Project Manager - Healthcare Claims

SRM Digital; Troy (MI); On-site; USD 120,000 - 180,000; Full time

Job summary

SRM Digital seeks an experienced Senior Project Manager – Healthcare Claims in Troy, Michigan to lead a large-scale application modernization program. You will drive onshore and offshore teams, manage fixed-price engagements, and maintain governance, financials, and risk controls. PMP certification is mandatory.

Responsibilities span end-to-end delivery, planning, change-control, and executive status reporting. Expect strong collaboration with business, product, and technology stakeholders.

Qualifications

• 10–12+ years of IT project/program management experience.
• PMP certification required.

Responsibilities

• Lead end-to-end project delivery within fixed scope, cost, and schedule.
• Develop and maintain integrated project plans across lifecycle stages.
• Establish governance, milestones, RAID, dependencies, and executive updates.
• Coordinate onshore and offshore teams to ensure timely delivery.
• Manage budgets, forecasts, and resource utilization; control changes.

Skills

Project management

Healthcare domain knowledge

Stakeholder management

Budget management

Risk management

Executive communication

Onshore/offshore coordination

Leadership

Education

PMP certification

Job description

We are seeking an experienced Senior Project Manager – Healthcare Claims to lead a large-scale application development and modernization program in Troy, Michigan. The ideal candidate will bring extensive IT project management experience, strong healthcare payer and claims domain knowledge, and a proven track record of delivering complex engagements within defined scope, budget, and schedule commitments.

This role requires demonstrated expertise in fixed-price, fixed-scope, and fixed-budget project delivery, along with strong financial management, governance, risk mitigation, and stakeholder management capabilities. The successful candidate will serve as the primary onshore point of contact, coordinating cross-functional onshore and offshore teams to ensure predictable delivery and alignment with contractual commitments.

A valid PMP certification is mandatory.

Key Responsibilities

1. Project Delivery & Governance

• Lead end-to-end project delivery, ensuring adherence to approved scope, schedule, budget, and quality objectives.
• Develop and maintain integrated project plans covering requirements, design, development, integration, testing, UAT, deployment, hypercare, and transition to support.
• Establish and maintain project governance processes, including milestone tracking, status reporting, RAID management, dependency tracking, and executive escalations.
• Conduct regular project reviews and governance meetings with customer and internal stakeholders.
• Monitor contractual deliverables and proactively address deviations from established project baselines.
• Coordinate onshore and offshore teams to ensure effective collaboration, accountability, and timely execution.
• Manage projects within approved fixed-price, fixed-scope, budget, and schedule commitments.
• Maintain strict scope control and prevent unauthorized changes to agreed requirements and deliverables.
• Establish and enforce formal change-control processes for requirements outside the approved baseline.
• Evaluate change requests for their impact on cost, effort, resources, architecture, testing, dependencies, and delivery timelines.
• Monitor project financials, resource utilization, budget consumption, estimates-to-complete, and forecast-to-complete.
• Identify cost and schedule variances early and implement corrective actions and recovery plans.
• Track project assumptions, dependencies, exclusions, acceptance criteria, and customer responsibilities throughout the engagement.
• Apply working knowledge of healthcare payer operations and the end-to-end claims processing lifecycle.
• Collaborate with business, product, technology, and operations stakeholders across areas including:
• Claims intake, processing, and adjudication
• Member eligibility and benefits
• Provider-related claims processing
• Claims pricing, payment, adjustments, and status
• EDI transactions and system integrations
• HIPAA-regulated healthcare environments
• Partner with Business Analysts, Product Owners, Architects, Development Leads, and QA teams to translate business requirements into actionable delivery plans.
• Ensure alignment between business objectives, technical implementation, testing, and delivery milestones.
• Serve as the primary onshore point of contact for project delivery and customer coordination.
• Build and maintain strong relationships with customer business leaders, technology leadership, and internal delivery teams.
• Prepare and present clear executive-level updates covering project progress, milestones, financial performance, risks, issues, dependencies, and decisions required.
• Manage stakeholder expectations and maintain alignment between contractual commitments and delivery objectives.
• Escalate critical issues promptly, supported by impact assessments, mitigation strategies, and recommended actions.
• Facilitate timely decision-making and resolve conflicts that could affect project outcomes.
• Maintain a comprehensive RAID register covering risks, assumptions, issues, and dependencies.
• Assign clear ownership and mitigation plans for identified risks and issues.
• Proactively identify dependencies across customer teams, vendors, infrastructure, environments, interfaces, security, data, testing, and releases.
• Monitor critical-path activities and drive timely resolution of blockers.
• Lead recovery planning and corrective actions when schedule, budget, scope, or quality objectives are at risk.

6. Quality Assurance & Release Management

• Partner with engineering, architecture, and QA leadership to incorporate quality objectives into project planning and execution.
• Track testing progress, defect resolution, acceptance criteria, and release-readiness metrics.
• Coordinate user acceptance testing (UAT), production-readiness reviews, deployment planning, cutover activities, and hypercare.
• Ensure appropriate stakeholder approvals and customer acceptance are obtained at contractual milestones.
• Oversee transition-to-support activities to facilitate a smooth handover following production deployment.

Required Qualifications

• 10–12+ years of overall IT experience, including significant experience in project or program management.
• PMP certification is mandatory.
• Demonstrated success managing fixed-price, fixed-scope, fixed-budget engagements with committed delivery schedules.
• Strong healthcare domain knowledge, preferably within health insurance, payer operations, and claims processing.
• Experience managing distributed onshore and offshore delivery teams.
• Strong understanding of SDLC, Agile or iterative delivery methodologies, testing, release management, and production deployment.
• Proven expertise in project financial management, including budget tracking, forecasting, resource planning, and variance analysis.
• Strong scope management and formal change-control experience.
• Excellent risk, issue, dependency, and escalation management skills.
• Exceptional written and verbal communication skills, including the ability to communicate effectively with executive stakeholders and technical teams.
• Strong leadership, negotiation, conflict-resolution, and decision-making capabilities.
• Ability to operate effectively in a high-visibility, customer-facing, schedule-driven environment.
• Ability to work onsite in Troy, Michigan, two days per week.