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Job Description Overview Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company without private equity investors. We are looking for an experienced project manager to plan and execute complex strategic initiatives. While this role resides in the Technology department, project teams will be cross-functional and not all projects will be IT focused. The manager needs to have excellent written and verbal communication skills. They will need to communicate effectively with technical teams, business staff, and leadership to keep team members on task and projects moving forward. They will diligently track project status to generate progress reports for leadership, including potential blockers and solutions. They must be able to manage multiple projects at once, with a strong ability to prioritize. The ideal candidate will have people management experience and can help Highlight Health build its Project Management team. For the right candidate, this position will grow to include direct management responsibilities. As a people manager, they will set and document monthly goals with direct reports. These goals will ensure that staff are contributing to strategic initiatives while continuously learning and developing. Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health brings them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life. Our company is headquartered in two cities along the Northeast Corridor with an affordable cost of living: Philadelphia, PA and Newark, NJ. If you are passionate about fighting fraud, waste, and abuse in medical billing, Highlight Health is the company for you. We are a fast-growing startup, and we value the contributions and ideas of all our team members. In this role, you will play a key part in increasing our project velocity to improve operational efficiency and enable new capabilities. You will have the opportunity to help define our project management processes. You can shape the way our teams get work done and have an impact. Essential Duties and Responsibilities • Project Leadership:, • Plan, execute, and oversee projects from initiation through completion., • Define project scope, goals, deliverables, timelines, and budgets., • Identify and manage project risks and dependencies., • Communicate effectively with internal and external stakeholders to ensure alignment., • Monitor project performance and generate regular progress reports., • Report project status, including areas needing improvement, to the leadership team on a weekly basis., • Track the status of all projects in an online project management system that can be shared with leadership and front-line managers., • Manage risk and openly report project challenges and potential delays., • Projects span technology, legal, financial, claims analysis, and operations., • Process Improvement:, • Recommend and implement best practices for project and team management., • Identify opportunities for process enhancements and efficiency gains., • Come to work each day with the goal of making at least one thing better. More efficient. More practical. Easier to use. More profitable., • People Management:, • Directly manage and mentor a growing Project Management team of 3–5 individuals, including Business Analysts and QA Testers., • Conduct regular one-on-one meetings, performance reviews, and professional development planning. Create written monthly goals for all direct reports., • Foster a collaborative, inclusive, and high-performance team culture., • Manage team workload allocation and support career progression., • Foster a culture of accountability and continuous improvement. Experience and Qualifications Minimum Qualifications • At least 5 years of experience in project management., • Proven success in managing complex projects and leading cross-functional teams., • Strong understanding of project management methodologies (Agile, Scrum, Waterfall)., • Excellent interpersonal, leadership, and communication skills., • At least 2 years of people management responsibility., • Bachelor’s degree., • PMP or similar certification. Compensation and Benefits • Salary Range: $90,000+, • Highlight Health offers an attractive benefits package, with healthcare cost reimbursement, paid time off, commuting benefits, short-term disability, an employer 401(k) contribution, and bonuses., • After 90 days of employment, you may work from home 1 day/week. How to Apply • Submit your resume., • Submit a mandatory cover letter.

Job DescriptionThe Commonwealth of Pennsylvania is seeking a dedicated and qualified individual to fill the position of Mental Health and Drug Abuse Advocate, based in Philadelphia, Pennsylvania. The ideal candidate will possess a strong background in mental health and/or drug addiction counseling, as well as investigative and auditing experience. This vital role plays a crucial part in ensuring the delivery of high-quality healthcare services and compliance with health regulations within the community. Key Responsibilities: Healthcare Auditing: Conduct thorough and systematic audits of healthcare facilities and service providers to assess compliance with regulations and standards related to community health, mental health, and drug addiction services. Mental Health and Drug Addiction Expertise: Leverage a deep understanding of mental health and drug addiction counseling to evaluate the quality and effectiveness of treatment programs, patient care, and prevention efforts in the community. Investigation: Conduct investigations into allegations of misconduct, fraud, or violations within community health programs. Gather evidence, interview witnesses, and compile detailed reports for further action. Data Analysis: Analyze healthcare data, patient records, and service outcomes to identify trends, disparities, and potential areas for improvement in community health services. Utilize this analysis to make data-driven recommendations. Regulatory Compliance: Stay up-to-date with federal and state healthcare regulations, policies, and guidelines. Ensure that healthcare facilities and programs within the community adhere to all relevant laws and regulations. Reporting: Prepare detailed reports summarizing audit findings, investigations, and compliance assessments. Communicate findings to relevant stakeholders, including government agencies, healthcare providers, and community organizations. Collaboration: Collaborate with a multidisciplinary team of healthcare professionals, auditors, and regulatory authorities to address compliance issues, improve services, and facilitate positive changes within the community. Community Engagement: Engage with community members, advocacy groups, and healthcare stakeholders to gather insights, identify challenges, and address the unique needs of the community. Requirements • Bachelor's or Master's degree in a related field (e.g., Mental Health Counseling, Drug Addiction Counseling, Public Health, Social Work), • Proven experience in healthcare auditing and investigation, preferably in a community health context., • In-depth knowledge of mental health and drug addiction treatment methodologies, practices, and best practices., • Strong analytical and data interpretation skills., • Excellent communication and interpersonal skills for building relationships and conveying audit findings., • Knowledge of healthcare regulations, compliance standards, and state-specific healthcare laws.