Project Manager (Claims Coordination)

Job Description Insight Global is seeking a Project Manager to oversee the management and coordination of a $0 claims program as part of a critical project with one of the largest consulting and advisory firms in the world. This individual will serve as the operational backbone of a large, cross‑functional claims initiative supporting behavioral health programs across multiple stakeholders. The role is highly execution‑focused and will own project planning, governance, risk management, and analytical deliverables tied to regulatory and interoperability requirements. This is an excellent opportunity for a senior project management professional who thrives in complex, multi‑stakeholder environments and enjoys translating policy and program needs into actionable delivery outcomes. Key Responsibilities Own and maintain the integrated project plan for the $0 Claims initiative, tracking tasks, dependencies, risks, and milestones across product, engineering, policy, and external partners. Develop and document the $0 Claims operating model, including governance structure, roles and responsibilities, escalation paths, and cross‑team handoff processes. Identify, track, and mitigate cross‑program risks and issues, escalating blockers and driving resolution to keep delivery on track. Lead development of analytical work products such as $0 Claims and interoperability overlap analyses, EHR usage assessments by county, and other ad hoc program analyses. Partner closely with Product and Delivery leadership to support roadmap development, delivery planning, and execution of $0 Claims capabilities. Act as the primary coordination point across internal teams, DHCS programs/divisions, and external vendors, ensuring clear communication and accountability. Prepare executive‑level reporting, including status updates, risk and issue logs, and executive summaries for leadership audiences. Support Steering Committee and Capability Committee meetings by preparing materials, presenting updates, and tracking action items. Facilitate development of clear problem statements and actionable recommendations in collaboration with product and policy teams. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy. Skills and Requirements 7+ years of project management experience, including 3+ years in a lead role managing complex, cross‑functional initiatives. Hands‑on experience with Medicaid/Medi‑Cal/claims, along with up to date knowledge on policy, regulatory changes and best practices. Experience developing and managing integrated project plans, risk logs, and executive‑level reporting. Bachelor's Degree (or equivalent experience on a year‑by‑year basis). Strong stakeholder management experience across technical, policy, and executive audiences. Advanced analytical skills with experience synthesizing data into actionable insights and recommendations. PMP certification (Project Management Institute) required. Strong preference for California Medi‑Cal claims experience, preferably $0 dollar claims. Background supporting Behavioral Health, Medicaid, or public‑sector healthcare programs. Experience working in consulting or client‑facing delivery environments. Familiarity with EHR systems, interoperability initiatives, or healthcare data exchange programs. Experience supporting governance forums such as steering committees or executive councils. #J-18808-Ljbffr Insight Global