Note: The job is a remote job and is open to candidates in USA. WINTrio LLC is an 8(a) and HUBZone organization that provides high-quality technical and professional services. They are seeking an experienced Project Manager to lead a multi-disciplinary team for a federal healthcare program initiative, overseeing various project management tasks and ensuring effective coordination among team members.
Responsibilities
- Lead and manage the project from initiation through close-out, coordinating team members across legal, compliance, medical coding, audit, data, IT and support functions
- Manage legal analysis and statutory interpretation efforts and coordinate production of legal recommendations and decision-writing deliverables
- Direct case-management workflows: intake, eligibility, appeals or requests processing, escalation procedures, issue analysis and resolution
- Supervise medical record reviews and medical coding efforts
- Utilize and oversee platforms like Salesforce (or analogous CRM/case management systems) for tracking cases, workflows, escalations and reporting
- Develop and drive program-management best practices: create status reports, risk/issue logs, change-control documentation, resource plans, budget monitoring, and communication plans
Skills
- Minimum 5 years of project management experience leading multi-disciplinary teams in a government, healthcare, auditing or appeals environment
- Demonstrated experience with healthcare risk adjustment, provider reimbursement reviews, audit or appeals program management
- Proven legal analysis and decision-writing experience (legal briefs, memoranda or similar)
- Familiarity with Salesforce or other CRM/workflow systems for case and project tracking
- Strong program management skills: schedule/budget oversight, risk/issue management, resource coordination, status reporting
Company Overview