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Senior Project Manager - Healthcare Claims and Enrollment

geeksrecruitingLong Beach
On-site Contract

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Experience Level

Mid to Senior

Qualifications

Required Skills:A minimum of 5-7 years of project management experience. Proficient in project management methodologies including Waterfall, Agile, and Scrum. Expertise in MS Project, SharePoint, Excel, Visio, PowerPoint, and Word. Exceptional interpersonal and communication skills. Bachelor’s Degree or equivalent work experience. Preferred Qualifications:Knowledge of the Software Development Life Cycle (SDLC). Project Management Professional (PMP) certification.

About the job

  • Join our dynamic Claims and Enrollment group within the Enterprise Project Management Office (PMO).
  • This role will report directly to the Director of the PMO overseeing the Claims and Enrollment Portfolio.
  • We are seeking an experienced Senior Project Manager who excels at managing multiple stakeholders within a complex political landscape, adept at reconciling differing opinions to propel projects forward.
  • The ideal candidate will possess humility, deep knowledge in the field, assertiveness, proactivity, and strategic savvy.

Preferred Experience:

  • Extensive healthcare experience from a payer’s perspective.
  • Proven track record in managing healthcare claims projects.
  • Experience in healthcare enrollment and eligibility initiatives.
  • Familiarity with healthcare capitation and Fee-For-Service (FFS) claims.
  • Expertise in provider data management.
  • Knowledge in claims certification, auditing, and recovery processes.
  • Experience with end-to-end claims processing.

About geeksrecruiting

At geeksrecruiting, we pride ourselves on connecting top talent with exciting opportunities in the healthcare sector. Our focus on innovative solutions in project management allows us to meet the evolving needs of our clients. Join us in making a difference in the healthcare landscape.

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