Sr. Project Specialist, Payer Solutions

Primary Duties

Planning & Execution

Oversees the 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 to support operational excellence and potential program scaling 

Drive systematic workflow optimization by leveraging AI-powered tools and workflows to streamline operations, manage multiple simultaneous priorities, identify/mitigate risks, and increase team capacity for performance management. 

Stakeholder Engagement & Communication

Serve as a subject matter expert and key liaison between SME teams and cross-functional project groups to eliminate communication silos.

Proactively identify risks and implement solutions to align stakeholders on project goals and deliverables.

Establish structured governance frameworks and automations to manage operating cadences, autonomously support leadership in executive forums, and mentor junior Project Specialists.

Data Analytics & Reporting

Analyze operational trends to identify key optimization opportunities and synthesize findings into strategic reports.

Develop an AI-first reporting framework to showcase health plan performance, ROI, and Value-Based Care (VBC) outcomes.

Other duties as assigned 

Minimum Qualifications

Core Competencies

Bachelor’s degree in Business, Project Management, or a related field

4+ years of experience in project management or project coordination

Strong organizational, time management, and problem-solving skills, with acute attention to detail and the ability to bring clarity to complex initiatives

Exceptional written and verbal communication skills, with proven ability to collaborate across cross-functional teams

Demonstrated ability to document and maintain standard operating procedures (SOPs) and effectively communicate data insights to diverse audiences

Technical & AI Proficiencies

Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, and project management platforms (Monday.com, Salesforce)

Experience with reporting/collaboration tools (Tableau, Snowflake, Power BI, Jira, Miro)

Experience leveraging AI-driven tools and platforms (Claude, Gemini) with a proven ability to quickly adopt new technologies

Industry Knowledge

Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS)

Preferred Qualifications

PMP Certification

Value Based Care experience across multiple lines of business

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer.