Project Manager - Managed Care (Remote)

Stanford Health Care

1d•$56 - $74•Remote

About The Position

The Project Manager – Managed Care leads complex initiatives that directly support Stanford Medicine's payer contracting, provider network participation, and managed care operations. This role is accountable for driving projects from strategy through execution, ensuring timelines, financial objectives, regulatory requirements, and operational readiness are met. The Project Manager partners closely with Managed Care leadership and cross-functional stakeholders to implement contracting initiatives, oversee regulatory and compliance-related workstreams, and manage vendor performance. Projects managed in this role have direct impact on net patient revenue, payer performance, and enterprise contract administration. This position operates with significant independence and visibility, requiring strong judgment, stakeholder alignment, and disciplined execution across high-impact initiatives.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or a related field required. Relevant experience in lieu of a degree may be considered.
Four (4) years of progressively responsible and directly related work experience required.
Advanced proficiency in Microsoft Excel; experience with data visualization and reporting tools preferred.
Strong written and verbal communication skills, including the ability to prepare executive-level presentations and reports.
Solid understanding of project management principles, with the ability to manage multiple high-impact initiatives and competing priorities.
Ability to analyze complex information, interpret and apply a broad range of policies and procedures, and maintain a strategic, big-picture perspective.
Demonstrated ability to exercise independent judgment and make sound decisions.
Ability to build and maintain effective working relationships with internal and external stakeholders, communicating professionally and effectively (including use of C-I-CARE principles).

Responsibilities

Project Coordination/Management Lead and coordinate cross-functional projects, ensuring alignment with organizational goals and regulatory requirements.
Develop and maintain detailed project plans, timelines, and tracking tools to support successful execution.
Monitor project progress, manage documentation, and provide regular status updates and reporting.
Analyze project data and generate reports to support decision-making and performance tracking.
Support process improvement initiatives by developing and refining workflows and tools.
Prepare presentations, written communications, and web content related to assigned programs or initiatives.
Maintain organized program documentation and ensure accuracy and accessibility of project records.
Conduct business research and analysis to inform project planning and strategy.
Collaborate with internal stakeholders across departments to support project objectives and ensure effective communication.
Provider Data Maintenance Support enterprise-wide provider data management across multiple affiliated entities, including Stanford Health Care Faculty, Lucile Packard Children’s Hospital Faculty, Stanford Medicine Partners (foundation),Packard Children’s Health Alliance (foundation).
Ensure accuracy, completeness, and integrity of provider demographic, affiliation, and network participation data across internal systems and contracted payers.
Perform routine audits and data validation to maintain alignment between credentialing, contracting, enrollment, and operational systems; proactively identify and resolve discrepancies to reduce compliance and reimbursement risk.
Generate, analyze, and distribute provider data reports to support managed care operations, contracting, compliance, network management, and executive leadership decision-making.
Develop and maintain standardized processes for provider roster management, including file preparation, submission, and reconciliation with health plans.
Ensure all provider directories and externally distributed rosters comply with applicable state and federal regulations (including SB137), CMS requirements, and individual health plan contractual obligations.
Collaborate cross-functionally with credentialing, managed care contracting, compliance, IT, and operations teams to support regulatory audits, health plan inquiries, and provider data accuracy initiatives.
Contract Maintenance Maintain and update the enterprise contract management database, ensuring accuracy, completeness, and consistency of all contract records across Stanford.
Serve as the primary administrative point of contact and subject matter expert for the contract management system.
Create, manage, and monitor user accounts and system access to ensure compliance with internal controls and data governance standards.
Oversee vendor performance and fulfillment of contractual obligations related to enterprise contract management systems.
Support workflow optimization, system enhancements, and continuous improvement initiatives to improve efficiency and data integrity.
Ensure adherence to established policies, procedures, and best practices in contract documentation and recordkeeping