Johnson Service Group (JSG) is seeking a Medicare Advantage Project Manager for a Healthplan Client Partner.  Contract 4-6 months with the possibility of permanent role in the future. 
Pay rate: $50.00 + per hour DOE -  Remote
Key duties include:Supporting Operational Excellance Team Organize Data Reporting- Strong with Data- Pull, push out, reporting Understand Health Plan / Open Enrollment Plus Strong communication skills with the business units  Process: initial phone screen with TA- next round with HM  Job Summary:
The Annual Readiness Program Manager is responsible for leading and executing the organization’s readiness strategy to ensure operational preparedness for the annual cycle of health plan changes, regulatory compliance, and open enrollment activities. This role collaborates cross-functionally with key departments to deliver a seamless and compliant readiness experience. The Program Manager serves as the central liaison across business areas, driving alignment, readiness execution, and post-implementation improvement for all assigned initiatives.

The ideal candidate will have experience managing AEP readiness efforts within a Medicare Advantage environment and supporting other enterprise programs requiring rigorous planning and cross-functional coordination. The Program Manager serves as the central liaison across business areas, driving alignment, readiness execution, and post-implementation improvement for all assigned initiatives.

The Annual Readiness Program Manager will report to the VP of Operational Excellence or the Director of Operational Excellence.

 

Responsibilities: 
Lead end to end planning and execution of annual operational readiness programs and other critical readiness initiatives that support business growth, implementations, and/or operational changes). Coordinate timelines, deliverables, and milestones across departments to ensure successful operational execution against business goals. Manage the execution of strategies through program design and implementation, ensuring strategic alignment with key leaders and executive-level partner(s). Partner with stakeholders to build cross functional strategy and implementation teams. Facilitate identification of program scope, manage associated project implementation, communicate progress to plan, and drive timely execution to obtain business results. Drive cross-functional collaboration and alignment across business units including Sales, Marketing, Product, IT, Member Services, Operations, Healthcare Services, Compliance, Communications and Network Management etc. to deliver a seamless and compliant readiness experience Implement change management plans and communication strategies. Deliver notifications and program/project updates to affected parties. Keep internal and external stakeholders informed of progress, challenges, and barriers. Organize and lead cross-functional readiness program meetings for AEP and other major initiatives to ensure transparency, accountability, and timely delivery. Foster strong partnerships across technical, compliance, and operational teams to drive collaboration and remove barriers to readiness. Identify and manage risks associated with individual projects and overall program, develop and implement mitigation strategies to remove barriers. Plan, monitor, and adapt program success based on outcomes. Plan, monitor, and adapt program success based on outcomes. Develop AEP playbook, identifying improvements to processes, communications, and overall experience. Keep senior leadership abreast of progress, issues, and appropriately escalate risks and/or issues to project sponsor, stakeholder, and executive leadership team steering committee. Conduct post-implementation reviews and lessons learned sessions to inform future cycles and continuous improvement. Other duties as assigned. Qualifications: Bachelor's Degree or equivalent experience PMO preferred 5+years of project or program management experience within a health plan or health care setting, with an intermediate to advanced understanding of project management principles. Demonstrated experience leading AEP readiness programs in Medicare Advantage health plan environment. 5+ years of experience in health plan operations, with expertise in Medicare Advantage readiness. Leadership: Lead and inspire teams to achieve goals and drive organizational success Decision Making and Problem Solving: Effective decision-making and problem-solving skills Communication: Excellent communication and interpersonal skills Cross-Functional Coordination: Proven experience supporting cross-functional operational readiness for large-scale programs Strategic Thinking: Strategic, creative, iterative thinker with strong problem-solving skill Planning and Critical Thinking: Strong planning, critical thinking, and leadership skills Initiative: Self-starter who can initiate and lead projects as well as navigate different environments Proficient in program management methodologies, with a strong track record of creating and maintaining standard program documents and artifacts to effectively support program tracking, reporting, and deliverables. Moderate capabilities in both quantitative and qualitative analysis, with a proven ability to apply critical thinking and problem-solving techniques to complex challenges. Skilled in evaluating and optimizing internal and intra-departmental processes to improve efficiency, effectiveness, and alignment with organizational objectives Excellent verbal and written communication, tailoring messages to diverse audiences at all levels, from executive leadership to frontline staff, ensuring clarity and alignment. Adept at managing competing priorities and stakeholder expectations, with the ability to successfully juggle multiple initiatives in a dynamic, fast-paced environment. Demonstrated ability to work with all levels of staff, within and external to the organization to achieve shared goals and drive organizational success. Knowledge of managed care health insurance programs; strong experience in the healthcare payer industry and knowledge of Medicare. Strong ability to develop and maintain positive, productive relationships across business units, ensuring smooth communication and information exchange. Comfortable and effective in navigating fast-paced, ever-changing environments, with the ability to manage multiple concurrent readiness initiatives and address complex interdependencies.
JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800