Project/Program Manager II (Non-IT) - Remote

Overview

A managed care organization is seeking a Project/Program Manager II (Non-IT) to support internal and external initiatives related to delegated Utilization Management and Claims reporting. This fully remote role is ideal for professionals with prior experience in managed care, strong communication and organizational skills, and a solid foundation in Microsoft Office tools.

In Short

• Monitor and manage incoming IPA reports.
• Send communications and provide education to delegated provider groups on reporting protocols.
• Ensure appropriate teams receive files for manual system entry.
• Oversee and track pending claims while educating delegated groups.
• Identify and resolve delegate submission and reporting issues.
• Lead mid-to-large-scale business projects through their full lifecycle.
• Define scope, schedule, resources, costs, risks, and quality.
• Develop and maintain detailed project documentation including plans, schedules, workflows, and status reports.
• Conduct regular status meetings, track milestones, and ensure timely delivery.
• Create and refine process workflows for operational improvements.

Requirements

• Bachelor’s degree.
• 2–4 years of formal project management experience.
• 2–4 years of experience in systems implementation.
• Experience working within or supporting managed care operations (UM or Claims).
• Familiarity with health plan operations and reporting processes.
• Proficient in Microsoft Office Suite, including Excel, Word, Project, PowerPoint, and Visio.
• Excellent written and verbal communication.
• Strong problem-solving and analytical skills.
• Ability to lead cross-functional project teams.
• Attention to detail and organizational skills.

Benefits

• Remote work flexibility.
• Opportunity to work in the managed care industry.
• Engagement in meaningful projects.
• Professional development opportunities.
• Competitive hourly rate.