Senior Program Manager - ISRM
Company: Highmark Health
Location: Sacramento
Posted on: April 28, 2024
|
|
|
Job Description:
Company :
enGen
Job Description :
JOB SUMMARY
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
Substitutions
Preferred
EXPERIENCE
Required
Preferred
5 years of Project/Program Management
Analytics experience, preferably within an Information Technology/
Information Security organization
LICENSES or CERTIFICATIONS
Required
Preferred
PMP
CISSP
SKILLS
Change Management
Presentation Delivery
Prioritizing
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 Law
Equal Opportunity Employer Minorities/Women/Protected
Veterans/Disabled/Sexual Orientation/Gender Identity (
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf
)
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 at
HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and
Applicants Notice
Req ID: J241050
Keywords: Highmark Health, Arden-Arcade , Senior Program Manager - ISRM, Executive , Sacramento, California
|
Click
here to apply!
|
