Quick overview
Job description
The Sr. Project Specialist drives strategic project execution, continuous improvement, and cross-functional alignment to optimize health plan performance and AI-enabled operations across multiple lines of business. This role is responsible for leading complex deliverables and establishing governance frameworks across multiple lines of business.
Primary Duties
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Oversees the end-to-end delivery of complex project plans and workstreams from concept to execution.
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Design, build, and implement test-and-learn programs from concept to rollout to support operational excellence and potential program scaling
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Drive systematic workflow optimization by leveraging AI-powered tools and workflows to streamline operations, manage multiple simultaneous priorities, identify/mitigate risks, and increase team capacity for performance management.
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Serve as a subject matter expert and key liaison between SME teams and cross-functional project groups to eliminate communication silos.
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Proactively identify risks and implement solutions to align stakeholders on project goals and deliverables.
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Establish structured governance frameworks and automations to manage operating cadences, autonomously support leadership in executive forums, and mentor junior Project Specialists.
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Analyze operational trends to identify key optimization opportunities and synthesize findings into strategic reports.
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Develop an AI-first reporting framework to showcase health plan performance, ROI, and Value-Based Care (VBC) outcomes.
Planning & Execution
Stakeholder Engagement & Communication
Data Analytics & Reporting
Other duties as assigned
Minimum Qualifications
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Bachelor’s degree in Business, Project Management, or a related field
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4+ years of experience in project management or project coordination
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Strong organizational, time management, and problem-solving skills, with acute attention to detail and the ability to bring clarity to complex initiatives
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Exceptional written and verbal communication skills, with proven ability to collaborate across cross-functional teams
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Demonstrated ability to document and maintain standard operating procedures (SOPs) and effectively communicate data insights to diverse audiences
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Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, and project management platforms (Monday.com, Salesforce)
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Experience with reporting/collaboration tools (Tableau, Snowflake, Power BI, Jira, Miro)
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Experience leveraging AI-driven tools and platforms (Claude, Gemini) with a proven ability to quickly adopt new technologies
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Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS)
Core Competencies
Technical & AI Proficiencies
Industry Knowledge
Preferred Qualifications
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PMP Certification
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Value Based Care experience across multiple lines of business
Physical Requirements
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Prolonged periods of sitting at a desk and working on a computer.
