Senior Project Specialist, Payer Solutions

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AledadeManaged care
Remote, United StatesFull-TimeSenior
Salary not disclosed
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Job Details

Experience
4+ years of experience in project management or project coordination
Required Skills
Project ManagementMicrosoft Power BISalesforceSnowflakeTableauMicrosoft ExcelGoogle Workspace

Requirements

  • Bachelor’s degree in Business, Project Management, or a related field.
  • 4+ years of experience in project management or project coordination.
  • Demonstrated ability to document and maintain standard operating procedures (SOPs).
  • Ability to communicate data insights to diverse audiences.
  • Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, Monday.com, and Salesforce.
  • Experience with reporting and collaboration tools, including Tableau, Snowflake, Power BI, Jira, and Miro.
  • Experience leveraging AI-driven tools and platforms such as Claude and Gemini, with the ability to quickly adopt new technologies.
  • Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures such as HEDIS and STARS.
  • Preferred: PMP certification.
  • Preferred: Value Based Care experience across multiple lines of business.

Responsibilities

  • Oversee end-to-end delivery of complex project plans and workstreams from concept to execution.
  • Design, build, and implement test-and-learn programs from concept to rollout.
  • Optimize workflows using AI-powered tools and workflows, managing priorities and identifying and mitigating risks.
  • Serve as a subject matter expert and liaison between SME teams and cross-functional project groups.
  • Identify risks and implement solutions to align stakeholders on project goals and deliverables.
  • Establish governance frameworks and automations for operating cadences, support leadership in executive forums, and mentor junior Project Specialists.
  • Analyze operational trends and synthesize optimization findings into strategic reports.
  • Develop an AI-first reporting framework for health plan performance, ROI, and Value-Based Care outcomes.
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