• Job Description

  Req#: 127438
  Position Overview
  
  We are seeking an experienced Project Manager with a unique blend of health insurance expertise and strong IT/technical knowledge. This role requires exceptional interpersonal and stakeholder management skills to successfully lead complex healthcare technology initiatives.
  
  Key Responsibilities
  
  Project Leadership
  
  • Lead end-to-end project management for healthcare IT initiatives, ensuring alignment with organizational goals and regulatory requirements
  • Develop comprehensive project plans, timelines, budgets, and resource allocation strategies
  • Monitor project progress, identify risks, and implement mitigation strategies proactively
  • Ensure projects are delivered on time, within scope, and within budget
  
  Healthcare & Technical Integration
  
  • Bridge the gap between clinical/operational healthcare needs and technical solutions
  • Translate complex healthcare requirements into actionable technical specifications
  • Understand health insurance processes, claims management, and reimbursement workflows
  
  Stakeholder Management
  
  • Build and maintain strong relationships with diverse stakeholders including operational staff, IT teams, executives, vendors, and external partners
  • Facilitate effective communication across all organizational levels
  • Conduct regular stakeholder meetings and provide transparent project updates
  • Navigate competing priorities and negotiate solutions that satisfy multiple stakeholders
  • Manage change management processes and drive user adoption
  
  Team Collaboration
  
  • Lead cross-functional teams including developers, analysts, healthcare professionals, and business users
  • Foster a collaborative team environment that encourages innovation and problem-solving
  • Mentor team members and promote professional development
  
  Required Qualifications
  
  Education & Certification
  
  • Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, or related field
  • PMP (Project Management Professional) certification required
  • Agile/Scrum certification (CSM, SAFe)
  
  Experience
  
  • Minimum 5-7 years of project management experience in healthcare IT environments
  • Proven experience with health insurance operations, claims processing, or healthcare revenue cycle
  • Demonstrated success managing large-scale IT implementations in healthcare settings
  
  Technical Skills
  
  • Strong understanding of healthcare IT infrastructure, systems integration, and data management
  • Familiarity with healthcare interoperability standards (HL7, FHIR, X12)
  • Knowledge of database management, cloud technologies, and software development lifecycles
  • Proficiency with project management tools (MS Project, Jira, Smartsheet, etc.)
  
  Healthcare Knowledge
  
  • Deep understanding of healthcare delivery models and insurance operations
  • Knowledge of healthcare compliance requirements and quality standards
  • Familiarity with value-based care, population health management, and healthcare analytics
  
  Interpersonal & Leadership Skills
  
  • Exceptional communication skills (written and verbal) with ability to present to executive leadership
  • Strong emotional intelligence and conflict resolution capabilities
  • Proven ability to influence without authority
  • Excellent negotiation and consensus-building skills
  • Adaptability and resilience in fast-paced, changing environments
  
  Core Competencies
  
  • Strategic thinking and problem-solving
  • Risk management and quality assurance
  • Budget management and financial acumen
  • Change management expertise
  • Results-oriented with strong attention to detail
  • Ability to manage multiple complex projects simultaneously

• About the company

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