Senior Project Manager – Utilization Management
Healthfirst
full-time
Posted on:
Location Type: Hybrid
Location: New York City • New York • United States
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Salary
💰 $122,900 - $188,020 per year
Job Level
About the role
- Lead end-to-end delivery of complex, enterprise-wide (UM transformation) initiatives focused on operational efficiency, program transformation, technology enablement, and performance improvement
- Drive UM modernization efforts through implementation of AI, automation, and advanced analytics solutions to improve medical necessity determinations, throughput, and decision accuracy
- Translate strategic objectives into actionable project plans with clear scope, timelines, financial targets, and measurable outcomes for the UM department
- Manage a high-volume portfolio of projects with significant cross-functional and technology interdependencies, including operations, clinical, medical management, finance, compliance/regulatory, and IT teams
- Establish and manage project governance, including executive steering committees, decision forums, and escalation pathways
- Proactively identify and manage risks related to cost, scope, regulatory compliance, operational disruption, and change adoption
- Track, validate, and report on financial and operational benefits, including cost savings, productivity gains, and return on investment
- Ensure projects comply with healthcare regulations, internal controls, and quality standards.
Requirements
- Bachelor’s degree from an accredited institution
- Prior experience leading medium to large scale, complex projects within healthcare, health insurance, or other regulated environments
- Strong executive presence with the ability to influence decisions and drive alignment across senior leaders and diverse stakeholder groups
- Demonstrated expertise managing projects with significant operational and technology dependencies requiring analytical, communication, and problem-solving skills
Benefits
- medical, dental and vision coverage
- incentive and recognition programs
- life insurance
- 401k contributions (all benefits are subject to eligibility requirements)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
AI implementationautomation solutionsadvanced analyticsproject managementfinancial trackingoperational efficiencyperformance improvementrisk managementcompliance managementchange management
Soft Skills
executive presenceinfluencealignmentcommunicationproblem-solvinganalytical skillsstakeholder managementleadershiporganizational skillsdecision-making
Certifications
Bachelor's degree