Sr. Project Specialist, Payer Solutions
Core
Sr. Project Specialist driving strategic project execution, continuous improvement, and cross-functional alignment to optimize health plan performance and AI-enabled operations across multiple lines of business.
Role type
Senior Project Manager (Healthcare Operations)
Builds
Complex project deliverables, test-and-learn programs, and AI-powered workflow optimizations for health plans.
Domain
Healthcare / Managed Care / AI Operations
Deliverable
production ML models
Required skills
Project management, workflow optimization, stakeholder engagement, data analytics, AI tool adoption, SOP documentation, managed care frameworks knowledge
Preferred skills
PMP Certification, Value Based Care experience
Technologies
Google Workspace, Microsoft Excel, Monday.com, Salesforce, Tableau, Snowflake, Power BI, Jira, Miro, Claude, Gemini
Responsibilities
Oversee end-to-end delivery of complex project plans; Design and implement test-and-learn programs; Drive systematic workflow optimization using AI tools; Serve as liaison between SME teams and cross-functional groups; Establish governance frameworks and automations; Analyze operational trends and synthesize strategic reports; Develop AI-first reporting frameworks.
Seniority
Senior, hands-on IC