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Project Manager - Compliance Covered CA

Send to my Email Email a friend Job ID 76834 Date posted 10/21/2016
Requisition ID: 76834
  • Facility: Sharp HealthPlan
  • City: San Diego
  • Department: Operations
  • Category: Business Operations Jobs
  • Job Status: Full-Time
  • Shift: Day Job
  • FTE: 1.0
  • Shift Start: 8 AM
  • Shift End Time: 5 PM


This position is located in Kearny Mesa, San Diego County



8-hour shift: 8:00 am – 5:00 pm, weekends as needed.


Required Skills and Qualifications

  • Bachelor’s degree in health care, business, law or related field
  • Research skills and experience producing executive summaries, presentations, proposals, project plans and recommendations
  • Demonstrated experience in writing and editing of varied communication materials. Ability to function independently, make sound decisions based upon thorough investigation of available information, manage deadlines and priorities, and manage a variety of activities simultaneously
  • Knowledge of state and federal laws and regulations applicable to health plans and health insurance
  • Knowledge of health plan operations and strong project management skills, including the ability to work well across business units to meet established goals and objectives
  • Effective interpersonal skills; excellent oral and written communication skills Comfortable interacting with executive level positions both internally and externally


Preferred Skills and Qualifications

  • Master degree in health care, business, law or related field
  • Five years experience in position requiring high levels of cooperation, collaboration, analysis, troubleshooting, and problem resolution.


The Project Manager- Compliance Covered California will be responsible for monitoring, communicating, assessing and ensuring Plan compliance with state and/or federal laws and regulations. Manages projects, solves problems and researches data to facilitate business activities. Reporting to the Legislative and Regulatory Affairs Officer, manages short and long-term projects that require organization, research, analysis, planning, development, communication and/or coordination. Serves as an advisor to the management and executive team on assigned projects. Projects may also include audit preparation, compliance reporting, regulatory filings, policy and procedure development, and department training/education.

Sharp Health Plan offers a variety of coverage options that combine affordability and choice, while delivering high quality health care and personal service. We provide health insurance for companies of all sizes throughout the region. Members have access to valuable plan enhancements, such as interactive wellness resources, dental discounts and our exclusive global emergency services program.

Sharp Health Plan is San Diego’s only locally based commercial health plan. With a personal approach and a superior network of medical groups and physicians, Sharp Health Plan advocates for its members by providing unparalleled quality and access to health care services. It operates as a not-for-profit health plan, committed to delivering the best health care for the best value.

As one of the top-rated health plans in California (as measured by the CAHPS satisfaction survey), Sharp Health Plan serves a growing number of companies, large and small, in San Diego and southern Riverside counties.

Additional physical requirements of position may be discussed during interview.

Sharp HealthCare is proud to be an Equal Opportunity/Affirmative Action Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, transgender status, sexual orientation, protected veteran status or any other protected class.

Keywords: Project Management, Covered California, Compliance, Regulatory, Medicare, Health Plan, PMP, Audit

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