Job Description

Healthcare Project Manager (Hybrid) – Grand Rapids, MI

Location: Grand Rapids, MI (Hybrid)
Schedule: On-site Tuesday, Wednesday, Thursday; remote Monday/Friday
Pay: $60.00/hr

Summary

Hiring a Payment Integrity Project Manager to lead complex, large-scale healthcare initiatives focused on claims operations, payment integrity programs, vendor deliverables, and SLA performance . This Payment Integrity Project Manager will drive projects from concept through implementation, building project plans, budgets, schedules, and cross-functional workstreams while influencing stakeholders across business, operations, and vendor teams. Ideal candidates bring strong healthcare/claims experience, proven leadership on complex implementations, and excellent communication in a matrix environment.

Responsibilities

• Lead mid-to-large, high-priority healthcare projects from intake through go-live and stabilization
• Develop and manage project plans, budgets, schedules, milestones, and resource needs
• Coordinate multiple workstreams to ensure on-time delivery within budget and scope
• Manage vendor tasks and deliverables from contracting through completion; track performance to SLA agreements
• Facilitate stakeholder alignment, governance routines, and executive-ready status reporting
• Identify and manage risks, issues, dependencies, and change control to protect timelines and outcomes
• Partner with project managers/workgroup leads to monitor cost, schedule, and technical performance across components
• Document processes, procedures, outcomes, and continuous improvement opportunities
• Mentor and guide less experienced project managers; reinforce project management standards and methodology
• Act as a change agent to drive adoption of project management best practices and toolsets

Qualifications

• Bachelor’s degree (required); Master’s preferred
• 3+ years relevant experience (5+ preferred) in project/program leadership
• Must-have: Healthcare claims experience , strong influencing skills, and proven delivery of large complex implementations
• Experience managing vendors, deliverables, and escalations tied to service outcomes and SLAs
• Strong communication skills with ability to collaborate across operations, IT, analytics, and external partners
• Proficiency with Microsoft Office (Excel, PowerPoint) and strong documentation discipline
• PMP certification preferred (PgMP a plus)
• Nice to have: clinical editing, CMS knowledge, medical coding, payment integrity program exposure

Keywords: Payment Integrity Project Manager, Payment Integrity Project Specialist, Healthcare Project Manager, Claims Project Manager, Program Manager, Vendor Management, SLA, PMI, PMP, Healthcare Claims, Implementation, Stakeholder Management, Process Improvement.

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