The Project Manager Clinical Transformation (PM) supports the end-to-end coordination and execution of cross-functional initiatives focused on clinical operations enablement, workflow modernization, regulatory readiness, operational adoption, and technology implementation across Healthfirst. The PM is responsible for coordinating clinical project activities, maintaining project plans and governance materials, supporting operational and regulatory initiatives, and driving execution of defined deliverables, timelines, risks, and dependencies. The PM collaborates with clinical, operational, technology, vendor, compliance, and business stakeholders to support implementation efforts for Utilization Management, Care Management, and related clinical operations platforms. The incumbent manages medium-to-large-scale projects with department-level or enterprise-level importance, moderate to high complexity, cross-functional interdependencies, and measurable operational, clinical, or business outcomes.
Duties and Responsibilities:
Organize and lead project teams through the full project life cycle, from initiation through implementation and stabilization
Develop, maintain, and manage project plans, timelines, milestones, meeting documentation, status reports, decision logs, issue trackers, and action-item tracking
Partner with clinical, operational, technology, vendor, compliance, and business stakeholders to ensure requirements are clearly understood and implementation activities align with business and clinical needs
Translate business, clinical, and operational requirements into executable project plans, deliverables, milestones, and workstream activities
Coordinate project execution, resource planning, and cross-functional activities to ensure projects are completed on schedule, within scope, and aligned to budget expectations
Maintain project governance materials required for medium-to-large-scale initiatives, including status reporting, risk and issue logs, dependency tracking, and escalation materials
Establish and actively manage project stakeholder expectations, relationships, communication rhythms, and accountability structures
Monitor and report on project milestones, deliverables, risks, issues, decisions, and dependencies, escalating to leadership as appropriate
Manage deliverables across functional teams to ensure outputs meet defined timelines, quality expectations, implementation requirements, and project guidelines
Tailor project management methods based on project size, complexity, delivery methodology, stakeholder needs, regulatory considerations, and organizational impact
Report project status to project sponsors and leadership, escalating changes, risks, issues, and barriers for resolution as needed
Collaborate with resource managers and functional leaders to support appropriate resource planning and project delivery
Achieve project objectives in accordance with Healthfirst project management methodologies, standards, policies, and governance expectations
Perform additional duties as assigned
Minimum Qualifications:
Bachelor’s degree from an accredited institution or equivalent work experience
HS Diploma or GED from an Accredited Institution
Experience managing cross-functional projects that yielded meaningful results
Experience engaging and communicating with key stakeholders including senior-level leadership
Experience with project change management, portfolio risk management, project communication management and organization change management
Experience managing multiple priorities, coordinating across teams, escalating issues appropriately, and driving project execution in a matrixed environment
Preferred Qualifications:
Master’s degree from an accredited institution
Advanced-level certification such as Project Management Professional (PMP), Program Management Professional (PgMP), Certified Professional in Healthcare Quality (CPHQ), or Lean
Prior experience leading medium to large scale, clinically focused projects within healthcare or health insurance
Demonstrated experience delivering AI-enabled platforms, advanced analytics solutions or new software platforms solutions within healthcare operations
Experience supporting technology implementations, application upgrades, platform migrations, system integrations, or operational transformation initiatives
Industry work experience in healthcare such as hospital, including managed or long-term care, health insurance, hospital long-term care, government or other healthcare agency
Knowledgeable of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430
All Other Locations (within approved locations): $88,700 - $131,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
- The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
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