Healthcare Project Manager
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Overview
Schedule
Full-time
Career level
Senior-level
Remote
Hybrid remote
Compensation
$110,000-$125,000/year
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Job Description
Position Overview:We are seeking an experienced Project Manager to lead strategic and operational payment integrity initiatives within our healthcare organization. The ideal candidate embodies a proactive, detail-oriented approach to driving project success in a regulated environment and is responsible for managing:Business projects related to healthcare initiatives (DRG validation, Cost outlier, readmission reviews), and the integration of technology solutions that support these functions.Cross-functional teams, project timelines, ensuring efficient deployments, and bridging the gap between technical resources, and business operations.Please be advised that position is in-office Monday to Thursday and remote on Friday.Responsibilities:
- Project Management: Tactically plan, execute, monitor, and close all projects particularly those involving healthcare
- Team Coordination: Collaborate with internal teams (IT, Business operations) and external vendors to ensure effective project execution
- Requirements Gathering: Work with stakeholders to define scope, requirements, milestones, and resource needs for each project
- Scheduling & Budget Tracking: Develop project schedules, track progress, monitor budgets, and manage timelines
- Risk & Issue Management: Identify risks and develop mitigation strategies. Escalate issues appropriately to senior leadership or technical teams
- Communication: Provide regular updates to project sponsors, stakeholders, and team members. Maintain clear documentation and status reports
- Quality & Compliance: Ensure project outcomes comply with healthcare regulations (HIPAA/HITRUST), IT security policies, and internal quality standards
- Tracking & Documentation: Monitor all application schedules and document requirements to assure regulatory compliance with HITRUST standards (Privacy framework used by multiple industries to provide data security)
- 4+ years’ experience in healthcare project management, and 2+ years’ experience with DRG validation, hospital bill audits, or claims adjudication reviews.
- Knowledge of HITRUST, HIPAA, HITECH, and general compliance standards in healthcare/IT.
- Proficiency with MS Project, MS Excel (pivot tables, v-lookups), MS Office suite (Excel, Power Point, Word) for documentation/presentations and familiarity with Power BI is a plus.
- Deep understanding of ICD-10 coding and healthcare audit practices.
- Strong interpersonal skills and ability to communicate effectively both orally and in writing.
- Ability to manage competing priorities and influence cross-functional teams.
- Organizational and time management skills to keep teams and projects on schedule.
- Bachelor’s degree or equivalent experience in health information management, healthcare administration or related field.
- Familiarity with payment integrity, claims adjudication, or healthcare fraud/waste/abuse prevention.
- Baseline technical knowledge whereby complex technical information is translated for non-technical stakeholders and business goals for technical teams.
- Comfortable in a fast-paced healthcare and IT environment requiring adaptability and cross-team collaboration.
- Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
- 401(k) with Employer Match - Join the team and we will invest in your future
- Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays.
- Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered.
- Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.
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FAQs About Healthcare Project Manager Jobs at MedReview
What is the work location for this position at MedReview?
This job at MedReview is located in New York, NY, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at MedReview?
Candidates can expect a pay range of $110,000 and $125,000 per year.
What employment applies to this position at MedReview?
MedReview lists this role as a Full-time position.
What experience level is required for this role at MedReview?
MedReview is looking for a candidate with "Senior-level" experience level.
What benefits are offered by MedReview for this role?
MedReview offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Paid Holidays, Paid Vacation, Paid Sick Leave, Career Development, and 401k Matching/Retirement Savings for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at MedReview?
You can apply for this role at MedReview either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.