Clinical Operations Project Manager - Project Based

Clinical Operations Project Manager - Project Based

Job Ref: 124240
Category: Utilization Review and Case Management
Department: CLINICAL SERVICES ADMIN
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $86,000.00
Salary Range: $86,000.00 - $86,000.00

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

Empower. Unite. Care.

MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

The Clinical Operations Project Manager is responsible for leading and managing the administrative and operational components of a large-scale systems implementation within the Medical Management division. This role ensures that clinical programs—such as utilization management, care management, and quality management—are transitioned efficiently, on time, and in compliance with regulatory requirements.

The Clinical Operations Project Manager will oversee project planning, documentation, stakeholder coordination, and resource alignment to support successful implementation and integration of new systems and workflows.

Job Description

Lead the development, maintenance, and alignment of project documentation, trackers, and implementation plans across clinical operations.

Manage a comprehensive inventory of deliverables across testing, training, technical, implementation, and change request workstreams.

Coordinate and facilitate meetings with internal teams, vendors, and stakeholders; prepare agendas, document meeting outcomes, and ensure timely follow-up on action items.

Monitor project milestones and timelines; proactively identify risks, escalate issues, and collaborate with teams to resolve blockers.

Oversee Jira ticket management, including creation, updates, and triaging to appropriate stakeholders.

Support strategic resource planning and allocation to ensure optimal team performance and project continuity.

Collaborate with cross-functional departments including IT, Compliance, Provider Network Operations, and Claims to ensure seamless integration of systems and workflows.

Provide regular project status updates and reports to leadership and stakeholders.

Perform other project-related duties as assigned.

Minimum Qualifications

Bachelor’s degree in Healthcare Administration, Public Health, Business, Project Management, or a related field; and

4 years of experience in project management, preferably within a health insurance, managed care, or clinical operations environment; or

A satisfactory equivalent combination of education, training, and experience.

Proficiency in Microsoft Office Suite and project management tools (e.g., Smartsheet, SharePoint, Jira, Asana, or similar).

Professional Competencies:

Integrity and Trust

Customer Focus

Functional/Technical skills

Exceptional communication and interpersonal skills, with the ability to engage and influence stakeholders at all levels.

Excellent organizational, analytical, and problem-solving skills.

Detail-oriented with a proactive and collaborative approach to project execution.

**This is a temporary position expected to last through 4/2026, with the possibility of extension based on business needs