• AI & Machine Learning Project Manager

    Job Location US-MI-Detroit
    Job ID
    Information Technology
    Business Line
    CMC Corporate
  • Overview

    Who we are:

    Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.


    We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio.  As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.


    Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.


    A Day in the Life of a Project Manager:

    This position provides leadership, guidance and/or facilitation on activities related to current initiatives and future business opportunities.  The Project Manager serves as a liaison for senior management in ensuring successful outcomes to key initiatives through development, implementation and evaluation activities.  The Project Manager may act as a champion, coach or counselor of a project or initiative depending on the stage of the project.


    • Building on managed care and organizational knowledge, act as a resource for researching, developing and operationalizing initiatives that promote company success and growth
    • Apply practical advice and expertise to projects that promote innovation, efficiency, cost effectiveness, quality improvement and resource management
    • Act as a change agent in the implementation of key initiatives
    • Foster a participatory and collegial team atmosphere in interactions with others
    • Lead or assist in the development of surveys, audits and monitors to assess the performance of MHP and/or contracted entities.  Compile and/or analyze survey results identifying system barriers, opportunities for improvement and potential initiatives to improve performance
    • Utilize knowledge of accreditation and regulatory guidelines in assisting the organization to prepare and maintain necessary compliance documents and activities including policies and procedures
    • Chair or facilitate organizational committees, as necessary, to insure progress toward meeting regulatory requirements or organizational commitments
    • Attend meetings and conferences as necessary to stay updated on regulatory and accrediting rules and regulations


    What you can bring to Meridian:

    • Bachelor’s degree in healthcare or business related field is required
    • PMP Certification is a plus
    • 3 - 5 years of experience in a managed care organizations preferred
    • 3 - 7 years of experience in managing projects
    • Previous experience in preparing for an accreditation review is required
    • Experience in developing and delivering presentations to various types of audiences is required
    • Experience in managing committees is required
    • Demonstration of business plan or report writing experience is required
    • Knowledge of managed care principles a plus
    • Knowledge of State Managed Medicaid rules and regulations a plus
    • Knowledge of Medicare rules and regulations a plus
    • Knowledge of quality and process improvement strategies
    • Knowledge of National Committee for Quality Assurance (NCQA), URAC or general accreditation requirements a plus



    What Meridian can offer you:

    • Our healthcare benefits include a variety of plans that are effective on the first day of employment for our new full-time team members.
    • Opportunity to work with the industry’s leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.
    • Meridian offers 401k matching that is above the national average.
    • Full-time Meridian employees are eligible for tuition reimbursement towards Bachelor’s or Master’s degrees.
    • Meridian was named Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian. 


    Equal Opportunity Employer



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