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Care Management, Product Manager

Role Overview:

The Product Manager for Care Management Clinical Solution drives the product line based on input from customers, vendors, internal staff & management, regulations, and industry experts. This role has a key responsibility for guiding the future of the Clinical Solutions product line and leading the product line to success. The ideal candidate has the passion and desire to improve the product line, help drive innovation and help remove impediments so the team can consistently move forward.

Responsibilities:

  • Support client implementation of the Care Management software solution as a subject matter expert (SME) for the Utilization Management (UM) or Case Management (CM) MedHOK product
  • Define product content and optimize workflow efficiencies to meet client business needs as well as meeting State and Federal regulatory / accreditation requirements
  • Work closely with customers and other internal MedHOK teams such as; sales project management, product, configuration and development staff for timely system implementation, continued product support and product enhancement
  • Understand client business processes, define and translate requirements into standardized MedHOK product solution (out of the box)
  • Document and maintain use case requirements to test accurate system functionality testing
  • Conduct end to end module testing to ensure accurate functionality prior to releasing to internal model and / or client environment
  • Identify problems within the product and communicate them through established change management process, provide product approval as required by the release management process
  • Able to adapt to competing demands, take on new responsibilities, and adjust plans to meet changing priorities
  • Maintain positive, constructive approach to problem solving both internally and during customer interactions with focus on timely and accurate issue resolution
  • Support new and existing clients to achieve efficiencies, accreditation and regulatory compliance
  • Remain current with accreditation such as NCQA & URAC; State and Federal regulations (Medicare, Medicaid) and identify system enhancements to meet those requirements.
  • Participate in MedHOK training sessions and / or client demonstrations to develop an overall understanding all MedHOK products
  • Perform other duties as assigned

Education/Experience:

  • Registered Nurse or Licensed Practical Nurse, Bachelor’s degree preferred
  • In lieu of licensure, candidate with applicable experience may be considered
  • Experience presenting and communicating with all levels of organizations
  • Three to five years’ health plan, managed care experience, required
  • Ten years Utilization or Case Management experience strongly preferred
  • Working knowledge in NCQA and / or URAC Utilization Management, Case Management or Health Plan accreditation
  • Previous experience translating business requirements into system configuration, preferred
  • Previous experience defining, building and executing test cases preferred
  • Excellent written, verbal communication and interpersonal skills
  • Proficient with Word, Power Point, Excel, Visio and Document Management

Skills, Knowledge, Abilities (SKA):

  • Excellent communication and organizational skills
  • Adaptability to handle change independently
  • Customer focused
  • Ability to plan and prioritize multiple assignments/clients
  • Decision making ability

Location:

  • Position based in the Tampa, Florida, Office. Only local candidates or those planning on relocating will be considered
  • Up to 60% travel to client locations may be required
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