Best Practices, Budget Management, Centers for Medicare and Medicaid Services (CMS), Change Management, Claims Management, Contract Requirements, Cross-Functional, Document Change Management, Healthcare, Healthcare Management, Leadership, Medical Coding, Medical Writing, Mentoring, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Process Improvement, Program Management Professional (PgMP), Project Management Professional (PMP), Project Planning, Project/Program Management, RAID Storage, Requirements Management, Schedule Development, Service Level Agreement (SLA), System Operations, Time Management, Vendor/Supplier Management
Payment Integrity Project Manager / Payment Integrity Project Specialist (Hybrid) – Grand Rapids, MI
Location: Grand Rapids, MI (Hybrid)
Schedule: On-site Tuesday, Wednesday, Thursday; remote Monday/Friday
Pay: $60/hr
Summary
Now hiring a Payment Integrity Project Manager (also known as a Payment Integrity Project Specialist ) to lead mid-to-large, high-impact healthcare initiatives focused on payment integrity, claims operations, and vendor-delivered solutions . This role owns complex project plans, budgets, timelines, and stakeholder communications while driving execution across cross-functional teams and external partners. Ideal candidates bring healthcare/claims expertise, strong influencing skills, and proven delivery of large implementations tied to SLA performance, compliance, and measurable outcomes .
Responsibilities
- Lead complex payment integrity and healthcare claims projects from concept through implementation
- Build and manage project plans, budgets, schedules, milestones, and RAID tracking (risks/issues/dependencies)
- Coordinate cross-functional workstreams to deliver on time and within budget
- Manage vendor work, deliverables, and performance against contractual requirements and SLA agreements
- Facilitate stakeholder alignment, governance routines, and executive-ready status updates
- Drive requirements gathering, process documentation, and change management readiness
- Identify dependencies across systems, operations, and business functions to ensure smooth integration
- Monitor cost, schedule, and performance across multiple concurrent initiatives
- Mentor team members and reinforce project management standards and methodology
- Promote project management best practices aligned to PMI principles and enterprise toolsets
Qualifications
- Bachelor’s degree (or equivalent experience) required; Master’s degree preferred
- 3+ years relevant project/program experience (5+ preferred)
- Healthcare/claims domain experience required; payment integrity exposure strongly preferred
- Experience leading large-scale, complex implementations in a matrix environment
- Strong vendor management experience including deliverables, SLA tracking, and escalation management
- Proven stakeholder management and influencing skills (cross-functional and executive communication)
- Strong planning/budgeting/scheduling skills; advanced Microsoft Office (Excel, PowerPoint, Outlook)
- PMP certification preferred (PgMP a plus)
- Nice to have: clinical editing, CMS, medical coding, payment integrity programs
Keywords: Payment Integrity Project Manager, Payment Integrity Project Specialist, Healthcare Project Manager, Claims Project Manager, Program Manager, Vendor Management, SLA, PMI, PMP, Healthcare Claims, Implementation, Stakeholder Management, Change Management, Process Improvement, Medical Coding, CMS, Clinical Editing.
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A-Line Staffing Solutions LLC
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals
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Staffing/Employment Agencies
http://www.alinestaffing.com/