Project Manager- US health Care services

Role & responsibilities

We are seeking an experienced and results-driven Project Manager to oversee the planning, execution, and delivery of projects supporting US healthcare clients. The ideal candidate will have strong project management capabilities, healthcare domain knowledge, and experience managing cross-functional teams, client relationships, project timelines, budgets, and service delivery outcomes.

The candidate should be capable of translating client requirements into actionable project plans, driving process improvements, managing risks, and ensuring compliance with applicable healthcare regulations and contractual service-level agreements (SLAs).

Key Responsibilities

1. Project Planning and Execution

• Lead projects from initiation and planning through execution, monitoring, and closure.
• Define project scope, objectives, deliverables, timelines, milestones, and resource requirements.
• Manage multiple projects simultaneously, ensuring timely delivery within agreed budgets and quality standards.
• Monitor project progress, identify potential bottlenecks, and implement corrective actions.

2. US Healthcare Domain Management

• Manage projects related to US healthcare operations, including claims processing, claims adjudication, healthcare benefits administration, eligibility verification, provider services, or related business processes.
• Understand healthcare workflows, payer and provider operations, and relevant client-specific requirements.
• Ensure adherence to applicable regulatory and contractual requirements, including HIPAA where applicable.
• Coordinate with operations, quality, technology, and compliance teams to ensure accurate and efficient service delivery.

3. Client Relationship Management

• Serve as the primary point of contact for project-related client communications and escalations.
• Conduct project review meetings, governance calls, and periodic performance reviews with US-based stakeholders.
• Provide regular updates on project status, deliverables, risks, dependencies, and performance metrics.
• Build strong client relationships and ensure high levels of customer satisfaction.

4. Team and Stakeholder Management

• Lead and coordinate cross-functional teams comprising operations, quality assurance, IT, business analysts, and support functions.
• Allocate resources effectively and monitor team productivity and performance.
• Collaborate with internal stakeholders to resolve operational challenges and ensure alignment with business objectives.
• Mentor team members and promote accountability, collaboration, and continuous improvement.

5. Performance Monitoring and Reporting

• Track key performance indicators (KPIs), service-level agreements (SLAs), turnaround time (TAT), productivity, quality, and customer satisfaction.
• Prepare project dashboards, management reports, risk registers, and performance review presentations.
• Identify process gaps and implement corrective and preventive actions.
• Drive automation, standardization, and process optimization initiatives.

6. Risk, Compliance and Governance

• Identify, assess, and mitigate project risks, issues, and dependencies.
• Ensure appropriate documentation, change management, and project governance practices.
• Support client audits, compliance reviews, and information security initiatives.
• Maintain the confidentiality and security of protected health information (PHI) in accordance with applicable policies and regulations.

7. Healthcare Software Experience

• Must have exposure to at least 1 of the below softwares like
• HRP
• Optum CES
• Facets
• WLT Software
• VBA

Preferred candidate profile

PMP, PRINCE2, Certified ScrumMaster (CSM), or equivalent project management certification.

• Experience with Agile, Waterfall, or hybrid project management methodologies.
• Familiarity with healthcare platforms, claims systems, workflow automation, and reporting tools.
• Experience with process transitions, client onboarding, transformation initiatives, and continuous improvement projects.
• Knowledge of HIPAA requirements and healthcare information security practices.
• Prior experience in supporting Onshore US based resources.

Key Performance Indicators (KPIs)

• On-time project delivery and achievement of milestones.
• SLA and TAT compliance.
• Process quality, accuracy, and productivity.
• Client satisfaction and successful resolution of escalations.
• Resource utilization and project cost management.
• Reduction in operational errors, rework, and process inefficiencies.
• Successful implementation of process improvements and risk mitigation measures.

Ideal Candidate Profile

The ideal candidate will be a proactive, analytical, and client-focused professional who combines structured project management practices with a strong understanding of US healthcare operations. The candidate must be comfortable working with US-based stakeholders, leading distributed teams, managing complex deliverables, and driving measurable improvements in service quality, operational efficiency, and client satisfaction.