Senior Healthcare Claims Project Manager

Themesoft Inc; Mason (OH); On-site; USD 90,000 - 120,000; Full time

Job summary

Themesoft Inc. is seeking an experienced Project Manager focused on Healthcare and Claims Management to lead complex initiatives from planning to delivery.

Ideal candidates will drive cross-functional collaboration, manage Agile/Hybrid projects, and ensure regulatory alignment while delivering operational improvements.

You will coordinate multiple workstreams, guide stakeholders, and mentor teams to optimize processes and achieve business goals in a fast-paced healthcare environment.

Qualifications

• Experience in healthcare and claims processing systems.
• Experience managing Agile, Waterfall, or Hybrid projects.
• Excellent stakeholder management and communication skills.
• Proven ability to manage cross-functional teams.
• Experience with Jira, MS Project, Azure DevOps, or Smartsheet.
• Strong analytical and problem-solving skills.

Responsibilities

• Lead end-to-end project delivery within healthcare and claims environments.
• Manage project scope, timelines, budgets, risks, and resources.
• Collaborate with business stakeholders, IT teams, vendors, and leadership.
• Gather and document business requirements and translate them into project plans.
• Coordinate multiple workstreams and ensure timely project execution.
• Monitor project progress and provide status updates to stakeholders.
• Identify, assess, and mitigate project risks and issues.
• Ensure compliance with healthcare industry regulations and standards.
• Facilitate project meetings, steering committees, and stakeholder reviews.
• Support change management, process improvements, and operational efficiency initiatives.

Skills

Healthcare & Claims domain

Agile / Hybrid / Waterfall

Stakeholder management

Cross-functional leadership

PM tools: Jira / MS Project / AzureDev

Tools

Jira

MS Project

Azure DevOps

Smartsheet

Job description

Themesoft Inc. is seeking an experienced Project Manager focused on Healthcare and Claims Management to lead complex initiatives from planning to delivery.

Ideal candidates will drive cross-functional collaboration, manage Agile/Hybrid projects, and ensure regulatory alignment while delivering operational improvements.

You will coordinate multiple workstreams, guide stakeholders, and mentor teams to optimize processes and achieve business goals in a fast-paced healthcare environment.