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.

