TBG | The Bachrach Group
Healthcare Project Manager
TBG | The Bachrach Group, New York, New York, United States, 10261
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 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. Technical aptitude to bridge business needs with IT solutions in a fast-paced, collaborative environment.
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 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. Technical aptitude to bridge business needs with IT solutions in a fast-paced, collaborative environment.