NEW JOB OPENING
SENIOR HEALTHCARE IT PROJECT MANAGER - MEDICAID CLAIMS & DATA EXCHANGE
IN Remote, USA!

 

Date Posted: 09/15/2026
Hiring Organization: Rose International
Position Number: 507547
Industry: Government/Staffing
Job Title: Senior Healthcare IT Project Manager - Medicaid Claims & Data Exchange
Job Location: Remote, USA
Work Model: Remote
Shift: Monday through Friday, 8 to 5 EST
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 13
Min Hourly Rate($): 65.00
Max Hourly Rate($): 70.00
Must Have Skills/Attributes: Claims, Compliance, Healthcare, Implementation, Project Management, Project Plans, Risk Management, Stakeholders, UAT, Vendor Management
Experience Desired: Utilize healthcare claims expertise to clarify requirements, assess impacts, and track UAT issues (7 yrs); Provide project management oversight of vendor implementation projects to ensure compliance (7 yrs); Develop integrated plans and manage scope, schedules, requirements, risks and change control (5 yrs); Provide project reporting, including progress, risks, blockers, and decisions for stakeholdes (3 yrs)

**C2C is not available**

 

Job Description
Required Skills:

• Utilize healthcare claims expertise to clarify requirements, evaluate technical impacts, and track UAT issue resolution (7 Years)

• Provide project management oversight of vendor implementation projects to ensure compliance with contractual requirements (7 Years)

• Develop integrated project plans and manage scope, schedule, requirements, risks, communication, and change control (5 Years)

• Provide regular project reporting, including progress, risks, blockers, and decisions for stakeholders (3 Years)



The goal of the program is to leverage Health Connex to support the Client's Medicaid quality and population health efforts by improving data exchange. The Senior IT Project Manager is responsible for leading complex, high-impact technical projects associated with the implementation of improved and enhanced care management data exchange processes via NC Health Connex.



Job Duties:

• The position will lead complex, high-impact technical projects associated with the implementation of improved and enhanced care management data exchange processes

• The Senior IT Project Manager is responsible for engaging with other payers to support exchange of claims and other supplementary information

• In collaboration with the HIEA Program Manager, the HMS Senior IT Project Manager, and the HMS Program Lead, the role manages assigned HMS workstreams and supports oversight of the technical implementation vendor in close collaboration with client Medicaid

• This role requires expertise in applying recognized project management methodologies, understanding complex systems and claims exchange, and requires significant collaboration and stakeholder management across multiple internal divisions, vendors, and external state agencies
  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**


 

Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

 

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About Rose

  • Founded in 1993
  • Office Locations Across the U.S.
  • 150+ Clients: Corporations and Government Agencies
  • Employee Oriented Company
  • Challenging Assignments Across the U.S.
  • Continuous Professional Development

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