The Project Manager supports the planning, coordination, and execution of small to mid-scale healthcare projects within a health insurance environment. This role focuses on ensuring successful project delivery across operational, clinical, and provider initiatives that improve member experience, provider engagement, and organizational efficiency. The Project Manager works cross-functionally with departments such as Network Management, Claims Operations, Quality, and Member Services to ensure that projects are completed on time, within scope, and aligned with business objectives.
Plan and manage healthcare and insurance-related projects, including network operations, provider initiatives, and process improvement efforts.
Coordinate cross-functional teams—such as provider relations, operations, quality improvement, and IT—to achieve project goals and deliverables.
Monitor timelines, budgets, and project milestones; proactively identify risks and develop mitigation strategies.
Support business readiness and implementation planning for new programs, process changes, or regulatory updates.
Act as a liaison between business units, clinical leaders, and external partners to ensure clear communication and alignment on goals and deliverables.
Analyze project outcomes and recommend process improvements to enhance efficiency, compliance, and service quality.
Document and track project activities, prepare status reports, and communicate progress to stakeholders and leadership.
Education: Bachelor’s Degree in Healthcare Administration, Business, Project Management, or a related field preferred.
Experience: 2–3 years of project management experience within healthcare, managed care, or health insurance operations.
In lieu of a degree, an additional 4 years of relevant project experience may be considered.
Project Management Professional (PMP) certification or equivalent experience.
Knowledge of healthcare operations, claims processing, provider networks, and regulatory requirements.
Familiarity with Agile or Scrum methodologies.
Strong communication, analytical, and organizational skills.
Demonstrated ability to manage multiple projects and collaborate across clinical, operational, and technical teams.
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