What are the responsibilities and job description for the Project Manager with Prior Authorization position at Themesoft Inc.?
Role: Project Manager
Location: Woodland Hills, CA (Onsite)
Duration: W2 Contract (Independent candidates on W2)
We are seeking an experienced Project Manager to lead a prior authorization (PA) transformation/implementation project within a healthcare environment. This is a highly technical program, requiring strong coordination across business, technology, and integration teams.
The ideal candidate will bring solid project delivery expertise, with a technical background preferred to effectively drive execution across complex, system-driven workflows.
Required Qualifications
- 8 years of Project Management experience in IT and healthcare domains
- Proven experience managing complex, technical projects involving system integrations or platform implementations
- Strong understanding of Software Development Lifecycle (SDLC) and Agile/Hybrid delivery models
- Demonstrated ability to manage cross-functional distributed teams
- Excellent stakeholder management, communication, and problem-solving skills
Preferred Qualifications
- Experience in Healthcare Payer domain, specifically Prior Authorization workflows
- Prior experience working on claims, utilization management, or care management systems
- Technical background (e.g., development, integration, architecture) strongly preferred
- Familiarity with tools such as JIRA, Confluence, or similar delivery management platforms
- Certifications such as PMP, Scrum Master, or equivalent are a plus
Key Responsibilities
- Lead end-to-end project delivery for a prior authorization initiative, ensuring alignment with business and IT objectives
- Develop and manage detailed project plans, timelines, milestones, and deliverables
- Coordinate cross-functional teams including business stakeholders, engineering, QA, and integrations teams
- Drive requirements alignment, ensuring translation of business needs into technical deliverables
- Manage project scope, schedule, cost, and quality constraints while proactively mitigating risks
- Oversee SDLC execution, including planning, development coordination, testing, and deployment support
- Facilitate key program meetings, including status updates, risk reviews, and stakeholder communications
- Track project progress, dependencies, and performance metrics, with clear reporting to leadership
- Identify and resolve technical and delivery challenges, ensuring minimal impact to timelines
- Ensure adherence to governance, compliance, and documentation requirements
Thank you
Praveen
praveen.s@themesoft.com