PROJECT SPECIALIST

Job Description

REQUIREMENTS

• Associate’s degree or 5 years relevant experience required; Bachelor’s degree in a healthcare-related field preferred
• 2+ years of project or administrative support experience required
• Project management skills required; CAPM preferred
• Direct experience processing appeals, (internal/external) or peer reviews strongly preferred
• Proven ability to manage high-volume workloads across multiple contracts
• Strong written and verbal communication skills
• Highly organized with excellent attention to detail and deadlines
• Self-driven with the ability to work independently in a fast-paced environment
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams)
• Experience with project management tools (e.g., Asana)
• Strong technical aptitude and ability to quickly learn multiple systems and portals
• Experience working with web-based platforms and data systems
• Ability to analyze data and develop reports/spreadsheets

RESPONSIBILITIES

• Process and facilitate external and peer reviews in alignment with contract requirements, ensuring accuracy, timeliness, and compliance
• Support and coordinate activities across multiple concurrent contracts, managing competing priorities and deadlines
• Track, analyze, and report on case data using internal systems and review service portals
• Develop and maintain forms, reports, templates, and other business documentation
• Provide administrative and operational support to team members, providers, and clients
• Collaborate and facilitate cross-functional projects and initiatives
• Coordinate meetings, trainings, and team events
• Ensure compliance with applicable regulations (HIPAA, FISMA, URAC, CMS)
• Perform other duties as assigned

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