Sr. Project Specialist, Payer Solutions
- Remote
- Full Time
About the role
The Sr. Project Specialist drives strategic project execution, continuous improvement, and cross-functional alignment to optimize health plan performance and AI-enabled operations across multiple lines of business. This role is responsible for leading complex deliverables and establishing governance frameworks across multiple lines of business.
Primary Duties
Planning & Execution
Oversees the end-to-end delivery of complex project plans and workstreams from concept to execution.
Design, build, and implement test-and-learn programs from concept to rollout to support operational excellence and potential program scaling
Drive systematic workflow optimization by leveraging AI-powered tools and workflows to streamline operations, manage multiple simultaneous priorities, identify/mitigate risks, and increase team capacity for performance management.
Stakeholder Engagement & Communication
Serve as a subject matter expert and key liaison between SME teams and cross-functional project groups to eliminate communication silos.
Proactively identify risks and implement solutions to align stakeholders on project goals and deliverables.
Establish structured governance frameworks and automations to manage operating cadences, autonomously support leadership in executive forums, and mentor junior Project Specialists.
Data Analytics & Reporting
Analyze operational trends to identify key optimization opportunities and synthesize findings into strategic reports.
Develop an AI-first reporting framework to showcase health plan performance, ROI, and Value-Based Care (VBC) outcomes.
Other duties as assigned
Minimum Qualifications
Core Competencies
Bachelor’s degree in Business, Project Management, or a related field
4+ years of experience in project management or project coordination
Strong organizational, time management, and problem-solving skills, with acute attention to detail and the ability to bring clarity to complex initiatives
Exceptional written and verbal communication skills, with proven ability to collaborate across cross-functional teams
Demonstrated ability to document and maintain standard operating procedures (SOPs) and effectively communicate data insights to diverse audiences
Technical & AI Proficiencies
Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, and project management platforms (Monday.com, Salesforce)
Experience with reporting/collaboration tools (Tableau, Snowflake, Power BI, Jira, Miro)
Experience leveraging AI-driven tools and platforms (Claude, Gemini) with a proven ability to quickly adopt new technologies
Industry Knowledge
Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS)
Preferred Qualifications
PMP Certification
Value Based Care experience across multiple lines of business
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer.