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The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do
This Project Manager supports Sharp Health Plan's Service Operations departments. The position assists the Director with research and analysis, provides recommendation for improvement, develops, plans and executes projects. In addition, the Project Manager-Service Ops provides department-wide operational support (e.g., regulatory reporting coordination, audit readiness support, compliance documentation, and meeting preparation). Projects may include, but are not limited to, work in the areas of customer satisfaction, process improvement, operational support activities, and quality initiatives.



Required Qualifications

• Bachelor's Degree in health care, business or related field.
• 5 Years experience leading or supporting cross-functional projects, project coordination, project management, and/or process improvement initiatives in healthcare.
• 2 Years experience with compliance, regulatory reporting, audit support, or related operational functions.
• 2 Years experience developing, analyzing, and reporting operational metrics, KPIs, trends, dashboards, or performance improvement recommendations.

Preferred Qualifications

• Master's Degree
• Experience in health plan, contact center operations, member experience, appeals and grievances, or service recovery.

Essential Functions

• Business Analysis
  Examines operational trends and service-related data, creates reports and makes recommendations based on data. Provides management with advisory information to aid in decision making and effective, efficient delivery of services.
  Compiles information for reports and presentation materials for various line of business and key account stakeholders (e.g., large employer groups), including materials used for regulatory reporting, audit support, and compliance monitoring activities.
  Summarizes data and information and provides written and/or oral presentations regarding findings. Completes presentation materials including slides, overheads, handouts, etc.
  Facilitates delegation oversight audit support to service-related vendors and partners.
• Project Planning and Implementation
  Develops approach and methodology for various projects. Conducts a wide scope of analysis for assigned projects.
  Develops project plans and implements or oversees project execution in coordination with leadership and other internal and external departments.
  Tracks and monitors progress of projects to ensure timely completion.
• Design and Development
  Designs and/or implements improvement initiatives, including measurement monitoring, establishment of benchmarks, reporting, analysis, process improvement, etc.
  Interacts with various internal departments to provide assistance, information, and quality improvement education.
  Provides guidance, tools and encouragement to staff for process improvement leading to efficiency, cost effectiveness and higher levels of customer and member satisfaction.
• Facilitates Meetings
  Attends and/or facilitates related project and collaboration meetings for information sharing and education, including meetings related to compliance activities, regulatory reporting, and audit support as assigned. Prepares meeting materials (e.g., agendas, summaries/notes, and action item tracking) and follows up on deliverables as needed.
  Attends line of business and key account meetings (e.g., large employer group meetings) to present reporting analysis and findings.
• General Support
  Participates in special projects, audits, and other duties as assigned; these may include, but are not limited to: work groups, proposals, audits and back-up support for related departments.
  For audit and compliance support activities, may assist with evidence collection, document control, issue tracking, and follow up coordination.
• Customer Service
  Provides prompt, accurate and excellent services to internal and external customers.
  Develops solid professional working relationships with various internal departments and units and as required, vendors, providers, employers, brokers and/or other customers. Additionally, as required, service-related vendors and partners.

Knowledge, Skills, and Abilities

• Ability to lead and support cross-functional projects, including project planning, timeline management, stakeholder coordination, issue tracking, and follow-up on deliverables.
• Ability to develop, monitor, analyze, and report operational KPIs and performance trends to support decision-making and process improvement.
• Knowledge of health plan operations, including contact center operations, member experience, regulatory reporting, audit readiness, and compliance support activities is preferred.
• Strong research, analytical, problem-solving, and critical thinking skills, with the ability to synthesize complex information and make clear recommendations.
• Excellent written and verbal communication skills, including the ability to prepare reports, presentations, meeting materials, proposals, and executive-level summaries.
• Strong organizational skills and the ability to prioritize competing workloads, manage multiple assignments, and meet deadlines.
• Proficiency with standard business and reporting tools, such as Excel, PowerPoint, Teams, SharePoint, and other project tracking or reporting applications.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class