Lead end-to-end implementation projects for healthcare payer and claims operations clients
Develop and manage comprehensive project plans, timelines, and deliverables
Ensure requirements are clearly documented and aligned with transactional workflows
Drive milestone achievement and ensure high-quality delivery
Conduct proactive risk management and implement mitigation strategies
Manage implementations involving healthcare claims processing and EDI transactions (837 formats)
Oversee paper-to-EDI transformation workflows
Support integrations, data mapping, and transaction validation processes
Partner with technical and operations teams on transactional-side healthcare implementations (non-clinical focus)
Provide leadership during UAT, system integrations, and go-live readiness
Serve as primary point of contact for customer stakeholders
Lead client and internal status meetings
Create and distribute status reports and executive updates
Apply healthcare payer domain knowledge to address client requirements
Build strong partnerships with customer counterparts and internal teams

8+ years of project management experience in the healthcare insurance industry
Direct experience with healthcare claims and EDI transactions (837 formats required)
Experience with paper-to-EDI processes and transactional healthcare workflows
Strong understanding of healthcare payers, TPAs, and claims operations
Experience supporting implementations, integrations, and UAT
Proven experience leading large-scale, cross-functional projects
Strong proficiency in Microsoft Project and Microsoft Office
Excellent written, verbal, and presentation skills
Highly organized with strong attention to detail
Self-starter with demonstrated accountability and performance consistency.

Implementation Project Manager

Key skills