TBG | The Bachrach Group
TBG | The Bachrach Group is hiring: Project Manager - Healthcare - REMOTE in New
TBG | The Bachrach Group, New York, NY, US
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.
Project Management: Plan, execute, monitor, and close healthcare-related projects.
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.
Quality & Compliance: Ensure all project deliverables meet healthcare regulations (HIPAA/HITRUST), IT security standards, and internal quality benchmarks.
Maintain detailed records to ensure compliance with HITRUST and other regulatory frameworks.
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.
~ Strong organizational skills with the ability to manage competing priorities and influence cross-functional teams.
Education & Training
Bachelor’s 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.