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Cost Recovery Project Manager Healthcare Operations & Process Improvement

Pyramid Consulting, Inc

Foster City, CA(remote)

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JOB DETAILS
SALARY
$65–$70 Per Hour
SKILLS
Artificial Intelligence (AI), Atlassian JIRA, Automation, Biotech and Pharmaceutical, Claims Processing, Consulting, Cost Control, Cross-Functional, Decision Support, Electronic Medical Records, Epic Systems, Finance, Financial Operations, Healthcare, Healthcare Management, Hospital, Leadership, Managed Care, Medical Record System, Operational Improvement, Operational Support, Operations Management, Operations Planning, Operations Processes, Performance Metrics, Power BI, Problem Solving Skills, Process Improvement, Project Execution, Project Planning, Project/Program Management, Reimbursement, Risk, SQL (Structured Query Language), Short Messaging Service (SMS), Tableau, Utilization Management
LOCATION
Foster City, CA(remote)
POSTED
28 days ago
Immediate need for a talented Cost Recovery Project Manager – Healthcare Operations & Process Improvement. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-13298

Pay Range: $65 - $70/hour.  Traveler benefits as per agency package. (Benefits vary by vendor and assignment.).

Key Responsibilities:
  • Healthcare Operations & Process Improvement
  • Lead and support complex healthcare operational initiatives involving workflow optimization, operational efficiency, and cross-functional execution
  • Identify operational gaps, risks, and process inefficiencies and drive scalable improvements
  • Create and maintain concise project plans, operational summaries, risk logs, and executive updates
  • Cost Recovery & Revenue Operations
  • Support initiatives tied to:
  • Cost recovery
  • Reimbursement workflows
  • Revenue cycle optimization
  • Claims/process improvement
  • Collaborate with operational and financial stakeholders to improve process efficiency and reporting accuracy
  • Systems & Workflow Execution
  • Partner with operational and technical teams on:
  • EHR-related workflows
  • Process automation initiatives
  • System/process enhancements
  • Support implementation and optimization efforts involving Epic, EHRs, reporting tools, or operational platforms
  • Stakeholder & Program Management
  • Coordinate across:
  • Clinical teams
  • Operations
  • IT
  • Finance
  • Vendors
  • Executive leadership
  • Drive accountability, timelines, issue resolution, and communication across multiple workstreams
  • Data, Reporting & Analytics
  • Monitor KPIs, operational metrics, and workflow performance
  • Utilize reporting and analytics tools to support operational decision-making
  • Translate complex operational data into actionable insights and executive-ready updates.
Key Requirements and Technology Experience:
  • 5+ years of healthcare project/program management or healthcare operations experience
  • Healthcare operations
  • Process improvement
  • Workflow optimization
  • Cross-functional project execution
  • Payer
  • Provider
  • Hospital
  • Managed care
  • environments
  • Revenue cycle
  • Claims workflows
  • Reimbursement operations
  • Utilization management
  • Healthcare operational reporting
  • Ability to operate independently in ambiguous, fast-moving environments
  • Experience with Epic, EHR, EMR, or healthcare operational platforms
  • Cost recovery initiatives
  • Healthcare financial operations
  • Medical necessity or utilization workflows
  • Experience with:
  • Tableau
  • Power BI
  • SQL
  • Jira/Confluence
  • PMP, Lean Six Sigma, Agile, or related certifications preferred
Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 
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Pyramid Consulting, Inc