HJ Staffing

Lead provider contracting, network development, and compliance strategies to optimize healthcare networks and costs. | Requires 10+ years in managed care, provider contracting, and health plan operations, with industry-specific expertise. | HJ Staffing is seeking a Health Plan Network Strategy Director to spearhead strategic initiatives in provider contracting, network development, and adequacy. This executive-level role is responsible for building high-value partnerships with major provider organizations and managing a contract portfolio exceeding $1B annually. You will serve as the architect of our network strategy, ensuring federal and state compliance while optimizing cost, coverage, and market growth. What You Will Do Strategic Contracting: Lead negotiations for high-value provider contracts with major hospital systems; own complex contract modeling and network adequacy technologies. Performance Oversight: Oversee contract performance audits and remediation strategies, collaborating with Actuarial, Finance, and Medical Economics teams. Network Adequacy: Monitor and ensure compliance with federal and state regulations, proactively identifying and closing access gaps. Market Expansion: Lead due diligence for network development in expansion markets and identify opportunities for optimization. Financial Stewardship: Align negotiated rates with budgeted medical cost trends and support forecasting for unit cost increases. Data-Driven Strategy: Analyze claims data and market dynamics to guide contract negotiations and enhance "cost-of-care" strategies. Relationship Management: Build and maintain executive-level relationships with integrated delivery systems and provider organizations. What You Will Bring Experience: 10+ years of combined experience in managed care, provider contracting, network operations, and health plan operations. Education: Bachelor’s degree in Business, Healthcare Administration, or a related field (Master’s Degree preferred). Industry Expertise: Direct experience within a Health Plan or Managed Care Organization is required. Technical Proficiency: Experience with Jiva and HRP is a significant plus. Subject Matter Expertise: Deep knowledge of reimbursement methodologies, including fee-for-service, risk sharing, and capitation. You Will Be Successful If: You are a master of financial analytics with the business acumen to manage complex, multi-market environments. You possess elite communication skills and are comfortable with public speaking and executive presentations. You stay at the forefront of national healthcare policies and emerging care delivery models. You can navigate and influence large integrated delivery systems and joint ventures effectively. Important Details Residency Requirement: Candidates must reside in one of the following states: NM, CA, IL, ND, NY, OH, WA, or WY. Remote Status: This position is 100% remote. Citizenship: Candidates must be a US Citizen or Green Card holder.

Oversee, analyze, and design complex business processes, coordinate requirements gathering, and lead project teams. | Requires 12+ years of experience in business analysis, technical knowledge of .Net and SQL, and leadership skills, which do not match your background. | We are seeking a seasoned Senior Business Analyst to join our team as a strategic leader and subject matter expert. In this role, you will do more than just document requirements; you will oversee the analysis of complex business goals and bridge the gap between technical possibilities and business objectives. As the primary liaison between our technical personnel and non-technical stakeholders, you will lead the translation of high-level technology requirements into clear business language, facilitating the adoption of value-added solutions for our clients. Key Responsibilities Process Architecture: Oversee, plan, and design highly complex business processes. You will create and maintain architectures for complex domains to ensure they align with our organization’s technology priorities. Requirements & Modeling: Analyze and document complex client requirements. This includes constructing conceptual data and process models, data dictionaries, and volume estimates. Strategic Liaison: Coordinate and facilitate high-level meetings with large accounts to gather requirements and explore sophisticated solutions. Project Leadership: Coordinate BA tasks across IT projects, providing time estimates, guidance, and support to team members throughout the entire project life cycle. Quality Assurance: Lead the creation of complex test case scenarios. You will participate in technical reviews to verify that the "intent of change" is successfully implemented. Mentorship: Act as a lead for the department, providing work guidance, input on system modifications, and mentoring to junior personnel. Qualifications Basic Requirements: Education: Bachelor’s degree (Business Administration, Information Systems, or related field preferred) or an equivalent combination of education and experience. Experience: 12+ years of dedicated experience in business analysis and business processes. Interdisciplinary Expertise: Proven experience working at the interface of IT and functional business groups. Re-engineering: Solid background in business process re-engineering and implementing company value propositions. Technical Foundation: Understanding of computer programming concepts and coding languages. Technical Skills: Proficiency in .Net and SQL. Experience with WCF (Windows Communication Foundation). Strong background in technical project design and development. Soft Skills: Exceptional ability to translate technical jargon into client-friendly language. Strong analytical, problem-solving, and presentation skills. Ability to handle multiple complex tasks simultaneously and pivot quickly in a fast-paced environment. Natural leadership qualities with a focus on team collaboration and interpersonal communication.

