CareAllies is a company that values employee development and success. The Project Manager role focuses on supporting the resolution of provider-related issues and enhancing the efficiency of revenue cycle operations through effective tracking and coordination.
Responsibilities:
- Support intake and tracking of provider-related issues submitted through Salesforce and other interdepartmental platforms
- Ensure required documentation is complete (issue summary, claim examples, supporting data)
- Route issues to appropriate teams and assist in monitoring progress through resolution; independently processes issues when necessary
- Maintain accurate records and status updates within tracking systems
- Assist in researching and gathering information needed for issue investigation
- Support senior team members in root cause identification and resolution activities
- Follow up with internal teams to ensure timely responses and issue closure
- Escalate delays or risks to leadership as appropriate
- Adhere to standardized workflows for issue intake and resolution
- Identify and flag process gaps or inefficiencies to leadership
- Assist with basic process improvement efforts to reduce manual work and improve consistency
- Maintain logs of issues, turnaround times, and resolution outcomes
- Support reporting on key metrics such as backlog, aging, and resolution timelines
- Assist in identifying trends related to claims issues or provider concerns
- Provide timely and professional communication to internal stakeholders
- Support coordination across teams including claims, provider relations, and operations
- Help ensure a positive provider experience through accurate and timely follow-up
- Ensure all documentation meets organizational standards and compliance requirements
- Participate in quality checks to ensure accuracy of issue tracking and resolution data
Requirements:
- Associate or Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
- 1–3 years of experience in healthcare operations, customer support, or revenue cycle environment
- Basic understanding of claims processing or healthcare operations preferred
- Strong organizational and time management skills
- Detail-oriented with the ability to manage multiple tasks
- Proficiency in Microsoft Excel and general office tools
- Exposure to revenue cycle management (RCM) or provider issue resolution
- Experience with systems such as Salesforce or claims platforms (e.g., Facets)
- Familiarity with healthcare terminology and workflows