Senior Project Manager of Clinical Transformation

The Senior Project Manager (Sr PM) leads large-scale, complex, enterprise transformation initiatives within Healthfirst. This role is accountable for delivering high-visibility projects that drive measurable efficiencies, operational improvements, and strategic transformation while ensuring quality, regulatory compliance, and alignment with organizational priorities. The Sr PM partners closely with stakeholders at varying levels of leadership across all departments to translate strategy into disciplined execution and sustainable results.

• Lead end-to-end delivery of complex, enterprise-wide initiatives focused on operational efficiency, program transformation, technology enablement, and performance improvement.
• Translate strategic objectives into actionable project plans with clear scope, timelines, financial targets, and measurable outcomes.
• Manage a high-volume portfolio of projects with significant cross-functional and technology interdependencies, including operations, clinical, medical management, finance, compliance/regulatory, and IT teams.
• Partner with executive and senior leaders to align project priorities, resolve barriers, and ensure accountability for outcomes.
• Apply project management best practices, tailoring methodologies as appropriate for each initiative.
• Collaborate with operational leaders to assess current-state processes, identify inefficiencies, and design future-state workflows aligned to cost, quality, and compliance goals.
• Establish and manage project governance, including executive steering committees, decision forums, and escalation pathways.
• Proactively identify and manage risks related to cost, scope, regulatory compliance, operational disruption, and change adoption.
• Track, validate, and report on financial and operational benefits, including cost savings, productivity gains, and return on investment.
• Ensure projects comply with healthcare regulations, internal controls, and quality standards.
• Drive effective change management to support adoption, sustainability, and realization of transformation benefits.
• Provide clear, concise executive-level communication on progress, risks, dependencies, and realized value.
• Coach and mentor Project Coordinators and Project Managers.
• Perform additional duties as assigned.

• Bachelor’s degree from an accredited institution or equivalent work experience.
• Prior experience leading medium to large-scale, complex projects within healthcare, health insurance, or other regulated environments.
• Strong executive presence with the ability to influence decisions and drive alignment across senior leaders and diverse stakeholder groups.
• Demonstrated expertise managing projects with significant operational and technology dependencies requiring analytical, communication, and problem-solving skills.
• Strong knowledge of SDLC (Software Development Life Cycle) or other project delivery methodologies, with proven ability to tailor approaches depending on goals/initiatives.

• Master’s degree or advanced-level certification such as Project Management Professional (PMP), Program Management Professional (PgMP), Six Sigma, or Lean.
• Experience supporting payer operations such as claims, utilization management, care management, provider operations, or enrollment.
• Proven success delivering cost efficiency, transformation, or enterprise change initiatives with measurable results.
• Experience with large-scale process redesign, automation, or technology-enabled transformation initiatives.
• Experience working in a Scaled Agile Framework (SAFe) environment.
• Knowledge and/or experience with multiple Agile techniques:
  User Stories, ATDD, TDD, Continuous Integration, Continuous Testing, Pair Programming, and Automated…