Senior Project Manager - Healthcare Operations

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Operations Project Manager IV role is responsible for all aspects of the development and implementation of assigned projects/initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. This position will focus on planning, development, directing, coordinating, and implementation activities pertaining to Operations growth initiatives, efficiency projects, and enterprise level projects impacting Operations functions. Performs other duties as assigned.

Key Accountabilities

Project & Delivery Leadership

• Leads assigned cross-functional Operations projects and initiatives, ensuring alignment to objectives and successful delivery
• Coordinates project planning, sequencing, milestones, resources, risks, issues, dependencies, and constraints in partnership with stakeholders; escalates matters that may affect broader initiatives
• Provides project status, insights, risks, and recommendations to sponsors and stakeholders to support effective decision-making

Stakeholder & Team Leadership

Provides project leadership and coordination across cross-functional teams, establishing clear roles, responsibilities, deliverables, and expectations while fostering accountability and collaboration

Partners with Operations leaders and stakeholders on project feasibility, execution considerations, risks, and dependencies; provides data-driven analysis and recommendations to support project decisions

Builds effective relationships and leads through influence, communicating project status, decisions, issues, and recommendations across appropriate organizational levels

PMO Practices & Continuous Improvement

• Applies established Operations PMO standards, methodologies, templates, and reporting practices to support consistent project execution
• Promotes disciplined project planning, RAID management, reporting, project closure, and maintenance of project documentation and status
• Identifies lessons learned and opportunities to improve Operations PMO processes, standards, and practices

Required Qualifications

Bachelor's degree or equivalent experience in related field

7 years of project management experience beyond degree

Preferred Qualifications

• 10+ years in health insurance industry (claims, call center, enrollment, billing, etc.)
• Project Management Professional certification
• Lean/Six Sigma certification

Skills and Abilities

Develop or support development of strategic business case and/or project scope document

Identify resources needed to deliver a project on time, in scope, and on budget; socialize and get buy-in from leadership

Develop Readiness Project Plan with delivery and readiness resources; maintain decision log; provide status and socialize issues/risks with stakeholders & business owners

Manage RAID log – driving resolution of questions / issues / risks

Ensure appropriate use of time – scheduling meetings with the right people, produce agendas, ensure notes are captured and communicated timely, assign follow-ups and ensure follow-ups are closed

Drive project closure, lessons learned, and refining Ops PMO standards and processes as a result

Maintain master inventory of assigned projects with status, providing updates to stakeholders & business owners

Escalate project risks / issues that may have impact beyond current project (i.e., impacts other projects or initiatives) and drive mitigation or acceptance of risks

Follow Ops project management standards and use defined templates to achieve consistent experience for business owners and project team members

Strong communication skills, both written and verbal

Proven track record building and maintaining relationships and leading through influence

Ability to work both independently and within group settings

Ability to work with a level of ambiguity and in an environment that changes frequently

Comfortable communicating with all levels within the organization, including C-suite

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.

The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.

In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.