Project Manager

About CareAllies

At CareAllies, our workforce is fundamental to our success. We are committed to empowering employees through tailored development plans that nurture professional growth and fulfilling careers.

Position Summary

The Operations Enablement & Shared Services Analyst role plays a crucial part in resolving provider-related challenges and enhancing revenue cycle operations efficiency. Responsibilities encompass handling, documenting, tracking, and coordinating escalated issues influencing claims processing, reimbursement timing, and provider satisfaction.

Under the guidance of senior staff, the Analyst ensures precise review, documentation, appropriate routing, and timely resolution of issues. This position is vital to maintaining workflow consistency, supporting data tracking, and boosting overall operational effectiveness.

Primary Responsibilities

• Manage intake and tracking of provider-related issues via Salesforce and other internal platforms.
• Verify completeness of documentation including summaries, claim samples, and supporting information.
• Direct issues to relevant teams and independently handle issue processing when needed.
• Keep accurate records and update statuses within tracking systems.
• Research and collect information crucial for issue investigation and support senior team members in root cause analysis and resolving problems.
• Ensure timely responses and closure of issues by following up with internal teams and escalating risks or delays to leadership as necessary.
• Adhere to standard workflows for issue handling and flag process inefficiencies or gaps to management.
• Contribute to process improvements to reduce manual effort and ensure consistent operations.
• Maintain logs tracking issues, turnaround times, and resolution results; assist with reporting on backlog, aging, and timelines.
• Support cross-team coordination, including claims, provider relations, and operations, to foster a positive provider experience via accurate and prompt follow-up.
• Ensure all documentation meets compliance and quality standards, participating in quality assurance checks.

Required Qualifications

• Associate or Bachelor's degree in Healthcare Administration, Business, or related discipline, or equivalent experience.
• Between 1 and 3 years of experience in healthcare operations, customer support, or revenue cycle environments.
• Basic knowledge of claims processing or healthcare operations preferred.
• Strong organization and time management skills with attention to detail and multitasking ability.
• Proficiency in Microsoft Excel and general office software tools.

Preferred Qualifications

• Familiarity with revenue cycle management or provider issue resolution processes.
• Experience using Salesforce or claims systems such as Facets.
• Understanding of healthcare terminology and workflow structures.

Job Requirements for Project Manager Role

• Possess a Bachelor's degree with at least 3 years of project management experience, or a relevant technical certification with 4 years of experience, or 8 years of project management expertise.
• Knowledgeable in project management methodologies such as PMBOK.
• Experience in project financial management including budget monitoring and reporting.
• Strong interpersonal skills including negotiation, influence, conflict management, and leadership abilities like meeting facilitation.
• Excellent verbal and written communication skills; capable of working independently and collaboratively.
• Analytical thinking, problem-solving capabilities, and ability to manage multiple tasks simultaneously.
• Computer proficiency including Word, Excel, Project, and Lotus Notes software.

Additional Preferred Job Qualifications

• Holding a Project Management Professional (PMP®) certification is advantageous.
• Previous experience with Lotus Notes preferred.
• Understanding of human resources and health care service corporation experience is a bonus.
• Comfortable interacting with senior management and demonstrating leadership.

Key Competencies

• Precision and attention to detail.
• Strong organizational and follow-through skills.
• Effective communication and teamwork.
• Problem-solving aptitude and eagerness to learn.
• Adaptability to fast-paced environments.

Impact of the Role

This position enhances operational efficiency by ensuring accurate management of provider issues, timely resolutions, streamlined workflows, and overall improvement in revenue cycle outcomes.

Location & Additional Information

This role is remote, available throughout the continental U.S. excluding California, New York, Alaska, and Hawaii. CareAllies is an Equal Opportunity Employer that values workforce diversity and adheres to non-discrimination policies.

Compensation & Benefits

The salary range spans $76,600 to $138,500 annually, contingent on skills, experience, and location. Benefits include health and wellness plans, 401(k) and pension, paid time off, parental leave, disability and supplemental life insurance, employee assistance programs, holidays, tuition reimbursement, and other incentives. An annual incentive bonus plan is also part of the compensation package.