Senior Project Manager- Clinical Transformation

HealthFirst•Lake Mary, FL

4d•$105,100 - $188,020•Remote

About The Position

The Sr Project Manager Clinical Transformation (Sr PM) uses their deep knowledge of clinical operations business processes, regulations, and technology to lead large-scale, complex initiatives focused on the implementation of Utilization Management (UM), Care Management (CM), and related clinical operations platforms across Healthfirst. The Sr PM is accountable for delivering complex software implementation and transformation programs from initiation through stabilization, ensuring operational adoption, regulatory alignment, measurable business outcomes, and cross-functional coordination. The incumbent drives implementation, governance, operational readiness, vendor coordination, clinical workflow integration, and delivery accountability for technology-enabled transformation programs in support of the Clinical Operations team.

Requirements

Bachelor’s degree from an accredited institution or equivalent work experience
HS Diploma or GED from an Accredited Institution
Prior experience leading medium-to-large-scale, clinically focused projects within healthcare or health insurance
Demonstrated experience delivering AI-enabled platforms, advanced analytics solutions or new software platforms solutions within healthcare operations
Experience managing enterprise software implementations with vendors, systems integrators, and internal IT teams
Experience requiring executive presence to influence decisions and drive alignment across senior leaders and diverse stakeholder groups
Demonstrated expertise managing projects with significant operational and technology dependencies requiring analytical, communication, and problem-solving skills
Experience applying project delivery methodologies, with proven ability to tailor approaches depending on goals/initiatives

Nice To Haves

Master’s degree or advanced-level certification such as Project Management Professional (PMP), Program Management Professional (PgMP), Six Sigma, or Lean
Experience working in a Scaled Agile Framework (SAFe) environment
Knowledge and/or experience with multiple Agile techniques: User Stories, ATDD, TDD, Continuous Integration, Continuous Testing, Pair Programming, Automated Testing
Experience with application and/or systems implementations or upgrades

Responsibilities

Lead end-to-end implementation of AI-enabled clinical platforms supporting UM, Care Management, prior authorization, population health, or related clinical operations
Manage large-scale transformation initiatives involving workflow redesign, system integration, data migration, operational readiness, and change management
Translate strategic objectives into actionable project plans with clear scope, timelines, financial targets, and measurable outcomes
Manage a high-volume portfolio of large, cross-functional projects with significant operational, clinical, technical, financial, and regulatory interdependencies
Translate operational and clinical requirements into executable implementation plans with technology teams and vendors
Ensure AI solutions align with clinical operations, compliance standards, audit requirements, and user adoption objectives
Partner with executive and senior leaders to drive alignment, facilitate decision making, remove barriers, and ensure accountability across stakeholder groups
Standardize and apply project management best practices, tailoring methodologies as appropriate to initiative complexity and scope
Establish and maintain project governance structure, including steering committees, status reporting, risk management, and escalation pathways
Proactively identify and mitigate risks related to cost, scope, timelines, regulatory compliance, operational disruption, and organizational readiness and adoption
Monitor and report on initiative performance, operational impact, financial benefits, and realization of return on investment
Ensure projects are executed in accordance with Healthfirst policies, regulatory requirements, internal controls, and quality standards
Drive effective change management to support adoption, sustainability, and realization of operational and business outcomes
Provide clear, concise executive-level communications and presentations regarding project status, risks, dependencies, deliverables, and realized value
Mentor and support Project Coordinators and Project Managers through coaching, project guidance, and operational leadership
Perform additional duties as assigned