Project Manager, UM Appeals Implementations

CorroHealth

2d•Remote

About The Position

The Project Manager, Utilization Management Appeals Implementations, under general direction, is responsible for overseeing operations implementation for new client and product implementations. Duties include developing, driving, coordinating, and managing implementation activities and timelines. In this role, they will be managing multiple implementations and projects across all Corro Clinical business lines; balancing competing client and internal priorities; as well as leading internal and external efforts to ensure timely and successful completion of assigned projects. Job duties include developing project plans and timelines, leading and managing project activities; providing process improvement recommendations; ensuring projects adhere to timelines; coordinating and developing client deliverables; scheduling and leading meetings; as well as providing executive level status updates. Job responsibilities also include training and assisting new Operations Support Specialists and Operations Support Coordinators and writing/maintaining training materials.

Requirements

1–2+ years of project management and/or product development experience
1–2+ years of healthcare project management or implementation experience
Strong understanding of clinical and operational workflows, with direct experience in Hospital Utilization Management, Case Management, Clinical Documentation Improvement (CDI), Coding, and Revenue Cycle Operations.
Adept at coordinating complex initiatives, collaborating with multidisciplinary teams, and translating operational needs into actionable project plans.
Detail‑oriented, proactive, and skilled at balancing competing priorities while driving process improvement, operational efficiency, and successful project outcomes.
Strong people skills – friendly, approachable, and works well with a variety of personalities
Superb organizational and time management skills; seeks out issues to resolve to increase departmental productivity
Attention to detail
Able to manage multiple emails and track deliverables
Thoroughness
Exceptional written and verbal communication and time management skills
Outstanding customer service skills
Ability to adapt and work in an open, fast-paced, collaborative environment
Works Independently but also a Team Player
Extremely organized, action oriented and deadline driven
Excellent critical thinking skills
Strict adherence to HIPAA/HITECH compliance and confidentiality
High School Diploma or equivalent required
1-2+ years of project management and/or product development experience
1-2+ years of healthcare project management/implementation experience
Experience working in Hospital Utilization Management, Case Management, CDI and Coding, and Revenue Cycle Operations
Highly Proficient in MS Outlook, Word, and Excel
Accurate keyboard skills
Demonstrated ability to present and communicate ideas clearly via email
Excellent time management, organizational, and prioritization skills
Ability to balance multiple priorities

Nice To Haves

Bachelor’s degree preferred or work equivalent

Responsibilities

Resolve complex issues with minimal supervision.
Responsible for monitoring, reporting, and analyzing operational implementation performance and share findings with management across various teams.
Create training materials and maintain a repository of Standard Operating Procedures and Best Practices within Operations Implementation
Responsible for attending client implementation calls and leading operational demos and client education
Assist team members with questions and provide education when needed
Coordinate projects that require consulting cross-departmental business and technical teams
Serve as a subject matter expert for key operational practices
Work in a fast-paced environment and quickly adapt to process changes
Assist with the organization and prioritization of operational projects that will improve both internal and client productivity
Facilitate meetings among internal staff and external business partners to align communication and expectations around project business objectives.
Develop project requirements and timelines based on project scope.
Review and establish ongoing project priorities, managing client priorities, identifying barriers impacting timelines, and collaborating with internal and external teams to develop a roadmap for resolution.
Manage project timelines and activities to ensure projects are completed on time and in scope.
Additional responsibilities that would correlate with the growth of the company.