Job#: 3043244

Job Description:

Location: Various, Kentucky (Remote)

We are seeking a Project Manager to support Provider Operations initiatives within a healthcare payer environment. This role manages a portfolio of projects, with responsibility for project financials, resource planning, executive reporting, vendor management, and stakeholder communications. The position will support Annual Enrollment Period (AEP) work and internal project management activities for the Provider Team, which is focused on rebuilding expansive Provider Data structures and applications.

• Manage a portfolio of multiple projects from initiation through closure.
• Develop and maintain project plans, schedules, budgets, and forecasts.
• Create executive-ready status reports, dashboards, and project metrics.
• Analyze project performance, resource utilization, and financial trends through forecasting and modeling.
• Identify and manage risks, issues, and dependencies across multiple teams.
• Lead stakeholder and vendor communications and project governance activities.
• Coordinate delivery across business, technology, and vendor teams.
• Track resources and project hours to ensure alignment with budget.
• Ensure projects are delivered on time, within budget, and aligned to business objectives.

Experience: 5+ years of Project Management experience in a healthcare payer environment, including Provider Operations or Provider Management from the payer side. Must have experience with portfolio management across multiple teams and projects.

Skills:

• Project planning, execution, and delivery.
• Budget forecasting, financial modeling, and financial reporting.
• Executive status reporting and dashboard creation.
• Data analysis and KPI reporting.
• Stakeholder and vendor management.
• Risk, issue, and dependency management.
• Agile, Scrum, and SDLC methodologies.
• Resource planning and capacity management.
• Experience supporting Medicare, Medicaid, Dual Eligible populations (D-SNP/FIDE-SNP), and ICHRA programs.

Technical Skills:

• Jira and ServiceNow.
• Microsoft Office Suite.
• Advanced Excel (pivot tables, reporting, financial analysis).
• Power BI or similar reporting/dashboard platforms.

Education: Bachelor's degree or equivalent experience.

• Experience with Provider Data Management, Provider Network Operations, or Value-Based Care initiatives.
• Experience with AI tools such as Microsoft Copilot, Claude, or other Generative AI solutions.
• Project Management Office (PMO) governance experience.
• PMP, PMI-ACP, Certified Scrum Master (CSM), or Power BI Certification.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

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