Project Manager

JOB TITLE: Project Manager JOB LOCATION: Quincy MA WAGE RANGE*: $70-$72 JOB NUMBER: ITS77-EHS-FY26-PROMAN-011 -INTEROPERABILITY REQUIRED EXPERIENCE:Experience managing vendor contracts in the healthcare & information technology industry, including experience working with large healthcare systems (commercial payers, Medicaid, Medicare) Ability to develop and maintain effective relationships with management, vendors, business and technical project team members; and the ability to translate and communicate technical concepts and information to business staff Knowledge of the Systems Development Life Cycle (SDLC), Application Programming Interfaces (API), Bachelor's degree or equivalent Ability to document and convey complex concepts in a simple easy to understand manner and format Experience leading programs/projects with a budget over $1M Experience leading programs/projects of 20+ staff, including vendor contractors Demonstrated experience of successfully delivering projects from initialization through operationalization Excellent communication, presentation, and interpersonal skills, with the ability to effectively collaborate with diverse teams and stakeholders. Ability to assess priorities and flexibly meet the dynamic needs of the team Ability to work independently and process quickly, independently, prioritizing work activities Strong problem-solving skills; experience identifying, analyzing and resolving complex problems through structured processes Knowledge of healthcare regulations and compliance requirements, such as HIPAA, Medicare, and Medicaid. PREFERRED EXPERIENCE and SKILLS: Expertise in facilitating discussions, resolving conflicts, and fostering productive team engagement Skilled in eliciting, defining, and formalizing business requirements for complex projects Ability to clearly articulate project or program needs to accomplish goals Familiarity with the Massachusetts healthcare landscape, including key healthcare stakeholders such as payers, providers, and consumers Proficiency with MS Office applications including Excel, Word, Visio, Outlook and PowerPoint. JOB DESCRIPTION The Interoperability Project Manager reports to the Director of Business & Systems Integration and is responsible for managing the overall implementation of the CMS Advancing Interoperability and Improving Prior Authorization Processes Final Rule across MassHealth. The Interoperability PM will manage the agency's planning and implementation vendors, the project team, and its activities, as well as key administrative and reporting activities. The PM will also manage and maintain the project timeline to ensure that MassHealth meets critical milestones in 2026 and 2027. This includes, but is not limited to:January 1, 2026: Ensure that MassHealth adjudicates urgent Prior Authorization (PA) requests within 3 days, and standard Client within 7 days by January 1, 2026 March 31, 2026: Ensure that MassHealth produces and publicly posts prior authorization metrics; ensure that MassHealth reports the Patient Access API utilization metrics to the Centers for Medicare and Medicaid Services (CMS) January 1, 2027: Ensure that MassHealth adopts the federally mandated APIs by January 1, 2027 (Payer-to-Payer, Provider Access, Prior Authorization) and updates the Patient Access API to include prior authorization data Furthermore, the PM must coordinate with agency staff and vendors to ensure that the current Patient Access API is accessible to MassHealth members The candidate must have strong facilitation skills, experience with taking rough ideas and fleshing them into clear business requirements, excellent organizational, time management, and communication skills, and the ability to effectively coordinate resources and to meet deadlines. DETAILED STATEMENT OF DUTIES AND RESPONSIBILITIES: Responsible for the overall success of the project and is the primary point of accountability for the management and implementation of the interoperability final rule project Responsible for overseeing the Project Management vendor supporting the Interoperability& Prior Authorization InitiativeThis includes ensuring deliverables align with objectives, timelines, and quality standards as outlined in EOHHS' contract. Acts as the primary liaison for coordination, performance monitoring, and issue resolution, and provides governance and reporting to project leadership.Responsible for facilitating the acquisition of resources and the coordination of X-functional activities between EOHHS, its' business partners, and external entities to effectively implement the interoperability requirements. Lead workgroup activities and collaborate with approximately 30+ multidisciplinary team members comprised of business and technical staff to ensure effective project execution, communication, and compliance with the federal rule. This includes facilitating discussions to flesh out business and technical requirements. Develop and manage project plans, timelines, and related activities to ensure the timely completion of project deliverables and the alignment of business needs; adapt to shifting timelines and priorities Facilitate project team meetings to communicate the status of the project and to coordinate and manage project team activities Develop presentations, project reports, and other materials to effectively communicate the status of the project, provide regular reports to stakeholders, ensuring transparency and accountability; address key issues and facilitate escalations; this includes research and the identification of recommendations to address the issues. Monitor risks and issues; develop and implement mitigation strategies and track action items; Maintain detailed project documentation, and track progress through completion Coordinate with the project team and the project management vendor to facilitate the project team's review and validation of project deliverables and participation in key project activities (e.g., requirements validation, design documents, etc.). Support the project's compliance with downstream federal funding requirements; this includes invoice management, human resource time & attendance reporting, and other related tasks. Develop and maintain effective relationships with project team members, senior leadership, and stakeholders across the project. Foster a culture of collaboration, innovation, and continuous improvement within the project team and across relevant stakeholders Manage stakeholder expectations, resolve conflicts, and facilitate consensus amongst diverse groups with competing priorities Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.