Project Manager, Medical Policy Processes

Your Future Evolves HereEvolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.Join Evolent for the mission. Stay for the culture.What You’ll Be Doing:As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines. Our team values collaboration, continuous learning, ongoing identification of efficiencies and process improvement, and a customer-centric approach, ensuring that every team member contributes to providing the best clinical guideline product.Collaboration Opportunities: The Project Manager will partner most closely with Medical Policy teammates and collaborate with Clinical Operations, Medical Leadership, IT, Provider Relations, and other business groups.What You Will Be Doing:Support team responsibilities and project management activities as assignedManage day-to-day operational aspects of Medical Policy team processesSupport publication of Evolent Clinical Guidelines, Health Plan Specific Guidelines, and Legislative/Regulatory GuidelinesMaintain source of truth information related to clinical guidelines application for utilization review requestsSupport and maintain information critical to accurate guideline publicationPrepare reports and/or dashboards to represent project activity and statusApply project management methodology and enforce project standards using approved toolkit templatesQualifications (Required and Preferred):Bachelor's degree plus 2+ years' project management or job-related experience with a medium to large-scale corporationHigh School or Associate’s degree with a minimum of 5 years of project management or job-related experience within the past 8 yearsProject Management Institute Certification (multiple certification options)Lean Six Sigma Black Belt or Green BeltKnowledge of project management and process improvement practices and methodologiesBasic knowledge of health care management (CPT Codes, Medicare/Medicaid)Strong facilitation and interpersonal skills with the ability to work effectively with cross-functional teamsAbility to resolve and/or escalate issues in a timely fashionUnderstand how to communicate difficult/sensitive information tactfullyProven ability to plan, organize, sched...