Project Manager, VHA-IEN - Yorktown Systems Group

Summary:

Yorktown Systems Group is seeking a qualified Project Manager to support the Veterans Health Administration (VHA) of the Department of Veteran Affairs (VA) with its Integrated External Networks (IEN) services. The IEN services is responsible for day-to-day supervision of managing Veteran, provider and customer relations experience, community care contracts, medical claims payment/reimbursement, network support and adequacy, and other activities associated with the design, development, and maintenance of a high performing network of providers providing VA care to Veterans and family members in the community.

IEN provides appropriate advice, assistance, and executive oversight to existing third party administrators (TPAs) and stakeholders utilizing the community network of providers including, but not limited to, VHA program offices, Veteran Integrated Service Networks (VISNs), Veteran Affairs Medical Centers (VAMCs) and other federal agencies. This includes guidance on development and/or modification of business practices as necessary to ensure sound management practices, contract management, performance oversight, and appropriate operations services that will maximize and improve the quality, timeliness, and satisfaction of VHA’s external network of healthcare providers that render services to our nations Veterans, and well as Veterans and their family members.

Specific duties may include, but are not limited to:

• Ensures all work scope requirements by completing jobs properly and in accordance with the contract.
• Ensures quality assurance/control of all work performed on the contract.
• Provide concrete guidance on what needs to be done and the most efficient way to complete each task.
• Provides oversight of all contract employees and work requirements.
• Acts as the company’s representative to the VHA and the COR during all customer engagements and meetings.
• Performs other duties as customary of project managers.

Required Qualifications:

• Bachelor's Degree in a field of study that is appropriate for the position.
• Must have previous experience working within VHA.
• Experience must demonstrate the following:
  • Knowledge requirements: can perform a range of statistical and program analyses requiring mastery of appropriate statistical and program assessment tools, as well as the knowledge and skill to retrieve data from various automated systems
  • Knowledge of quantitative investigative techniques for analyzing the effectiveness and efficiency of data systems and health care business analytics
  • Knowledge of tools, processes, and methods to use data analytics to support decisions, strategy, and program improvements
  • Ability to analyze extensive program data interrelationships, and coordinate the preparation of summary documents, accurate program plans and proposals
  • Skill in applying complex problem-solving methods and techniques
  • Knowledge of, and skill in applying, a wide range of methods used to gather, analyze, and evaluate information concerning management processes, drawing conclusions, and recommending appropriate action(s)
  • Leading as a subject matter expert for strategic planning and assessment through the support of cross-functional collaborative efforts across the VA providing administrative management, project management support, training support and overall organizational support as it relates to benefits and claims processing
  • Serving as a liaison to business stakeholders on an ongoing basis, conducting project meetings and facilitating collaborative discussions
  • Providing analytical review and decisions on process, procedures on all claims and beneficiary processes
  • Collaborating with senior management and key stakeholders to define project scope, objectives, assumptions, dependencies, value proposition / rationale, and impacted organizational functions and systems
  • Experience with Microsoft Word, Excel, PowerPoint and Outlook, various data integration services, data visualization tools, and others on premises and in cloud analytics
  • Ability to facilitate sessions and one-on-one meetings, meet deadlines, and work well under pressure
• Must have excellent interpersonal, communication, presentation, writing, analytical, problem solving, and information gathering skills along with fundamental technique troubleshooting abilities.

Clearance:  Requires a favorable Background Investigation

Location: National Capitol Region (NCR) / Remote

Travel: Travel is required