Project Manager - Healthcare Insurance

Job Description

As a CMS Interoperability Project Manager, you'll lead and manage projects focused on improving healthcare data exchange, ensuring compliance with CMS regulations, and collaborating with cross-functional teams to implement solutions that enhance patient care and streamline operations.

Summary

This role is responsible for leading and managing projects that advance CMS's enterprise-wide interoperability strategy, ensuring compliance with CMS regulations, and collaborating with cross-functional teams to implement solutions that enhance patient care and streamline operations.

Responsibilities

• Project Leadership: Plan, execute, and finalize projects related to interoperability initiatives, ensuring adherence to timelines, budgets, and scope.
• Regulatory Compliance: Ensure projects comply with CMS regulations, including interoperability and patient access final rules.
• Cross-Functional Collaboration: Partner with internal and external stakeholders, including other CMS offices, vendors, and industry partners, to achieve project goals.
• Requirements Gathering & Analysis: Identify, document, and analyze project requirements, ensuring alignment with business needs and technical feasibility.
• Solution Implementation: Oversee the implementation of interoperability solutions, including FHIR APIs and other data standards.
• Project Planning & Management: Develop comprehensive project plans, including timelines, budgets, and resource allocation, while considering the unique requirements of healthcare projects.
• Risk Management: Identify, assess, and mitigate project risks, ensuring projects remain on track and within budget.
• Stakeholder Communication: Maintain clear and consistent communication with stakeholders, providing regular updates on project progress and addressing concerns.
• Testing & Quality Assurance: Coordinate user acceptance testing and ensure the quality of implemented solutions.
  
  

Qualifications

• Education: Bachelor's degree in a related field (e.g., healthcare IT, project management, computer science) or equivalent experience.
• Experience: Proven experience in project management, with a strong understanding of healthcare IT and interoperability principles.
• Knowledge: Familiarity with CMS regulations, FHIR APIs, and other data standards.
• Skills: Excellent communication, interpersonal, and problem-solving skills.
• Certifications: PMP, CSM, or other relevant project management certifications are a plus.
  
  

Preferred Qualifications

• Experience in healthcare IT project management.
• Familiarity with MMIS, Data Warehouse, eligibility, or large healthcare systems.
  
  

Skills: project management,interpersonal skills,cms,data standards,interoperability principles,fhir,cms regulations,fhir apis,healthcare,communication,problem-solving,healthcare it