Project Manager - Healthcare Domain Experience

Role: Project Manager - Healthcare Domain Experience
Location: RICHMOND,VA

Must Have Skills
Healthcare Domain (Payer/Provider - Claims, Enrollment, Billing)
Project Management (Agile / Scrum / Waterfall / SDLC)
End-to-End Healthcare Project Delivery (10+ years)
Regulatory Compliance (HIPAA, Data Privacy)
Stakeholder & Cross-Functional Team Management

Project Manager - Healthcare Domain Experience: 10-15 Years Location: Onsite / Hybrid Domain: Healthcare (Payer / Provider / Insurance) Role Overview We are seeking an experienced Project Manager with strong healthcare domain expertise to lead and manage complex technology and business transformation initiatives. The ideal candidate will have proven experience delivering large scale healthcare programs, working closely with cross functional teams, and ensuring projects are delivered on time, within scope, and with high quality. This role requires a strong understanding of healthcare systems, regulatory considerations, and payer/provider workflows, combined with excellent project management, communication, and stakeholder engagement skills. Key Responsibilities Project Planning & Delivery Own end to end project planning, execution, monitoring, and closure for healthcare initiatives. Define project scope, objectives, timelines, dependencies, and resource plans. Ensure delivery of projects within approved schedule, budget, and quality standards. Manage multiple workstreams across development, testing, integration, and deployment phases. Healthcare Domain Leadership Leverage strong knowledge of healthcare payer/processes such as member enrollment, benefits, claims, billing, care management, and provider workflows. Ensure solutions comply with healthcare regulations and standards (e.g., HIPAA, data privacy, security guidelines). Act as a key liaison between business stakeholders and technical teams to translate healthcare requirements into actionable project plans. Stakeholder & Client Management Manage relationships with business sponsors, clients, vendors, and internal leadership. Provide clear and regular status reporting, risk updates, and executive dashboards. Drive stakeholder alignment, manage expectations, and resolve conflicts effectively. Risk, Issue & Change Management Identify, assess, and proactively mitigate project risks and issues. Manage scope changes through established change control processes. Escalate risks and dependencies appropriately with recommended mitigation strategies. Team Leadership & Collaboration Lead cross functional teams including development, QA, DevOps, and business analysts. Foster collaboration, accountability, and a high performance team culture. Support team members with clear goals, guidance, and performance feedback. Process & Governance Ensure adherence to project governance, compliance, and organizational standards. Drive continuous improvements in delivery processes and project execution. Participate in internal audits, reviews, and client governance forums as required. Required Skills & Experience Project & Program Management 10-15 years of overall experience with significant experience managing healthcare projects. Strong knowledge of project management methodologies (Agile, Scrum, Waterfall, Hybrid). Hands on experience managing end to end SDLC for enterprise applications. Healthcare Domain Knowledge Proven experience in healthcare payer or provider systems such as: Enrollment, Member & Benefits Claims processing Billing & Finance Care management and data platforms Understanding of healthcare compliance and regulatory requirements. Tools & Technology (Good to Have) Experience with project management and tracking tools such as Jira, MS Project, Azure DevOps, or similar. Familiarity working with cloud platforms (AWS, Azure) and large enterprise systems. Experience coordinating with testing, automation, and DevOps teams. Soft Skills & Leadership Strong communication, presentation, and stakeholder management skills. Excellent problem solving and decision making abilities. Ability to manage ambiguity and deliver under pressure. Highly organized, self driven, and results oriented. Collaborative leader with a customer focused mindset. Preferred Qualifications PMP, PRINCE2, or Agile certifications (CSM, SAFe) - preferred. Experience managing offshore-onsite delivery models.