Project Manager- Clinical Transformation

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 othe