Lead enterprise-wide clinical IT projects, ensuring adherence to methodologies, managing project teams, and coordinating with stakeholders. | Requires 6+ years in IT project management with clinical systems experience, particularly Epic or Meditech, and experience in large multi-hospital systems. | Job Description: • Lead multiple large-size, enterprise-wide projects simultaneously, following strict PPMO methodologies and maintaining high-quality deliverables. • Create and manage project charters, detailed project plans, RACI matrices, budget trackers, and GLRA/Change Management processes. • Provide direct oversight and guidance to Project Coordinators, PM I, and PM II levels, ensuring their projects meet organizational standards. • Facilitate planning and design sessions, organize project kick-offs, and report critical path milestones and status updates to executive leadership. • Proactively identify dependencies and risks; develop and monitor mitigation plans to ensure project stability. • Partner with IS Training and vendors to ensure user documentation is accurate, training is validated, and "super-users" are in place for successful go-lives. • Maintain meticulous documentation in appropriate repositories, ensuring all artifacts are ready for internal and external audits. Requirements: • Bachelor’s degree in a related field (or equivalent IS experience). • Minimum of 6 years working on IT project teams, specifically in gathering requirements and analysis. • Experience in a large multi-hospital system is highly preferred. • Direct experience in clinical project implementation is required. • Specific experience with Epic or Meditech is strongly preferred. • A background in clinical education is considered a significant plus. • Proven track record of managing projects of high complexity with minimal oversight. Benefits: • Proof of education is required for submission.

Lead enterprise-level healthcare IT projects, mentor junior project managers, and ensure project delivery aligns with organizational standards. | Extensive experience in IT project management within healthcare, clinical systems experience (Epic or Meditech preferred), and ability to manage complex, multi-stakeholder projects. | HJ Staffing is seeking a Project Manager Information Technology Senior to lead complex, enterprise-level initiatives for a major health system. This is a 100% remote, senior-level position designed for a leader who can navigate the intricacies of a multi-hospital environment and oversee the full project lifecycle from conceptualization to go-live. As a Senior PM, you will not only manage your own portfolio of large-scale projects but also serve as a mentor and supervisor for Junior PMs and Coordinators, ensuring all PMO methodologies are followed with meticulous detail. The Opportunity You will be the driving force behind critical Information System projects, managing budgets, scheduling, and workload planning. You will be responsible for translating business needs into technical reality, ensuring that system changes are fully tested, users are expertly trained, and implementations are seamless across multiple ministries and locations. What You Will Do • End-to-End Leadership: Lead multiple large-size, enterprise-wide projects simultaneously, following strict PPMO methodologies and maintaining high-quality deliverables. • Strategic Planning: Create and manage project charters, detailed project plans, RACI matrices, budget trackers, and GLRA/Change Management processes. • Mentorship & Oversight: Provide direct oversight and guidance to Project Coordinators, PM I, and PM II levels, ensuring their projects meet organizational standards. • Stakeholder Management: Facilitate planning and design sessions, organize project kick-offs, and report critical path milestones and status updates to executive leadership. • Risk & Mitigation: Proactively identify dependencies and risks; develop and monitor mitigation plans to ensure project stability. • Clinical Training & Implementation: Partner with IS Training and vendors to ensure user documentation is accurate, training is validated, and "super-users" are in place for successful go-lives. • Audit Readiness: Maintain meticulous documentation in appropriate repositories, ensuring all artifacts are ready for internal and external audits. What You Will Bring • Education: Bachelor’s degree in a related field (or equivalent IS experience). Proof of education is required for submission. • Experience: Minimum of 6 years working on IT project teams, specifically in gathering requirements and analysis. • Healthcare Expertise: Experience in a large multi-hospital system is highly preferred. • Clinical Systems: Direct experience in clinical project implementation is required. Specific experience with Epic or Meditech is strongly preferred. • Clinical Background: A background in clinical education is considered a significant plus. • Methodology: Proven track record of managing projects of high complexity with minimal oversight. Success Attributes • You are a disciplined planner who believes a project cannot move to implementation without a concrete, documented plan. • You possess the executive presence to present to Steering Committees and leadership. • You are an expert at translating business specifications into user-friendly documentation. Additional Details • Location: 100% Remote. • Requirement: Candidates must provide proof of education (diploma/transcripts) upon application.

