Hospital Risk Management Jobs in Houston, TX (NOW HIRING)

About Us
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:
¿ Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
¿ Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
¿ Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
¿ Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.
Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
Job Profile
JOB SUMMARY
The Project Manager drives successful project execution from initiation to closure, ensuring strategic alignment with organizational goals, fostering a collaborative team environment, championing continuous improvement of project management practices, and effectively managing vendor relationships. This role emphasizes proactive risk management, meticulous scope and resource control, transparent communication, and a data-driven approach to measuring benefits realization
JOB SPECIFICATIONS AND CORE COMPETENCIES
Project Execution, Delivery, and Control
Scope and Change Management:
Define and document project scope aligned with strategic objectives.
Ensure scope control through rigorous change management processes to minimize scope creep.
Conduct regular reviews with stakeholders to validate and adjust project deliverables as needed.
Schedule and Time Management:
Develop and maintain detailed project schedules, work breakdown structures (WBS), and task dependencies.
Proactively track and manage project progress, adjusting timelines as required to mitigate risks and meet objectives.
Utilize project management tools to monitor and report on schedule performance.
Cost and Resource Management:
Develop comprehensive project budgets, track actual expenditures, and manage variances.
Optimize resource allocation, ensuring alignment with project needs and priorities.
Engage in vendor negotiations and oversight to maintain fiscal discipline and quality assurance.
Risk and Issue Management:
Identify, assess, and document potential risks and issues using a structured risk management framework.
Develop, implement, and monitor risk mitigation and contingency plans.
Escalate significant risks and issues to senior leadership with actionable recommendations.
Quality Management:
Establish and maintain quality standards to ensure deliverables meet organizational and stakeholder expectations.
Implement and monitor project-specific testing plans for hardware, software, and integration components.
Conduct quality assurance reviews and facilitate lessons learned sessions post-project.
Strategic Alignment and Benefits Realization:
Benefits Identification and Tracking:
Collaborate with stakeholders to define measurable project benefits aligned with organizational goals.
Develop metrics to track benefits realization and ensure projects contribute to strategic objectives.
Review and report on benefits realization during project evaluation phases.
Stakeholder Management:
Engage with stakeholders across all levels of the organization to ensure alignment and buy-in.
Facilitate steering committee meetings, executive updates, and stakeholder workshops.
Manage competing interests and build consensus to drive project success.
Project Evaluation and Review:
Conduct mid-project reviews and final evaluations to ensure alignment with business objectives.
Perform post-implementation reviews to assess performance against success criteria.
Effectively combine research tools and interviewing to investigate problems.
Leadership, Communication, and Teamwork:
Team Building:
Provide leadership to cross-functional project teams, fostering collaboration and a shared sense of purpose.
Provide timely, actionable, constructive feedback on a daily basis to team members.
Facilitate large meetings with expert preparation, execution and follow through
Communication and Reporting:
Deliver tailored communication to diverse audiences, including executive sponsors, project teams, and external partners.
Prepare and present comprehensive project status reports, highlighting key metrics, risks, and achievements.
Lead project-related communications in politically charged or high-stakes environments with clarity and professionalism.
Knowledge Sharing and Collaboration:
Promote knowledge sharing and collaboration among teams to leverage best practices and lessons learned.
Understand broad design principles across multiple problems / solutions
Maintain comprehensive project documentation, ensuring accessibility and compliance with governance standards.
Act as a liaison between project teams and other organizational units to align efforts.
Mission and Relationships:
Build strong relationships, ensuring projects align with organizational mission and values.
Represent CHC IS in external and multidisciplinary collaborations, driving joint initiatives with healthcare institutions.
Customer-Centric Approach:
Enhance efficiencies, cost-effectiveness, and quality of care in project execution.
Actively engage with stakeholders to identify needs and provide solutions that prioritize member satisfaction.
Professional and Ethical Standards:
Uphold the highest ethical standards and promote accountability within project teams.
Actively participate in community events and initiatives that align with CHC's not-for-profit mission.
Organizational Governance and Process Improvement
Governance Adherence:
Implement CHC's project governance structure, ensuring compliance with organizational policies and standards.
Establish project-specific governance frameworks, steering committee structures, and reporting protocols.
Support the adoption of governance standards by non-centralized project teams.
Process Optimization:
Implement CHC's project management methodology, standards and best practices.
Creatively formulate solution options for complicated project level problems
Other Duties as assigned.
QUALIFICATIONS:
Education/Specialized Training/Licensure:
Bachelor's Degree required.
Work Experience (Years and Area):
5 years' experience in project management with at least 1 of the 5 years healthcare or health insurance experience.
Management Experience (Years and Area): N/A
Software Proficiencies: Microsoft Office (Word, Excel, Outlook)
Other: Experience using formal project management methodologies such as Waterfall and/or Agile. Experience with PMBOK standards and guidelines. Proven experience in project management deployments; on-time and within budget. Leadership, team building, written and verbal communication, analytical and organizational skills. Ability to work independently with minimum supervision. Ability to handle multiple projects simultaneously while adhering to a stringent timeline.
Benefits & EEOC
Community employees¿ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer.
Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.
Job Category
Community Health Choice (CHC)