Project Manager

SIHO Insurance Services; United States; Remote; USD 95,000 - 135,000; Full time

Benefits offered by this job

Comprehensive health insurance

401(k) with company match

Professional development opportunities

Flexible work arrangements

Job summary

SIHO Insurance Services is seeking a Project Manager in the United States to plan, execute, and close health insurance–focused projects. The role requires leadership of cross-functional teams, adherence to regulatory requirements (ERISA, HIPAA, DOL), and effective communication with stakeholders and leadership to ensure on-time, on-budget outcomes.

The ideal candidate will have 5+ years of PM experience in health insurance, familiarity with health plan operations, and preference for PMP

Qualifications

• Bachelor’s degree required in Business, Healthcare Administration, or related field.
• 5+ years of project management experience within the health insurance industry required.
• Experience managing health plan operations, claims, eligibility, or provider relations.
• PMP certification preferred.
• Understanding of ERISA, HIPAA, DOL and related healthcare regulations.
• Strong communication and leadership skills.

Responsibilities

• Lead cross-functional teams to deliver projects on time, within scope, and on budget
• Define project charter and develop and maintain project plans, timelines, and budgets
• Identify and manage project risks and issues
• Delegate tasks, responsibilities, and target dates for projects
• Identify and resolve issues and conflicts within the project and project team
• Facilitate communication between stakeholders, team members, and leadership
• Coordinate and facilitate meetings, create meeting agendas, and meeting notes
• Ensure compliance with healthcare and health insurance regulations and internal policies
• Monitor project progress and make adjustments as needed
• Prepare and present project status reports to leadership
• Partner with leadership and Operations Analyst to identify and pursue Six Sigma/Rapid Process Improvement projects

Skills

Project management

Healthcare industry experience

Communication

Regulatory compliance

Six Sigma/Lean Sigma

PMP certification

Leadership

Education

Bachelor’s degree in Business or Healthcare Administration

Tools

PM software

Job description

Job Title: Project Manager
Reports To: VP, Operations

Job Overview

As a Project Manager, you’ll be responsible for planning, executing, and closing projects that align with our company’s goals and improve our services to members, employer groups, brokers, and healthcare providers. This role requires prior experience within the health insurance industry and the ability to lead initiatives involving health plan operations, regulatory compliance, and process improvement.

Key Responsibilities

• Lead cross-functional teams to deliver projects on time, within scope, and on budget
• Define project charter and develop and maintain project plans, timelines, and budgets
• Identify and manage project risks and issues
• Delegate tasks, responsibilities, and target dates for projects
• Identify and resolve issues and conflicts within the project and project team
• Facilitate communication between stakeholders, team members, and leadership
• Coordinate and facilitate meetings, create meeting agendas, and meeting notes
• Ensure compliance with healthcare and health insurance regulations and internal policies
• Monitor project progress and make adjustments as needed
• Prepare and present project status reports to leadership
• Partner with leadership and Operations Analyst to identify and pursue Six Sigma/Rapid Process Improvement projects

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field
• 5+ years of project management experience within the health insurance industry required
• Demonstrated experience managing projects related to health plan operations, claims, eligibility, customer service, provider relations, compliance, or other health insurance functions
• Experience with self-funded health plans, third-party administration (TPA), or employee benefits administration strongly preferred
• PMP certification preferred
• Strong understanding of health insurance industry trends and regulations, including ERISA, IDOI, DOL, HIPAA, and other applicable governmental regulations
• Excellent communication, leadership, and problem-solving skills
• Proficiency in project management software and tools
• Six Sigma/Lean Sigma background a plus

Benefits

• Competitive salary
• Comprehensive health insurance
• 401(k) with company match
• Professional development opportunities
• Flexible work arrangements

SIHO is an equal opportunity employer committed to diversity and inclusion in the workplace.