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Managed Care / Healthcare Project Manager - Population Health & Clinical Systems Migration

MDA Edge

Role overview

Qualifications

  • Bachelor's degree in Business Administration, Healthcare Administration, or related field
  • Minimum 4 years of experience in project or program management within managed care or healthcare
  • Demonstrated experience leading non-IT clinical system migration projects
  • Proficiency with MS Office (Word, Excel, PowerPoint, Visio) and project management tools such as Smartsheet or Planview

Responsibilities

  • Lead Population Health and Clinical Operations project management initiatives focused on clinical system migrations
  • Oversee business areas such as Utilization Management, Care Management, Appeals, Medical Management, and Pharmacy
  • Facilitate weekly PHCO Clinical Functional Workgroup meetings and ensure effective coordination of action items
  • Develop and maintain PHCO business process project plans, tracking milestones and deliverables

About the company

MDA Edge logo

MDA Edge

Business Consulting & Services

Our objective is to establish an exceptional ecosystem by connecting individuals, technology, and prospects through the application of human intelligence.MDA Edge is a process-oriented company and our expertise lies in providing comprehensive Workforce Solutions, specifically focusing on Contingent Staffing, Bulk/Project Staffing, RPO/KPO/BPO, and Direct Hire services. We cater to a wide range of industries, including Infrastructure Consulting, Engineering Consulting, IT Consulting, Healthcare, Life Sciences, Pharmaceutical Consulting, Consumer Goods, Education, Transportation & Logistics, Media & Entertainment, Telecom, BFSI, Manufacturing, Utilities & Energies, and Corporate Recruitment. Moreover, we have developed a dedicated focus on Government Consulting.Our company prides itself on a meticulous approach, ensuring that we meet your specific needs. We have established a robust network of highly skilled professionals who are readily available to fulfill your requirements. With a strong commitment to excellence, we consistently deliver exceptional results for clients in India, Denmark, France, Germany, Ireland, Japan, Spain, Thailand, the USA, Canada and Mexico, with ongoing expansion efforts to serve more new regions in the near future.We consistently uphold the highest standards of quality by providing resources, time, and materials to design, implement, and support efficient operations for organizations. Our track record of measurable accomplishments demonstrates our commitment to cultivating a balanced work and societal ecosystem.Our continuous growth, successful customer engagements, and strong customer retention exemplify our achievements. Furthermore, our passion lies in streamlining complex business processes through the application of suitable technology, which has been integral to our success.We extend an invitation to join our dynamic workplace, offering rapid growth opportunities, excellent employee benefits, and a positive work-life balance.

Company details

Company typeScaleup
IndustryBusiness Consulting & Services
Company size201 - 500

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Job description

Position Overview: This role is part of the Population Health and Clinical Operations (PHCO) Project Management Office. The Project Manager will lead business (non-IT) clinical system migration initiatives, ensuring alignment with operational needs and system development capabilities across multiple healthcare functions.
Key Responsibilities:
  • Lead Population Health and Clinical Operations project management initiatives focused on clinical system migrations.
  • Oversee business areas such as Utilization Management, Care Management, Appeals, Medical Management, and Pharmacy.
  • Facilitate weekly PHCO Clinical Functional Workgroup meetings and ensure effective coordination of action items.
  • Develop and maintain PHCO business process project plans, tracking milestones and deliverables.
  • Present weekly project updates, highlighting risks, progress, and decisions during leadership meetings.
  • Collaborate with cross-functional teams to identify and implement solutions supporting organizational goals.
Required Qualifications:
  • Bachelor's degree in Business Administration, Healthcare Administration, or related field.
  • Minimum 4 years of experience in project or program management within managed care or healthcare.
  • Demonstrated experience leading non-IT clinical system migration projects.
  • Proficiency with MS Office (Word, Excel, PowerPoint, Visio) and project management tools such as Smartsheet or Planview.
  • Skilled in managing diverse, matrixed teams across multiple functions.
Preferred Qualifications:
  • Master's degree in Business Administration, Healthcare Administration, or related field.
  • 2–3 years of experience in Population Health initiatives.
  • Hands-on experience with TruCare clinical systems.
  • PMP, PgMP, or CAPM certification.
  • Strong verbal and written communication skills.
  • Excellent organization, task management, and follow-up abilities.
Additional Details:
  • Industry: Managed Care / Healthcare.
  • Location: No relocation assistance available.
  • Bonus: Annual 8% bonus opportunity.
  • Position Type: New, full-time.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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