Healthcare It Project Manager Medicaid Hie

Position Title: Healthcare IT Project Manager (Medicaid & HIE)

Location: Raleigh, NC

Work Arrangement: Remote

Interview Process: Webcam Interview Only

Seeking an expert Senior IT Project Manager to lead complex, high-impact data exchange initiatives connecting Medicaid services with state Health Information Exchange (HIE) systems. This position oversees technical vendor implementations, manages payer claims data exchanges, and aligns cross-agency stakeholders.

• Project Governance & Planning: Build integrated project plans, manage scope, drive schedule control, and mitigate project risks across federally funded workstreams.

• Vendor Management: Provide direct oversight of technical implementation vendors to ensure strict adherence to contractual requirements and milestones.

• Healthcare Data Integration: Guide technical teams through healthcare claims data exchange, requirement clarification, and UAT issue resolution.

• Stakeholder Engagement & Reporting: Deliver executive progress reports and align external state agencies, internal divisions, and payer partners.

• Experience: 7+ years (84+ months) of dedicated IT project management experience.

• Domain Expertise: 7+ years of experience utilizing healthcare claims knowledge for requirements definition, technical impact evaluation, and UAT tracking.

• Vendor & Contract Oversight: 7+ years of experience managing external vendor delivery against contract terms.

• Project Execution: 5+ years developing integrated project plans, change control, and risk management systems.

• Status Reporting: 3+ years delivering formal executive reporting on blockers, decisions, and risks.

• Background working with state Medicaid agencies, HIE systems, or federally funded Advance Planning Document (APD) projects.

• Experience driving multi-payer claims and clinical data integration projects.