Job Title: Sr. Project Manager/Lead (Full-Time)
Post Date: 5/26/2023 – 06/30/2023

Position Summary
Aridell Associates, LLC, a professional consulting firm, advises clients on healthcare program operations and helps clients develop solutions to maximize meaningful outcomes, improve their operations, and protect their valuable assets, as well as bestow customer confidence in their operations.  Our mission is to advance clients’ operational performance and provide sustainable long-term, successful business strategies.

If you are interested in providing consulting and advisory services or supporting contracts, then this project management level position is for you.  The Sr. Project Manager/Lead works as an integral member of a multi-disciplinary team in conducting program vulnerability activities in support of a contract. In this position, you will support the primary project manager in managing and leading program vulnerability projects, such as conducting research, identifying vulnerabilities, scoring risks, and reporting results. The Sr. Project Manager/Lead will receive all direction and instructions from a program manager or their designee for the work activities under the contract. 

Responsibilities

  • Under minimal supervision, interact with the client's various partners and stakeholders to discuss and address program fraud, waste, and abuse schemes; trends, patterns, and anomalies; and opportunities for improvement.
  • Contributes to improving operations and work flow efficiencies.
  • Responds to partners' and stakeholders' needs for information and clarification.
  • Uses positive interpersonal skills in conducting all work.
  • Develops and delivers presentations.
  • Prepares standard and ad hoc deliverables for clients.
  • Lead teams responsible for identifying, triaging, and prioritizing existing and emerging vulnerabilities in healthcare programs.
  • Provide guidance and support for vulnerability mitigation, and evaluate the success and impact of the mitigation strategies and completed actions in order to close vulnerabilities.
  • Promote the use of environmental scanning techniques to identify vulnerabilities.
  • Develop and prepare written risk assessments on different client programs and areas using standardized criteria.
  • Oversee the preparation of reports, including the findings and associated recommendations for submission to the client’s management.
  • Interact and confer with team members on a variety of topics, such as ideas, projects, approaches, methodologies, and strategies, using all forms of available communications.
  • Interpret complex healthcare and value-based payment programs' policies, laws, rules, regulations, manuals, and healthcare industry guidelines in conducting program vulnerability activities.
  • Serve as a technical resource in complex healthcare operations, data, and systems.


Qualifications

  • ​The position requires a bachelor’s degree with preference given to those degrees in a business, public policy, or public administration relevant field. 
  • At least five years of experience required in Marketplace, Medicare, Medicaid, and CHIP programs with an expert level of understanding of the regulations in the programs along with direct supervision of staff.
  • Experience working for a health plan or an oversight/regulatory government agency is preferred.​

 
Skills

  • Ability to work under pressure and short deadlines.
  • Requires professional presentation skills.
  • Strong organizational planning and prioritization skills with the ability to collaborate with others and multi-task.
  • Excellent written and verbal communication skills.
  • Ability to present to large or small groups when required.
  • Proficient in using the Microsoft Office Professional Suite, including Word, Excel, PowerPoint, and Outlook.


Travel Requirements
No travel is required. 

Job Location
This is a work-from-home/remote position.

Apply Now
Email Resume To: jarias@aridell.com​​​

DATA ANALYSIS

​Serving tHE Healthcare,

Financial, Insurance, and Public SectorS

Aridell Associates, LLC

Undertaking data analysis helps organizations identify new opportunities, improve operations, and mitigate business and financial risks.  Government regulators view the use of data analysis as a powerful tool in combatting fraud, waste, and abuse facing various industries, such as healthcare.  More labor intensive fraud detection tools, such as auditing and investigations, can prove costly to an organization with modest profit margins.  As a consequence, the scarcity of valuable resources makes data analysis a key fraud fighting tool, if used efficiently, to identify patterns, trends, and anomalies. 

Organizations have volumes of data at their disposal yet no clear plan to analyze or mine it due to the resource committments needed to meet the daily workload demands.  Analyzing data available from multiple sources makes it challenging to make connections among such data if one lacks the subject matter expertise to design and execute a plan expected to produce outputs, outcomes, as well as actionable information.  Clients and stakeholders expect industries to analyze and mine data to improve operations, products, and services.

Aridell can help any organization implement an effective data analysis program or provide these services directly to clients. Our firm possesses experienced subject matter experts in conducting quantitative and qualitative data analysis of big data, such as healthcare and pharmacy claims, which has yielded successful outcomes.  Past experience extends to designing data analysis plans and strategies for clients needing to mitigate business and financial risks or identifying opportunities for overpayment collections.

 A single, data analysis method, such as predictive modeling, is not a standalone problem-solving tool to address all operational issues.  Aridell understands this critical point and, as a consequence, creates and utilizes data analysis strategies and methods tailored to efficiently and effectively meet a client’s needs and desired expectations and outcomes.  Following this approach, subject matter experts have yielded their past clients individual financial recoveries exceeding more than $80 million.

Aridell’s capabilities include:
​

  • Designing Data Analysis Plans and Strategies

  • Conducting Quantitative and Qualitative Data Analysis

  • Statistical Sampling

  • Designing and Monitoring Edits

  • Establishing and Implementing Data Analysis Protocols

  • Risk Assessment and Mitigation Strategies

  • Data Source Identification