Project Manager

Key Responsibilities

• Lead the end-to-end implementation of a large-scale Quality Claims System.
• Develop and manage comprehensive project plans, timelines, milestones, budgets, risks, issues, and dependencies.
• Coordinate cross-functional teams across business, IT, claims, quality, operations, and other functional areas.
• Drive implementation activities from requirements and planning through testing, deployment, stabilization, and operational transition.
• Establish project governance, reporting structures, steering committees, and executive communications.
• Manage risks, issues, dependencies, scope changes, and project escalations.
• Partner with business and technology stakeholders to ensure system requirements and implementation objectives are aligned.
• Coordinate vendor and third-party partners as applicable.
• Provide regular project status updates and recommendations to senior and executive leadership.
• Drive organizational readiness, change management, training, adoption, and implementation communication.
• Ensure implementation milestones and quality objectives are achieved within established timelines and budgets.
• Identify opportunities to improve processes, system performance, operational efficiency, and claims quality.

Required Qualifications

• Active PMP certification required.
• Significant experience as a Senior Project Manager, Program Manager, Project Leader, or Implementation Manager.
• Proven experience leading large-scale, complex system implementations.
• Experience within the healthcare payer / health insurance industry.
• Direct experience with claims systems, claims processing, claims operations, or claims-related technology implementations.
• Demonstrated ability to lead large, cross-functional business and technology teams.
• Strong project planning, risk management, governance, and execution capabilities.
• Excellent executive-level communication and stakeholder management skills.
• Experience managing multiple workstreams, dependencies, vendors, and senior stakeholders.
• Strong understanding of healthcare operations, technology implementation, and organizational change.