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HealthEdgeHE

Project Manager

HealthEdge empowers healthcare payers through innovative SaaS solutions, driving a digital transformation in healthcare.

HealthEdge

Employee count: 1001-5000

Salary: 70k-95k USD

United States only

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Overview

POSITION SUMMARY

HealthEdge is redefining what is possible in healthcare technology — and this role sits at the center of that work. The Project Manager is a key contributor on the Business Optimization team, a high-impact function within Customer Delivery Operations responsible for driving process optimization, organizational support, and portfolio and program execution across HealthEdge’s customer-facing delivery organization.

In this role, you will lead the planning and delivery of enterprise software implementations for health plan clients across our full product portfolio: HealthRules Payer, GuidingCare, Wellframe, and Source. You will work closely with cross-functional delivery teams and client stakeholders, owning project outcomes across the full implementation lifecycle — from kickoff and planning through go-live and beyond — while bringing the technical fluency, stakeholder acumen, and delivery discipline that define a high-caliber healthcare IT project manager.

This is an opportunity for a driven, analytically minded professional to make a meaningful impact at the intersection of technology and healthcare. The ideal candidate communicates with clarity, operates with discipline, and brings genuine intellectual curiosity to every engagement. Comfort applying AI tools to improve how work gets done is a strong differentiator. HealthEdge is committed to investing in this individual’s growth, with expanding scope, visibility, and leadership opportunity over time.

KEY RESPONSIBILITIES

Project Execution & Coordination

  • Develop and maintain project schedules, task lists, and milestone trackers that keep enterprise implementations on scope, on budget, and on time.
  • Lead end-to-end delivery of software implementations for healthcare payer clients, working across HealthEdge’s product suite.
  • Coordinate cross-functional activities across engineering, operations, product management, customer success, and client teams.
  • Identify, document, and escalate project risks, issues, and dependencies — driving resolution before they impact delivery.
  • Facilitate and document project meetings with precision, capturing decisions, action items, and stakeholder communications in real time.
  • Contribute to Business Optimization initiatives by identifying delivery gaps and building scalable, repeatable process frameworks.

Client & Stakeholder Engagement

  • Serve as a primary point of contact for project team members and external client stakeholders at healthcare payer organizations, managing communications with professionalism and accountability.
  • Produce clear, executive-quality status updates and project reporting for internal leadership and client audiences.
  • Develop working knowledge of healthcare payer workflows — including claims processing, benefits configuration, member enrollment, and care management — to engage credibly in complex client conversations.
  • Represent HealthEdge with professionalism, composure, and a client-first orientation across all engagements.

Tools, Technology & Continuous Improvement

  • Maintain accurate project documentation and reporting across Smartsheet, Jira, Confluence, and SharePoint.
  • Actively apply AI tools and workflow automation to improve delivery quality, accelerate reporting, and enhance stakeholder communication.
  • Stay current on emerging project management practices and healthcare IT trends, bringing new thinking to the team.
  • Perform all functions consistent with HealthEdge policies and procedures, including standards governing PHI and PII.

REQUIREMENTS & QUALIFICATIONS

Required

  • 2–4 years of experience in project management or a related operational or technical role supporting enterprise or multi-stakeholder initiatives, preferably in a SaaS, healthcare IT, or professional services environment.
  • Demonstrated proficiency in project management methodologies — Agile/Scrum, waterfall, or hybrid — with a track record of applying them in real project environments.
  • Proficiency in Microsoft Office and associated tools.
  • Exceptional written and verbal communication skills; able to synthesize complexity into clear, actionable information for diverse audiences.
  • Proven ability to manage multiple priorities, navigate ambiguity, and deliver under deadline in dynamic environments.
  • Collaborative by instinct — you bring out the best in the teams and clients you work with.
  • Curious and adaptable; you ask sharp questions, embrace problems you have not solved before, and move forward with sound judgment.

Preferred

  • Background or active interest in healthcare, health IT, healthcare payer operations, or related fields.
  • Familiarity with payer workflows: claims processing, benefits configuration, member enrollment, medical management, care management, or provider contracting.
  • Demonstrated use of AI tools — such as Microsoft Copilot, ChatGPT, Claude, or similar — to improve professional efficiency and output quality.
  • Experience with Smartsheet, Jira, or Confluence in a live project environment.
  • Bachelor’s degree in business, information systems, healthcare administration, or a related field; equivalent professional experience considered.
  • PMP, CAPM, CSM, or equivalent project management certification preferred; active certification is a plus.

This role does not carry direct supervisory responsibility.

ABOUT HEALTHEDGE

HealthEdge’s mission is to revolutionize healthcare through transaction automation and the enablement of real-time business and clinical engagement among healthcare payers, providers, and patients. Our remote-first team works coast to coast delivering technology that powers some of the most complex health plan organizations in the country — organizations responsible for the care and coverage of millions of members.

Our product portfolio — HealthRules Payer, GuidingCare, Wellframe, and Source — addresses the full spectrum of payer operations, from core administrative processing to care management and member engagement. We are growing, we are building, and we are looking for people who want to grow and build alongside us. If you are looking for a role where your work has direct relevance to how healthcare gets delivered, and where your development is taken seriously, HealthEdge is that place.

HealthEdge is committed to an inclusive workplace where every employee has the opportunity to belong, make an impact, and do the best work of their career. We welcome candidates of all backgrounds, experiences, and perspectives.

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

**The annual US base salary range for this position is $70,000 to $95,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.

About the job

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Job type

Full Time

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Salary

Salary: 70k-95k USD

Experience

2 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About HealthEdge

Learn more about HealthEdge and their company culture.

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HealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also enable health plans to innovate and bring new lines of business to market swiftly. Our flagship product, HealthRules® Payer, has quickly gained acceptance and has positioned HealthEdge as a leader in digital transformation for healthcare payers.

Today, HealthEdge’s suite of cloud-based solutions enables health plans to thrive amidst the complexities of the healthcare landscape. We empower payers through increased operational efficiency, enhanced member engagement, and streamlined claims processing. Our goal is to drive down administrative costs while improving quality and patient outcomes, thereby creating a healthcare model that is sustainable for the future. By adopting our solutions, organizations can successfully transition into digital payers, ensuring compliance and efficiency in a rapidly evolving market.

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