Project Manager- prior authorization (PA)
Spectraforce
Woodland Hills, California
a day ago
Job Description
Job Title: Project Manager
Job Location: Woodland Hills CA, Onsite 5 days a week
Job Duration: 6-12 Months
We are seeking an experienced Project Manager to lead a prior authorization (PA) transformation/implementation project within a healthcare environment. This is a highly technical program, requiring strong coordination across business, technology, and integration teams.
The ideal candidate will bring solid project delivery expertise, with a technical background preferred to effectively drive execution across complex, system-driven workflows.
Required Qualifications
Preferred Qualifications
Key Responsibilities
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position's pay range is $50.00/hr - $52.00/hr.
Job Location: Woodland Hills CA, Onsite 5 days a week
Job Duration: 6-12 Months
We are seeking an experienced Project Manager to lead a prior authorization (PA) transformation/implementation project within a healthcare environment. This is a highly technical program, requiring strong coordination across business, technology, and integration teams.
The ideal candidate will bring solid project delivery expertise, with a technical background preferred to effectively drive execution across complex, system-driven workflows.
Required Qualifications
- 8+ years of Project Management experience in IT and healthcare domains
- Proven experience managing complex, technical projects involving system integrations or platform implementations
- Strong understanding of Software Development Lifecycle (SDLC) and Agile/Hybrid delivery models
- Demonstrated ability to manage cross-functional distributed teams
- Excellent stakeholder management, communication, and problem-solving skills
Preferred Qualifications
- Experience in Healthcare Payer domain, specifically Prior Authorization workflows
- Prior experience working on claims, utilization management, or care management systems
- Technical background (e.g., development, integration, architecture) strongly preferred
- Familiarity with tools such as JIRA, Confluence, or similar delivery management platforms
- Certifications such as PMP, Scrum Master, or equivalent are a plus
Key Responsibilities
- Lead end-to-end project delivery for a prior authorization initiative, ensuring alignment with business and IT objectives
- Develop and manage detailed project plans, timelines, milestones, and deliverables
- Coordinate cross-functional teams including business stakeholders, engineering, QA, and integrations teams
- Drive requirements alignment, ensuring translation of business needs into technical deliverables
- Manage project scope, schedule, cost, and quality constraints while proactively mitigating risks
- Oversee SDLC execution, including planning, development coordination, testing, and deployment support
- Facilitate key program meetings, including status updates, risk reviews, and stakeholder communications
- Track project progress, dependencies, and performance metrics, with clear reporting to leadership
- Identify and resolve technical and delivery challenges, ensuring minimal impact to timelines
- Ensure adherence to governance, compliance, and documentation requirements
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position's pay range is $50.00/hr - $52.00/hr.