JOB SUMMARY

This job will be expected to provide leadership oversight to a group of project managers within a value stream. The incumbent's focus will be to support the individual project managers in the delivery of the projects within their domain. The incumbent will be expected to have a clear understanding of the projects being managed by their team and ensure that all delivery management processes are being followed correctly. Will provide training and mentoring to the development of the project managers to improve their skills. In the event where a project would require additional leadership support the manager is expected to step in and remove obstacles and support stakeholder management.

Preferred candidates will have experience leading healthcare billing and financial operations initiatives, including premium billing, payment processing, reconciliation, billing remediation, payment integrity and customer financial experience improvements. Candidates should possess strong operational and technology project leadership skills, demonstrated success managing cross-functional teams through complex transformations, and the ability to identify and resolve operational risks impacting billing accuracy, customer experience, and financial performance. Experience within a health plan, payer, healthcare operations, or regulated financial environment is strongly preferred.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Manages the assignment of project managers to specific requests for work. Ensures that the project manager has proper information about impacted domains and reviews outputs to ensure that they are completed successfully.
• Supports delivery owner in allocation of resources from across the matrixed organization. Resolves conflicts in scheduling that may require cross domain coordination or excitations. Reviewing work plans and breakdowns to ensure that all required activities are being addressed. Review project budget and allocations to ensure correct delivery of the project. Reviews risk identification to ensure that all appropriate risks are identified for the project. Review communication plans and stakeholder identification to ensure completeness.
• Reviews communication and status and engages in go to green plans for all yellow or red projects. Support issue resolution through engagement of their experience and involvement of other teams.
• Validate that all project budget and time tracking progress has been completed correctly and timely. Engage and help to address any project with budget variances. Review and approve all change controls before presentation to stakeholders.
• Facilitate lessons learned activities for projects that are closing out. Ensure that all project artifacts are documented and archived.
• Actively engage in all Yellow / Red projects to resolve open issues. Be prepared to accept and manage escalations for projects in their domains. Have regular meetings with the stakeholders for critical projects. Ensure that any issues for project are properly escalated to senior leadership.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Healthcare, Business, Information Technology or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Substitutions

• None

Preferred

• None

EXPERIENCE

Required

• 7 years of Project Delivery Experience
• 7 years of Client Relationship Management

Preferred

• 3 years of Team Leadership and Management
• Demonstrated experience managing large-scale operational transformation, remediation, or system implementation projects impacting billing, customer service, finance, and health plan operations.
• Experience partnering with business operations, IT, vendor organizations, and production support teams to resolve billing defects, payment issues, reconciliation gaps, and process breakdowns.
• Experience managing operational readiness activities, implementation planning, training, communications, and post-production stabilization efforts for billing-related initiatives.
• Proven ability to lead projects involving regulatory, compliance, audit, or customer-impacting financial processes.

LICENSES OR CERTIFICATIONS

Required

• None

Preferred

• PMP - Project Management Professional
• Agile experience

SKILLS

• Project Management
• Financial Planning and Management
• Strong Communication Skills
• Problem Management and Resolution
• Working in a Matrixed Organization
• Client Expectations Management

Language (Other than English)

None

Travel Required

25% - 50%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Rarely

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.