Cost Recovery Project Manager – Healthcare Operations & Process Improvement

Pyramid, Inc

Foster City, CA

JOB DETAILS
SALARY
$65–$70 Per Hour
JOB TYPE
Full-time
SKILLS
Agile Programming Methodologies, 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, Healthcare Reimbursement, Hospital Administration, Leadership, Lean Six Sigma, Managed Care, Medical Record System, Operational Improvement, Operational Strategy, Operational Support, Operations Management, Operations Planning, Operations Processes, Performance Analysis, Performance Metrics, Power BI, Problem Solving Skills, Process Improvement, Project Execution, Project Management Professional (PMP), Project Planning, Project/Program Coordination, Project/Program Management, Reimbursement, Reporting Skills, Revenue Management, Risk, SQL (Structured Query Language), Short Messaging Service (SMS), Tableau, Utilization Management
LOCATION
Foster City, CA
POSTED
14 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. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here. #St

About the Company

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Pyramid, Inc