Project Manager

Project Manager

Anywhere

Type: Contract

Category: Program/Project Management

Industry: Healthcare

Workplace Type: Remote

Our client is modernizing claims processing by bringing reprocessing and management in-house. The environment includes Zoho CRM, Abby OCR, and Pro EDI, with current workflows relying on manual invoicing and limited internal EDI experience. This engagement focuses on implementing and optimizing EDI 837 workflows, improving automation, and enhancing accuracy across the claims lifecycle.

Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance.

Rate: $70.00 to $60.00/hr. w2

Responsibilities

• Lead end-to-end project execution for claims processing and EDI initiatives.
• Coordinate and manage multiple vendors, clearinghouses, and technical partners.
• Own and maintain project plans, timelines, dependencies, risks, and deliverables.
• Serve as the primary liaison between business stakeholders and external vendors.
• Drive adoption of automated, industry-standard billing and claims workflows.
• Provide recommendations on process improvements and vendor solutions.
• Identify and manage dependencies across systems, vendors, and teams.
• Ensure alignment across stakeholders and maintain momentum throughout delivery.

Experience Requirements

• Proven experience managing projects involving EDI 837 transactions.
• Direct experience with claims processing, clearinghouses, and claims data flows.
• Strong vendor management and cross-functional coordination skills.
• Ability to communicate effectively with business and technical stakeholders.
• Experience driving projects in third-party administration (TPA) or similar environments.
• Demonstrated ability to manage ambiguity, make recommendations, and advance initiatives.
• Familiarity with Zoho CRM or Zoho’s low-code environment (preferred).
• Light technical or coding background (preferred).
• Experience evaluating, onboarding, or replacing vendors to accelerate delivery (preferred).
• Background in healthcare benefits, insurance, or related regulated industries (preferred).

Recruitment Transparency Notice

Eliassen Group values transparency in our recruitment practices. Please be advised that Eliassen Group utilizes artificial intelligence (AI) tools as part of its initial application screening process. You may receive email and SMS notifications from the Eliassen Virtual Recruiting Team ([email protected], 781-808-2924) inviting you to complete a brief voice screening as part of your application process. These tools assist our hiring teams in different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose qualifications most closely match the requirements of the position. All AI-assisted evaluations and responses are reviewed by human recruiters before any hiring decisions are made. The use of AI in our process is intended to support fairness, efficiency, and consistency, and Eliassen Group takes measures to prevent bias or discrimination in connection with its hiring practices. By proceeding, you acknowledge, agree, and consent to Eliassen Group’s use of these tools, including AI tools, as part of the application and hiring process.

Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.

W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.

Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact [email protected].

About Eliassen Group: Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate.

Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Don’t miss out on our referral program! If we hire a candidate that you refer us to then you can be eligible for a $1,000 referral check!