Healthcare Project Manager

Overview:

The Project Manager for the Computer-Assisted Coding (CAC) and Clinical Documentation Integrity (CDI) Software Deployment Project is responsible for end-to-end planning, coordination, execution, and delivery of enterprise CAC/CDI implementations across inpatient, outpatient, and professional billing environments.

This role provides delivery governance, cross-functional coordination, and execution discipline, ensuring that scope, schedule, quality, and risk are actively managed across business, clinical, IT, QA, compliance, and vendor teams. The Project Manager ensures that project execution remains requirements-driven, testable, auditable, and operationally sustainable, rather than focused solely on technical go-live milestones.

This role will ensure sustained commitment to documentation, reporting, and record keeping assuring the ability to proactively report status while responding to ad hoc requests for information.

Key Responsibilities:

Project Planning & Execution

• Develop and maintain integrated project plans complete with appropriate work packages, tasks, assignments, predecessors, and successors fit facilitation work and detect slippage for each area:
• Business analysis
• Interface development
• Testing and QA
• Training
• Go-live and stabilization
• Core application configuration (work queues, etc)
• Timely decisions and business input collection
• Establish and manage milestones, dependencies, critical paths, and deliverables across all CAC/CDI workstreams.
• Ensure alignment between project plans, resource availability, and organizational priorities.

Governance, Risk & Issue Management

• Establish and maintain project governance structures, including:
• Status reporting
• Decision logs
• Risk and issue registers
• Escalation pathways
• Proactively identify and manage risks related to scope, data readiness, workflow maturity, testing coverage, training readiness, and operational adoption.
• Serve as the primary escalation point for delivery risks that may impact quality, compliance, or revenue cycle performance.

Requirements, QA & Testing Alignment

• Partner closely with Business Analysts to ensure:
• Clear, approved, and testable requirements
• Alignment between current-state assessment and future-state design
• Ensure QA activities are planned, resourced, and executed in accordance with the comprehensive testing strategy, including:
• Integration testing
• Interface testing
• User Acceptance Testing (UAT)
• Regression testing

Cross-Functional Coordination

• Coordinate activities across:
• Operational stakeholders (Coding, CDI, HIM, Compliance, Billing, Operations, Clinical Staff Leaders)
• QA Analysts and QA Lead
• Interface Developers
• Business Systems Analysts
• Trainers
• Vendors and external partners
• Audit project artifacts to ensure they are fit for purpose, including requirements, workflows, and testing outputs.

Vendor & Stakeholder Management

• Act as the primary point of coordination with CAC/CDI vendors, ensuring:
• Deliverables align with contractual scope
• Timelines and dependencies are transparent
• Risks and issues are surfaced early
• Communicate effectively with executive sponsors, clinical leaders, operational managers, and IT leadership regarding project status, risks, and decisions.

• Partner closely with QA Analysts and QA Lead to:
• Align training scenarios to tested workflows
• Identify gaps between system behavior and user understanding
• Reinforce correct handling of exceptions and edge cases
• Participate in UAT as needed to ensure training materials reflect actual system behavior at acceptance.

Go-Live & Stabilization Oversight

• Coordinate go-live readiness activities including:
• Training completion
• Data validation
• Cutover planning
• Support coverage
• Lead post go-live stabilization efforts, ensuring:
• Clear issue triage processes
• Separation of training issues vs. system defects
• Transition to steady-state operational ownership

Required Qualifications:

• Bachelor s degree in business, Information Systems, Healthcare Administration, Project Management, or related field.
• 10+ years of experience managing healthcare IT or revenue cycle related projects, including enterprise-scale implementations.
• Active Project Management Professional (PMP) certification with strong mastery in inputs, tools, techniques, and outputs
• Direct experience implementing Computer Assisted Coding and Clinical Document Integrity tools in a complex Revenue Cycle ecosystem.
• Demonstrated experience managing projects involving:
• Coding and documentation workflows across Electronic Health Records, Laboratory Information Systems, and Radiology Information Systems (RIS), and Radiation Oncology Information Systems (OIS).
• Revenue cycle systems including registration, scheduling, charging, coding, scrubbing, and billing
• Experience leading projects with extensive integration components via HL7 and EDI transaction sets
• Strong working knowledge of:
• Project management methodologies and their appropriate use cases (Predictive/Waterfall, Hybrid, Agile)
• Healthcare revenue cycle business operations
• Compliance with regulatory and payer obligations as it related to Revenue Cycle Management processes, systems, and outcomes

Preferred Qualifications:

• HIM or revenue cycle credentials (CRC, CPC, CPB, RHIA, etc.)
• Knowledge of HL7 message types and segments. Knowledge of EDI loops and segments.
• Knowledge of business analysis or operations management techniques used to evaluate, documents, design, and optimize processes.