Healthcare PMP Program Manager

Job Summary

A company is looking for a Healthcare PMP Program Manager focused on Appeals & Hearings.

Key Responsibilities

• Manage a multidisciplinary team supporting healthcare appeal and application operations
• Lead operational support for appeal adjudication processes, ensuring compliance with regulations
• Coordinate logistics for administrative hearings and supervise workflows for application processing

Required Qualifications

• Active Project Management Professional (PMP) certification
• Minimum of five years of experience leading complex project teams
• Bachelor's degree from an accredited institution
• Knowledge of Medicare programs, especially Part C and risk adjustment
• Experience with healthcare appeals and case/document management platforms