Project Manager- Clinical Transformation

The Project Manager Clinical Transformation (PM) supports the end-to-end coordination and execution of cross-functional initiatives focused on clinical operations enablement, workflow modernization, regulatory readiness, operational adoption, and technology implementation across Healthfirst. The PM is responsible for coordinating clinical project activities, maintaining project plans and governance materials, supporting operational and regulatory initiatives, and driving execution of defined deliverables, timelines, risks, and dependencies. The PM collaborates with clinical, operational, technology, vendor, compliance, and business stakeholders to support implementation efforts for Utilization Management, Care Management, and related clinical operations platforms. The incumbent manages medium-to-large-scale projects with department-level or enterprise-level importance, moderate to high complexity, cross-functional interdependencies, and measurable operational, clinical, or business outcomes.

Duties and Responsibilities:

• Organize and lead project teams through the full project life cycle, from initiation through implementation and stabilization

• Develop, maintain, and manage project plans, timelines, milestones, meeting documentation, status reports, decision logs, issue trackers, and action-item tracking

• Partner with clinical, operational, technology, vendor, compliance, and business stakeholders to ensure requirements are clearly understood and implementation activities align with business and clinical needs

• Translate business, clinical, and operational requirements into executable project plans, deliverables, milestones, and workstream activities

• Coordinate project execution, resource planning, and cross-functional activities to ensure projects are completed on schedule, within scope, and aligned to budget expectations

• Maintain project governance materials required for medium-to-large-scale initiatives, including status reporting, risk and issue logs, dependency tracking, and escalation materials

• Establish and actively manage project stakeholder expectations, relationships, communication rhythms, and accountability structures

• Monitor and report on project milestones, deliverables, risks, issues, decisions, and dependencies, escalating to leadership as appropriate

• Manage deliverables across functional teams to ensure outputs meet defined timelines, quality expectations, implementation requirements, and project guidelines

• Tailor project management methods based on project size, complexity, delivery methodology, stakeholder needs, regulatory considerations, and organizational impact

• Report project status to project sponsors and leadership, escalating changes, risks, issues, and barriers for resolution as needed

• Collaborate with resource managers and functional leaders to support appropriate resource planning and project delivery

• Achieve project objectives in accordance with Healthfirst project management methodologies, standards, policies, and governance expectations

• Perform additional duties as assigned

Minimum Qualifications:

• Bachelor’s degree from an accredited institution or equivalent work experience

• HS Diploma or GED from an Accredited Institution

• Experience managing cross-functional projects that yielded meaningful results

• Experience engaging and communicating with key stakeholders including senior-level leadership

• Experience with project change management, portfolio risk management, project communication management and organization change management

• Experience managing multiple priorities, coordinating across teams, escalating issues appropriately, and driving project execution in a matrixed environment

Preferred Qualifications:

• Master’s degree from an accredited institution

• Advanced-level certification such as Project Management Professional (PMP), Program Management Professional (PgMP), Certified Professional in Healthcare Quality (CPHQ), or Lean

• Prior experience leading medium to large scale, clinically focused projects within healthcare or health insurance

• Demonstrated experience delivering AI-enabled platforms, advanced analytics solutions or new software platforms solutions within healthcare operations

• Experience supporting technology implementations, application upgrades, platform migrations, system integrations, or operational transformation initiatives

• Industry work experience in healthcare such as hospital, including managed or long-term care, health insurance, hospital long-term care, government or other healthcare agency

• Knowledgeable of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.

Know Your Rights

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430

• All Other Locations (within approved locations): $88,700 - $131,920

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.