
This position requires proactive engagement with internal stakeholders to establish strong relationships for identifying and accessing relevant data sources crucial for analytics-driven fraud detection in the healthcare domain.
The Program Manager will lead efforts to build collaborative partnerships across departments to gather comprehensive datasets necessary for detecting anomalous activities and potential malicious trends.
They will leverage these relationships to ensure access to critical information while adhering to security and compliance protocols.In addition to building internal relationships for data access, this role encompasses the establishment of new reporting structures and key performance indicator (KPI) criteria vital for effective fraud detection within the healthcare sector.
The Program Manager will lead the development and implementation of comprehensive reporting mechanisms and KPI frameworks tailored to monitor and assess fraud detection effectiveness.
They will collaborate with stakeholders to define meaningful metrics, dashboards, and scorecards that align with organizational objectives and regulatory requirements.
The Program Manager will spearhead initiatives to enhance data-sharing practices and foster a culture of information transparency to strengthen fraud detection capabilities within the organization and use those capabilities to advertise differentiation from other health care plans to our customers.
ESSENTIAL RESPONSIBILITIES
Cross-functional collaboration and interdependency management between a group of projects, products/technologies, functions and/or customers.
Work with the executive sponsor of a corporate program and other management as required to achieve the objectives of a defined corporate program.
Acquire detailed understanding of the business objectives for an assigned area.Ensure clear lines of communication including but not limited to; transparency to the business on upcoming security initiatives, identifying impact to the business and to consumers, helping shape remediation, and developing external and internal communications
Measure program effectiveness and report accordingly on progress.
Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives.
Measure program effectiveness and report accordingly on progress.Utilize change management methodologies to mitigate identified security risks.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Business Education, Marketing or Information Systems
Substitutions
Six (6) years relevant, progressive experience
Preferred
Master's Degree in Business Administration or Business Management
EXPERIENCE
Required
7 years in IS/IT or IT Security
Preferred
5 years of Project/Program Management
Analytics experience, preferably within an Information Technology/ Information Security organization
LICENSES or CERTIFICATIONS
Required
None
Preferred
PMP
CISSP
SKILLS
Change Management
Presentation Delivery
Analytical and Logical Reasoning/Thinking
Communication Skills
Experience with Conflict Resolution
Experience with Risk Mitigation Planning
Customer Relationship Management
Customer Relationship Management Skills
Strong Interpersonal and Leadership Skills
Solid Organizational and Planning Skills
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting:
up to 10 pounds
Constantly
Lifting:
10 to 25 pounds
Rarely
Lifting:
25 to 50 pounds
Rarely
Disclaimer:
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title.
It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement:
This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct.This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$78,900.00
Pay Range Maximum:
$146,000.00
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (
)
We endeavor to make this site accessible to any and all users.
If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online atCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice
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