Project Manager [PayerProvider]

Sumeru Solutions


Job Location:

Richmond, VA - USA

Monthly Salary: Not Disclosed
Posted on: 3 days ago
Vacancies: 1 Vacancy

Job Summary

We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs working closely with cross functional teams and ensuring projects are delivered on time within scope and with high quality. This role requires a strong understanding of healthcare systems regulatory considerations and payer/provider workflows combined with excellent project management communication and stakeholder engagement skills. Key Responsibilities Project Planning & Delivery Own end to end project planning execution monitoring and closure for healthcare initiatives. Define project scope objectives timelines dependencies and resource plans. Ensure delivery of projects within approved schedule budget and quality standards. Manage multiple workstreams across development testing integration and deployment phases. Healthcare Domain Leadership Leverage strong knowledge of healthcare payer/processes such as member enrollment benefits claims billing care management and provider workflows. Ensure solutions comply with healthcare regulations and standards (e.g. HIPAA data privacy security guidelines). Act as a key liaison between business stakeholders and technical teams to translate healthcare requirements into actionable project plans. Stakeholder & Client Management Manage relationships with business sponsors clients vendors and internal leadership. Provide clear and regular status reporting risk updates and executive dashboards. Drive stakeholder alignment manage expectations and resolve conflicts effectively. Risk Issue & Change Management Identify assess and proactively mitigate project risks and issues. Manage scope changes through established change control processes. Escalate risks and dependencies appropriately with recommended mitigation strategies. Team Leadership & Collaboration Lead cross functional teams including development QA DevOps and business analysts. Foster collaboration accountability and a high performance team culture. Support team members with clear goals guidance and performance feedback. Process & Governance Ensure adherence to project governance compliance and organizational standards. Drive continuous improvements in delivery processes and project execution. Participate in internal audits reviews and client governance forums as required.

Required Skills & Experience Project & Program Management 10-15 years of overall experience with significant experience managing healthcare projects. Strong knowledge of project management methodologies (Agile Scrum Waterfall Hybrid). Hands on experience managing end to end SDLC for enterprise applications. Healthcare Domain Knowledge Proven experience in healthcare payer or provider systems such as: Enrollment Member & Benefits Claims processing Billing & Finance Care management and data platforms Understanding of healthcare compliance and regulatory requirements. Tools & Technology (Good to Have) Experience with project management and tracking tools such as Jira MS Project Azure DevOps or similar. Familiarity working with cloud platforms (AWS Azure) and large enterprise systems. Experience coordinating with testing automation and DevOps teams. Soft Skills & Leadership Strong communication presentation and stakeholder management skills. Excellent problem solving and decision making abilities. Ability to manage ambiguity and deliver under pressure. Highly organized self driven and results oriented. Collaborative leader with a customer focused mindset. Preferred Qualifications PMP PRINCE2 or Agile certifications (CSM SAFe) - preferred. Experience managing offshore-onsite delivery models. Prior exper

We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs working closely with cross functional teams ...