Project Manager - Healthcare/Risk Adjustment

About RAAPID:

RAAPID is a leading healthcare technology innovator specializing in AI-enabled risk adjustment solutions. Funded by Microsoft and Great Place to Work-certified organizations, we serve payers, healthcare providers, and support organizations with cutting-edge technology solutions that optimize revenue, ensure compliance, and reduce administrative costs.

Why RAAPID?

- Backed by Microsoft: Proudly funded by M12, Microsoft's venture fund, validating our technology innovation and market potential

- Industry Pioneer: Leveraging state-of-the-art artificial intelligence, machine learning, vision AI, and knowledge graphs to transform healthcare operations

- Strong Foundation: Built on four key pillars - Trust, Technical Competence, Stability, and Technical Innovation

- Recognition: Proud recipient of HITRUST certification, demonstrating our commitment to security and compliance

- Culture: Certified Great Place to Work, reflecting our dedication to employee satisfaction and professional growth

- Mission-Driven: Focused on revolutionizing value-based healthcare through customizable, AI-powered solutions

- Global Presence: Headquartered in Louisville, Kentucky, with a robust team of over 100 employees across the US and India.

Position Overview:

We are seeking a dynamic, detail-oriented Project Manager with strong Business Analyst skills to oversee a range of technical and service implementation projects within our Project Management Office (PMO).

This critical dual-role focuses on coordinating key projects and actively participating in business analysis to ensure seamless execution, client satisfaction, and successful project delivery. The ideal candidate will have a strong foundation in project management methodologies, direct experience in the healthcare or risk adjustment space, and proven proficiency in data analysis, reporting, and process improvement.

Key Responsibilities:

1. Project Management & Execution:

- Lead Project Lifecycle: Plan, coordinate, and execute technical and service implementation projects related to risk adjustment, ensuring all efforts align with company goals and client expectations.

- Planning & Tracking: Implement detailed plans, timelines, resource allocation strategies, and status reports.

- Risk & Quality Management: Proactively monitor project progress, identify and manage risks, implement corrective actions, facilitate lessons learned and ensure all deliverables meet quality standards, deadlines, and budget constraints.

- Cross-Functional Collaboration: Facilitate project meetings and coordinate closely with Data Analytics, Operations, Software Engineering, and client-facing teams to deliver comprehensive solutions and reporting.

- Program Support: Assist the Program Manager with coordination and integration-related project activities.

2. Business Analysis & Requirements:

- Needs Assessment: Gather, analyze, and document complex business requirements for new risk adjustment initiatives.

- Requirements Translation: Translate detailed business needs into clear, functional requirements for technical teams and external vendors.

- Process Improvement: Conduct gap analyses, lessons learned, and recommend system or process improvements to enhance operational efficiency and service delivery.

- Documentation & Liaison: Develop use cases, workflows, and process documentation. Serve as the primary liaison between technical teams and business units to ensure clear communication and shared understanding of project goals.

- Reporting: Develop and maintain operational performance reporting for the PMO and service lines, utilizing project management systems and reporting tools.

Required Qualifications:

Education & Experience:

- Bachelor's degree in Business Administration, Healthcare Management, Information Systems, or a related field.

- 5+ years of combined experience in Project Management and Business Analysis, preferably within the healthcare or risk adjustment services domain.

- Proven experience managing projects involving cross-functional teams (Operations, IT, Engineering, Product).

- Experience with creating performance and operational analytics reporting using tools like Power BI or similar packages.

- Basic understanding of healthcare system integration and interfacing via HL7, API, and other secure data transfer mechanisms.

- Proficient in project management software (e.g., Zoho Project, MS Project, Asana, JIRA).

Skills & Knowledge:

- Strong knowledge of Project Management methodologies (Agile, Waterfall, and hybrid approaches). PMP, Agile, or other relevant certifications are a plus.

- Familiarity with risk adjustment methodologies (HCC coding, RAF scoring) and related healthcare data analysis is highly desirable.

- Advanced proficiency in business analysis techniques and tools (e.g., Visio, Confluence, JIRA, Zoho).

- Exceptional written and verbal communication, presentation, and stakeholder management skills.

- Strong analytical mindset, problem-solving abilities, and meticulous attention to detail.

- Advanced proficiency in Microsoft Office Suite or Google Workspace.

- Familiarity with healthcare regulatory requirements, including CMS guidelines.

Hours:

- Balanced hours between India and U.S. Eastern Time to provide the most coverage for projects and implementations.

Benefits:

- Competitive salary and bonus structure.

- Health and wellness benefits package.

- Opportunities for professional development and career advancement.

- A vibrant, innovative, and supportive working environment.