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Project Specialist - Payment Integrity
Grand Rapids, MI 49525 | Fully Remote
Job Description
We're hiring a Payment Integrity Project Specialist W2 contract in Grand Rapids, MI. Hybrid role for someone with healthcare claims and project management experience leading complex implementations.
- Hybrid: Onsite Tuesday-Thursday
- Must have healthcare claims, project management, SLA experience
- Plus: payment integrity, CMS, medical coding, clinical editing
Leads mid- to large-scale healthcare projects by coordinating cross-functional teams, managing timelines and resources, and ensuring projects are delivered on time and within quality standards. Oversee projects from planning through implementation, manages vendor deliverables, and supports less experienced project managers as needed.
Essential Functions
Essential Functions
- Manage multiple complex projects, including plans, budgets, schedules, and execution.
- Coordinate cross-functional teams and secure resources needed to meet project goals.
- Oversee vendor activities, issue escalation, service delivery, and stakeholder satisfaction.
- Partner with departments and business stakeholders to ensure alignment and continuity.
- Analyze processes and drive continuous improvement while following project management standards.
Job Requirements
What you will need:
Required Bachelor's Degree or equivalent
Preferred Master's Degree or equivalent
3 years of relevant experience in the field Required
5 years of relevant experience in the field Preferred
CRT-Project Management Professional (PMP) - PMI Project Management Institute preferred Or
CRT-Program Management Professional (PgMP)
Preferred:
Experience in project management role aligned with Project Management Institute (PMI) principles and practices, including leading multiple moderately sized project teams of eight or more members in a matrix organization, supervising resources in a cross-functional environment, and managing projects across multiple technologies and/or business functions.
Required Bachelor's Degree or equivalent
Preferred Master's Degree or equivalent
3 years of relevant experience in the field Required
5 years of relevant experience in the field Preferred
CRT-Project Management Professional (PMP) - PMI Project Management Institute preferred Or
CRT-Program Management Professional (PgMP)
Preferred:
Experience in project management role aligned with Project Management Institute (PMI) principles and practices, including leading multiple moderately sized project teams of eight or more members in a matrix organization, supervising resources in a cross-functional environment, and managing projects across multiple technologies and/or business functions.
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Ready to embark on an exciting career journey in the vibrant city of Grand Rapids, Michigan? Explore our latest job opportunities in this dynamic region that boasts a thriving job market and a welcoming community. Known as Beer City USA, Grand Rapids is home to an array of craft breweries, stunning art galleries like the Frederik Meijer Gardens & Sculpture Park, and impressive cultural attractions such as the Grand Rapids Ballet and the Grand Rapids Symphony. With its lively downtown area, renowned restaurants serving up local delicacies like pasties and Michigan cherry pie, and picturesque outdoor spaces like Millennium Park and John Ball Zoo, Grand Rapids offers a perfect blend of urban amenities and natural beauty for professionals looking to advance their careers in a charming and growing city. Dive into our job listings and discover the opportunities waiting for you in Grand Rapids!
