Project Manager
Anywhere
Category: Program/Project Management
Industry: Healthcare
Workplace Type: Remote
Reference ID: JN -022026-105576
Date Posted: 02/18/2026
Shortcut: http://careers.eliassen.com/g3K496
Description:
Remote
Our client is modernizing claims processing by bringing reprocessing and management in-house. The environment includes Zoho CRM, Abby OCR, and Pro EDI, with current workflows relying on manual invoicing and limited internal EDI experience. This engagement focuses on implementing and optimizing EDI 837 workflows, improving automation, and enhancing accuracy across the claims lifecycle.
Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance.
Rate: $70.00 to $60.00/hr. w2
Responsibilities:
Responsibilities
- Lead end-to-end project execution for claims processing and EDI initiatives.
- Coordinate and manage multiple vendors, clearinghouses, and technical partners.
- Own and maintain project plans, timelines, dependencies, risks, and deliverables.
- Serve as the primary liaison between business stakeholders and external vendors.
- Drive adoption of automated, industry-standard billing and claims workflows.
- Provide recommendations on process improvements and vendor solutions.
- Identify and manage dependencies across systems, vendors, and teams.
- Ensure alignment across stakeholders and maintain momentum throughout delivery.
Experience Requirements:
Experience Requirements
- Proven experience managing projects involving EDI 837 transactions.
- Direct experience with claims processing, clearinghouses, and claims data flows.
- Strong vendor management and cross-functional coordination skills.
- Ability to communicate effectively with business and technical stakeholders.
- Experience driving projects in third-party administration (TPA) or similar environments.
- Demonstrated ability to manage ambiguity, make recommendations, and advance initiatives.
- Familiarity with Zoho CRM or Zoho’s low-code environment (preferred).
- Light technical or coding background (preferred).
- Experience evaluating, onboarding, or replacing vendors to accelerate delivery (preferred).
- Background in healthcare benefits, insurance, or related regulated industries (preferred).
W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.
Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact InfoSec@eliassen.com.
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Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. Eliassen Group’s Affirmative Action Plan (AAP) is available for inspection by any employee or applicant for employment upon request, during normal business hours of Monday through Friday, 8:30am to 5:30pm EST. Interested persons should contact Phaedra Wells at pwells@eliassen.com for assistance. It is unlawful in Massachusetts and Maryland to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Applicants with disabilities that believe they require an accommodation or assistance with a position, please email our HR team at hradmin@eliassen.com. This email inbox is designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Emails sent for other purposes will not receive a response.
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Unfortunately, fraudulent job postings can happen. If anyone reaches out to you about an open position connected with Eliassen Group, never provide personal or financial information to anyone who is not clearly associated with Eliassen Group
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