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Project Manager, Clinical - Remote

R18525 King of Prussia, Pennsylvania - Additional locations

Additional Locations: King of Prussia, Pennsylvania, Virginia, Maine, Maryland, Connecticut, Washington, DC, Delaware, New Jersey, New York King of Prussia, Pennsylvania, United States of America; VIRTUAL, Virginia, United States of America; VIRTUAL, Maine, United States of America; VIRTUAL, Maryland, United States of America; VIRTUAL, Connecticut, United States of America; VIRTUAL, District of Columbia, United States of America; VIRTUAL, Delaware, United States of America; VIRTUAL, New Jersey, United States of America; VIRTUAL, New York, United States of America

Transforming the future of healthcare isn’t something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, we’re using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you’re ready to embrace your passion and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all. 

Empower Your Future. Make a Difference.

Clinical Project Manager

Overview of Position

The Clinical Project Manager will have primary responsibility for moving our existing projects forward along with being a key driver in new project initiatives in the Clinical Claims Management business. This role will drive the project plan and timelines for the delivery of the clinical content, including new content models and prototypes.  This leader will be a change agent to define the clinical strategy and accelerate content development and delivery.

What will be my duties and responsibilities in this job?

  • Work with State Medicaid (STM) Manager to ensure that all STM-related activities to meet defined timelines. Tracks STM progress ensuring timely data collection, monitoring and, in collaboration with data management, internal listings reviews

  • Create and maintain comprehensive project documentation for workstreams. Provides risk management and work break down schedules. Provide guidance to business for facilities/processes/regulatory, ensuring business model adapts to changing product/business deliverables. This includes, but is not limited to, the development of and assurance of adherence to SOPs and capacity planning models.

  • Analyze complex business problems to be solved with automated systems. Identifies gaps and provide technical expertise in business requirements for system functional specifications and scales new and current systems, processes and procedures in a cost-effective manner. Assist with the designs details of automated systems. May provide consultation to users in the area of automated systems. May lead cross-functional linked teams to address business or systems issues. Analyzes recommendations and implements productivity/quality improvements to work processes. Works to identify, process improvement that may or may not include AI.

  • Evaluates existing metrics for trends and utilize the data to facilitate management decisions.  Recommends and creates additional metrics to better assess the health of our people, process and tools. Provides management with periodic project specific metric reports. Manages dashboard and reports.

  • Directs and controls activities for all operational process for Clinical, to include but not limited to, time entry, resource allocation, day to day execution, resource hiring and onboarding

  • Supports the management activities of the programs including Steering Committees and subcommittees, task forces, and workgroups. Provides guidance in strategic systems planning to project teams

What are the requirements needed for this position?

  • 5+ years’ experience in managing large, complex project teams simultaneously and adherent to standards

What critical skills are needed for you to consider someone for this position?

  • Experience and proficiency in using project management tools

  • Experience developing Product/Team/Process performance metrics

  • Exposure to CPT codes & guidelines, HCPCS codes & guidelines, current ICD-10-CM codes & guidelines and/or current medical coding, billing guideline or healthcare experience, with topics to include but not limited to Medicare Physician Fee Schedule DB, etc.

  • Demonstrated proficiency with various software applications, including but not limited to MS Word; MS Excel; Outlook; Adobe Pro; ability to use Access at an intermediate level is a plus.

  • Strong research and data mining capabilities necessary along with strong analytical skills.

  • Outstanding problem-solving skills with the ability to step through logical pathways to confirm expected results.

  • Results driven individual; must be effective as both a team member and independent worker, with the ability to perform independent self-study, with strong attention to detail.

  • Ability to be self-directed daily, with high level of integrity and to successfully manage multiple priorities with deliverables completed on time and with high quality.

  • Strong interpersonal and communication skills with the ability to present confidently in large group settings.

  • Strong leadership abilities and an aptitude for mentoring and coaching others.

  • Proven ability to proactively devise and implement new processes or resources.

What other skills/experience would be helpful to have?

  • Bachelor’s degree preferably in Economics/Finance, Business or Healthcare Administration, Healthcare Information System Management, Health Information Management or other Healthcare related degree or equivalent experience

  • Healthcare Systems Information technology background and/or experience preferred.

  • Basic understanding of software development phases/life cycles a plus.

  • PMP or other PMI certification preferred

  • Exposure to Lean Six Sigma or Agile preferred

What are the working conditions and physical requirements of this job?

  • General office demands/Home office

How much should I expect to travel?

  • Some limited travel may be required

  • Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here to view our pay transparency nondiscrimination policy.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Talent Acquisition Process


Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.


Once you apply for a job opening, the Sourcing Specialist or Talent Adviser will review your resume ensuring your background matches the minimum job requirements. Selected candidates will be invited for a phone screen.


Steps will vary by team, but typically include: Talent Advisor phone screen, hiring manager interview, and a combination of technical screens and panel interviews.


If you're selected, you can expect the Talent Advisor to reach out with specific offer details. During this stage you will be provided with an electronic offer letter and other new hire documents.


Once you've received your offer letter, our onboarding team will get you ready for Week 1 and set you up for success! Onboarding tasks may include a background check, drug screening, and other job specific requirements.



Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.

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