Project Manager

Pennsylvania Enterprise Philadelphia, PA

Company

Pennsylvania Enterprise

Location

Philadelphia, PA

Type

Full Time

Job Description

Job Summary: PENNEP is looking for a dynamic and experienced Project Manager with expertise in claims system management. This role involves leading projects related to claims system implementation, optimization, and integration. The ideal candidate will have a strong understanding of healthcare claims processes, system configuration, and project management best practices. Key Responsibilities: • Manage end-to-end project lifecycles for claims system implementations and enhancements, ensuring timely delivery and within scope. • Collaborate with cross-functional teams, including IT, claims processing, and operations, to align project goals with business needs. • Oversee claims system configuration, integration, and testing, ensuring adherence to compliance and regulatory standards (e.g., HIPAA, CMS). • Develop project plans, timelines, and budgets, and monitor project progress against KPIs. • Facilitate stakeholder meetings, providing clear updates on project status, risks, and mitigations. • Ensure system accuracy, functionality, and performance through comprehensive testing and validation. • Lead training sessions for internal teams on system updates and process improvements. • Document project milestones, risks, and post-implementation reviews for continuous improvement. Qualifications: • 5+ years of experience managing projects within claims systems (Facets, HealthEdge, QNXT, or similar). • Strong knowledge of claims processing workflows, including adjudication, appeals, and reimbursement. • Proficiency in project management tools (e.g., MS Project, Jira) and methodologies (Agile, Waterfall). • Excellent communication, leadership, and problem-solving skills. • Familiarity with regulatory and compliance standards in healthcare (e.g., HIPAA, CMS). Certification / License required: PMP certification required. Education: Bachelor’s degree in Business, Information Technology, or a related field. About PENNEP PENNEP works with national, multinational clients and thrives to become one of the world's leading professional services companies with a vision to transform clients' business, operating, and technology models for the digital era. Our leaders have 50 PLUS Years of combined and unique industry knowledge with a consultative approach that helps clients envision, build and run more innovative and efficient businesses. Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview. PENNEP is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. We provide engineering excellence practices training for all our employees. Job Type: Contract Pay: $70.00 - $80.00 per hour Experience: • HIPAA: 5 years (Required) • Reimbursement: 5 years (Required) • Project management: 10 years (Required) • Claims Management: 5 years (Required) License/Certification: • PMP (Preferred) Ability to Commute: • Philadelphia, PA 19130 (Required) Work Location: In person
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Date Posted

08/07/2025

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