GSChange Management Consultant - GuideWell Source
GuideWell Source is a leading administrative services company, and a subsidiary of GuideWell Mutual Holding Corporation, that provides full-service, end-to-end business services for health plans and government-sponsored health care programs like Medicare.
Benefits info:
* Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
* Short- and long-term disability benefits
* 401(k) plan with company match and immediate vesting
* Free telehealth benefits
* Free gym memberships
* Employee Incentive Plan
* Employee Assistance Program
* Rewards and Recognition Programs
* Paid Time Off and Paid Sick Leave
SUMMARY STATEMENTChange Management Consultants lead organization-wide, cross-functional teams to manage the timely and accurate implementation of CMS Directives Change Requests (CRs) and Technical Direction Letters (TDLs) and initiate and manage the Point of Contact (POC) review of CMS Draft CRs to ensure timely submission of required information to CMS. ESSENTIAL DUTIES & RESPONSIBILITIESTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Project Leadership and Consultation - 70%* Lead and manage cross-functional project teams directly related to implementing CMS directives.* Review and understand CMS requirements to provide leadership and direction to project resources to ensure timely project completion, operational goal achievement, and to meet the needs of internal and external customers.* Lead or participate in the Draft CR Level of Effort (LOE) process for CRs determined to have potential cost impacts.* Lead operations project resources to meet/exceed established ECDs (estimated completion dates)* Manage project implementation by providing technical expertise, planning, preparing, reporting, coordinating, and communicating activities associated with implementing CMS directives.* Develop project plan to manage the completion of tasks, project timelines, and resources.* Facilitate organization-wide cross-functional meetings for input and resolution.* Ensure user area impacts resulting from the project implementation are minimized (automate changes whenever possible), thus reducing administrative costs and processing time.* Ensure pre/post implementation requirements meet all compliance, timeliness and CMS policy standards.* Effectively identify, resolve, or elevate barriers/issues.* Ensure compliance to legislative mandates through validation of data and/or other processes.* Collect and maintain documentation to support the timely/accurate implementation of CMS requirements.* Ensure policies, processes, and procedures are in place and consistently followed.* Coordinate/communicate changes to area management and user area in a timely manner.* Draft Technical Direction Requests (TDR) for submission to CMS and communicate directly with CMS, as needed.* Manage Point of Contact (POC) reviews for CMS Draft Change Requests (CRs), level of effort estimates, and posting comments in CMS' Internet Portal timely.* Participate in internal and external audits. Scheduling, Reporting and Analysis - 20%* Create and maintain project schedules.* Update project status information as needed in the change management tracking application for creation of useful and accurate reports.* Analyze, identify and report potential impacts pertaining to CMS Directives Process Improvements - 10%* Develop and build internal partnerships to improve communication, coordination, collaboration and effective working relationships. Recommends improvements to achieve and deliver high quality, value-added services.* Monitor and evaluate the effectiveness of solutions, policies, practices and processes to ensure continuous improvement, good business partner relations, compliance and adherence to business and system requirements.* Identify and implement potential process improvements through automation.Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS* High School Diploma or GED* 4 years' related work experience. This includes: previous operational experience such as (Business Operations Specialist, Business Analyst)* Experience participating in or leading larger departmental projects or components of projects and planning, organizing, monitoring and controlling projects to ensure the effective use of resources and adherence to project management standards and reporting requirements.* Broad knowledge of Medicare Program Regulations* Demonstrated proficiency in Microsoft Project, PowerPoint, Word* Demonstrated oral, written, and interpersonal skills* Ability to handle multiple priorities within strict deadlines and timeframes PREFERRED QUALIFICATIONS* Bachelor's degree in related field such as Business Administration* Project Management Institute (PMI) certificationQualificationsThe Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive. "We are an Equal Opportunity/Protected Veteran/Disabled Employer." This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available.
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Job type
Full Time
Experience level
Mid-level
Location requirements
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About GuideWell Source
Learn more about GuideWell Source and their company culture.
The story of GuideWell Source is one of evolution and strategic alignment within the American healthcare landscape. Its journey began under the name Diversified Service Options, Inc., a company established in 1998 with a focus on providing crucial administrative services for government-sponsored healthcare programs. For years, it operated as a key player behind the scenes, ensuring the smooth functioning of Medicare and Medicaid by managing claims, serving beneficiaries, and supporting healthcare providers. This foundational period was marked by a commitment to operational excellence and fiscal responsibility, building deep expertise in the complexities of federal health programs and forging a strong relationship with the Centers for Medicare and Medicaid Services (CMS).
A pivotal moment in the company's narrative occurred in 2015 when Diversified Service Options underwent a significant rebranding to become GuideWell Source. This was more than just a name change; it was a strategic move to more closely align with its parent organization, GuideWell Mutual Holding Corporation, a major not-for-profit health solutions enterprise. The new identity as GuideWell Source was designed to convey its role as an expert resource and a forward-thinking partner in the broader health ecosystem. This transformation solidified its position within the GuideWell family of companies, which includes Florida Blue, the state's leading health insurer. Today, GuideWell Source continues its mission as a trusted administrator, leveraging its decades of experience and its place within an integrated health solutions powerhouse to innovate and enhance the delivery of government healthcare services to millions of Americans. Through its subsidiaries, like First Coast Service Options and Novitas Solutions, it proudly serves over 11 million beneficiaries and hundreds of thousands of healthcare providers across the United States.
Tech stack
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Employee benefits
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Paid Time Off
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Life Insurance
We also offer life insurance.
Retirement Plans
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Health and Wellness Incentives
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GSGuideWell Source
Company size
1001-5000 employees
Founded in
1998
Chief executive officer
Harvey Dikter
Markets
Employees live in
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