Lead and oversee enterprise-level healthcare IT projects, manage stakeholders, and ensure successful implementation of clinical systems. | Minimum 6 years of IT project experience, healthcare system familiarity, and clinical systems knowledge, especially Epic or Meditech. | HJ Staffing is seeking a Project Manager Information Technology Senior to lead complex, enterprise-level initiatives for a major health system. This is a 100% remote, senior-level position designed for a leader who can navigate the intricacies of a multi-hospital environment and oversee the full project lifecycle from conceptualization to go-live. As a Senior PM, you will not only manage your own portfolio of large-scale projects but also serve as a mentor and supervisor for Junior PMs and Coordinators, ensuring all PMO methodologies are followed with meticulous detail. The Opportunity You will be the driving force behind critical Information System projects, managing budgets, scheduling, and workload planning. You will be responsible for translating business needs into technical reality, ensuring that system changes are fully tested, users are expertly trained, and implementations are seamless across multiple ministries and locations. What You Will Do End-to-End Leadership: Lead multiple large-size, enterprise-wide projects simultaneously, following strict PPMO methodologies and maintaining high-quality deliverables. Strategic Planning: Create and manage project charters, detailed project plans, RACI matrices, budget trackers, and GLRA/Change Management processes. Mentorship & Oversight: Provide direct oversight and guidance to Project Coordinators, PM I, and PM II levels, ensuring their projects meet organizational standards. Stakeholder Management: Facilitate planning and design sessions, organize project kick-offs, and report critical path milestones and status updates to executive leadership. Risk & Mitigation: Proactively identify dependencies and risks; develop and monitor mitigation plans to ensure project stability. Clinical Training & Implementation: Partner with IS Training and vendors to ensure user documentation is accurate, training is validated, and "super-users" are in place for successful go-lives. Audit Readiness: Maintain meticulous documentation in appropriate repositories, ensuring all artifacts are ready for internal and external audits. What You Will Bring Education: Bachelor’s degree in a related field (or equivalent IS experience). Proof of education is required for submission. Experience: Minimum of 6 years working on IT project teams, specifically in gathering requirements and analysis. Healthcare Expertise: Experience in a large multi-hospital system is highly preferred. Clinical Systems: Direct experience in clinical project implementation is required. Specific experience with Epic or Meditech is strongly preferred. Clinical Background: A background in clinical education is considered a significant plus. Methodology: Proven track record of managing projects of high complexity with minimal oversight. Success Attributes You are a disciplined planner who believes a project cannot move to implementation without a concrete, documented plan. You possess the executive presence to present to Steering Committees and leadership. You are an expert at translating business specifications into user-friendly documentation. Additional Details Location: 100% Remote. Requirement: Candidates must provide proof of education (diploma/transcripts) upon application.

