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Healthcare Project Manager (New York)
Healthcare Project Manager (New York)TBG | The Bachrach Group • New York, NY, United States
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Healthcare Project Manager (New York)

Healthcare Project Manager (New York)

TBG | The Bachrach Group • New York, NY, United States
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Job Summary

We are partnered with an excellent organization that is seeking a skilled Project Manager to lead strategic and operational payment integrity initiatives . This role requires a proactive, detail-oriented professional who can successfully manage projects in a highly regulated environment. The Project Manager will oversee :

  • Healthcare business projects, including DRG validation, cost outlier analysis, and readmission reviews, as well as the integration of technology solutions to support these functions.
  • Cross-functional teams, project timelines, and deployments, while serving as a liaison between technical resources and business operations.

📌 This is an in-office position Monday through Thursday, with remote work on Fridays.

Key Responsibilities

  • Project Management : Plan, execute, monitor, and close healthcare-related projects.
  • Team Coordination : Partner with internal teams (IT, business operations) and external vendors to ensure seamless execution.
  • Requirements Gathering : Collaborate with stakeholders to define project scope, requirements, milestones, and resources.
  • Scheduling & Budget Management : Develop project schedules, monitor progress, track budgets, and ensure timely delivery.
  • Risk & Issue Management : Identify risks, create mitigation strategies, and escalate issues when necessary.
  • Communication : Provide clear, consistent updates to stakeholders and leadership; maintain accurate documentation and reports.
  • Quality & Compliance : Ensure all project deliverables meet healthcare regulations (HIPAA / HITRUST), IT security standards, and internal quality benchmarks.
  • Tracking & Documentation : Maintain detailed records to ensure compliance with HITRUST and other regulatory frameworks.

    • Required Skills & Qualifications

  • 4+ years of experience in healthcare project management, with at least 2 years in DRG validation, hospital bill audits, or claims adjudication.
  • Strong knowledge of healthcare compliance standards including HITRUST, HIPAA, and HITECH.
  • Proficiency in MS Project, Excel (pivot tables, VLOOKUPs), Word, and PowerPoint; Power BI experience a plus.
  • In-depth understanding of ICD-10 coding and healthcare audit practices.
  • Excellent communication skills with the ability to convey technical information to non-technical audiences.
  • Strong organizational skills with the ability to manage competing priorities and influence cross-functional teams.

    • Education & Training

  • Bachelors degree in Health Information Management, Healthcare Administration, or a related field (or equivalent experience).
  • Familiarity with payment integrity, claims adjudication, or healthcare fraud / waste / abuse prevention.
  • Technical aptitude to bridge business needs with IT solutions in a fast-paced, collaborative environment.
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