Overview
Remote
Depends on Experience
Contract - W2
Contract - 12 Month(s)
Skills
IT Project Management
PMP
JIRA
Health Care
elevance health
Documentation
Leadership
Project Management
System Implementation
Risk Management
Project Implementation
Job Details
Role: Senior IT Project Manager Prior Authorization Project
- Project Duration: August 2025 February 2027
- Location: Remote in the U.S.
- Implementation Date Target: January 1, 2027
Position Overview
We are seeking a highly experienced Senior IT Project Manager to lead the implementation of a complex initiative focused on developing and delivering a solution to meet the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). This is a high-impact role driving organizational alignment across Carelon business units (CBH, MBM, PAS) in support of Elevance Health s strategic healthcare data platform.
Key Responsibilities
- Lead end-to-end project management for a large-scale Prior Authorization system implementation, ensuring compliance with federal regulatory requirements (CMS-0057-F).
- Drive project execution across all phases: initiation, planning, execution, monitoring/control, and closure.
- Partner with internal stakeholders, including business and IT teams, to ensure delivery of a standardized output layer for integration with the Elevance Health OS platform.
- Oversee resource planning, stakeholder engagement, risk management, issue resolution, and change control.
- Provide regular updates, dashboards, and executive-level reporting on milestones and project health.
Required Qualifications
- 7+ years of IT project management experience, with a strong track record of delivering complex initiatives in healthcare environments.
- Direct experience managing projects related to Prior Authorization systems is required.
- Proven ability to manage cross-functional teams in a matrixed enterprise setting.
- Deep understanding of healthcare operations, with working knowledge in claims, eligibility, and provider data.
- Demonstrated strength in team leadership, conflict resolution, and building trusted relationships across technical and non-technical stakeholders.
- Excellent communication skills, both written and verbal, with the ability to present to senior leadership.
Preferred Qualifications
- Experience working with Elevance Health data systems or within Elevance operating environments.
- PMP certification strongly preferred.
- Familiarity with CMS regulatory frameworks, especially CMS-0057-F, is a strong plus.
- Proficiency with standard project management tools and documentation platforms (e.g., MS Project, Jira, Confluence, SharePoint).
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