Interface with customers to develop requirements, analyze and estimate project requests, support operational and technical issues, and understand healthcare transaction standards. | Experience with Unix, SQL, Oracle, code literacy in multiple programming languages, domain knowledge in healthcare transactions, and strong communication skills. | HJ Staffing is seeking a high-level Business Systems Analyst with a strong background in Point-of-Sale (POS) and Unix environments. In this role, you will do more than just document requirements; you will harness technology to improve the health and well-being of a community’s most vulnerable members. If you thrive on finding innovative solutions to healthcare’s biggest challenges and want to connect your passion with a purpose, we want to hear from you. The Opportunity As a Business Systems Analyst, you will interface directly with customers to develop requirements for complex projects. You will bridge the gap between business needs and technical execution, conducting research to resolve POS claims processing issues and preparing detailed system design specifications. What You Will Do Requirements Engineering: Work closely with customers to elicit business requirements and coordinate with systems analysts to develop technical solutions for complex problems. Project Lifecycle Management: Create, review, analyze, and estimate project requests. You will represent the client’s testing needs and validate results before presentation. Strategic Oversight: Understand the connections between multiple State initiatives and their cross-impact within the NJMMIS ecosystem. Operational Support: Field direct questions from Operations Staff regarding business, technical, and operational rules. Technical Troubleshooting: Support real-time multi-tier systems by reading program code and providing technical changes, requirements, and estimates. What You Will Bring Unix Proficiency: Basic understanding of Unix environments (navigating directories, viewing/editing files). Technical Toolkit: Familiarity with Visual Studio, SQL, and/or Oracle Databases. You should be able to write simple SQL select queries. Code Literacy: Ability to read and understand applications in C, COBOL, JavaScript, HTML, and .NET. Domain Knowledge: Familiarity with NCPDP transactions and X12 270/271 transaction sets is a significant plus (otherwise, a willingness to learn is required). Communication: Excellent written and verbal communication skills with a sharp attention to detail. Adaptability: Proven ability to manage multiple projects simultaneously and adapt to changing priorities. You Will Be Successful If: You possess strong interpersonal skills to interact with customers and diverse team members. You have a "problem-solver" mindset and thrive in analytical environments. You are comfortable presenting technical information to management and clients. You enjoy working in a collaborative team environment but can manage your individual workload effectively. Additional Information Work Location: 100% Remote. Eligibility: Candidates must be US Citizens or Green Card holders, as the goal for this position is conversion to full-time employment.

Support multiple accounts by analyzing business goals, designing processes, documenting requirements, and ensuring system designs meet client needs. | Bachelor’s degree in Business Administration or related field, 3+ years of Business Analysis experience, and experience working at the interface of IT and business groups. | HJ Staffing is currently seeking a Professional Business Analyst to join our team. In this role, you will act as the vital link between technical teams and business units, assisting in the research, assessment, and alignment of IT solutions with core business initiatives. Role Overview As a Professional Business Analyst at HJ Staffing, you will support multiple accounts by analyzing business goals and designing processes that improve operational efficiency. This is a collaborative role that requires a blend of analytical thinking and strong communication to ensure client requirements are accurately translated into technical reality. What You Will Do Process Design: Assist in planning and designing business processes and formulate recommendations to support business activities. Requirements Documentation: Analyze and document client requirements; communicate these to technical teams using conceptual data/process models, data dictionaries, and volume estimates. Testing & QA: Create and execute basic test scenarios to verify that system designs meet client needs; analyze test results across various project phases. Client Engagement: Participate in client meetings to gather requirements, explore solutions, and conduct technical reviews to ensure the "intent of change" is maintained. Systems Support: Develop and modify systems requirements documentation to meet evolving client needs. What You Will Bring Education: Bachelor’s degree in Business Administration, Information Systems, or a related field (or equivalent combination of education and experience). Experience: 3+ years of Business Analysis experience. Technical Interface: Proven experience working at the interface of IT and functional business groups. Process Knowledge: Experience with business process re-engineering and a foundational understanding of computer programming concepts/languages. Soft Skills: Strong analytical, problem-solving, and presentation skills with the ability to multitask in a team environment. Position Details Work Location: 100% Remote. Requirements: Candidates must be US Citizens or Green Card Holders.