Project Manager- Expert

Job Overview

We are seeking an experienced Senior IT Project Manager to lead complex technology projects supporting healthcare data exchange, Medicaid services, and population health initiatives. The role focuses on improving healthcare data exchange processes, care management, and interoperability between Medicaid programs, healthcare providers, and other payers.

The selected candidate will manage technical project workstreams focused on enhancing care management data exchange processes, including claims and supplementary data exchange with Medicaid and other healthcare payers.

Key Responsibilities

• Lead and manage complex IT projects related to healthcare data exchange and Medicaid services.
• Oversee the implementation of enhanced care management data exchange processes.
• Manage assigned project workstreams and track milestones, deliverables, risks, and timelines.
• Coordinate with healthcare organizations, program managers, technical vendors, and external government agencies.
• Oversee technical implementation vendors and ensure successful project delivery.
• Support claims data exchange and integration initiatives with healthcare payers.
• Apply established project management methodologies to ensure projects meet scope, schedule, budget, and quality expectations.
• Facilitate stakeholder meetings, provide project updates, and manage cross-functional communication.
• Identify project risks, resolve issues, and ensure alignment with program objectives and federal funding requirements.

Required Qualifications

• Minimum 84 months (7+ years) of IT project management experience.
• Strong experience managing complex technical projects and multiple workstreams.
• Experience with healthcare IT systems, Medicaid programs, or Health Information Exchange (HIE).
• Knowledge of healthcare data exchange claims processing, and care management processes.
• Experience coordinating with vendors, government agencies, and multiple stakeholders.
• Strong communication, leadership, planning, and problem-solving skills.
• Experience with project management methodologies, risk management, and project reporting.

Preferred Skills

• Experience with Health Information Exchange (HIE) platforms.
• Knowledge of Medicaid programs and healthcare interoperability.
• Experience with claims data exchange and population health initiatives.
• Experience managing federally funded IT projects or Advance Planning Documents (APDs).
• Experience working with healthcare payers and state government agencies.