Project Manager with Prior Authorization

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 #J-18808-Ljbffr Themesoft Inc.