Sr. Project Specialist, Payer Solutions

About the role

The Sr. Project Specialist drives strategic project execution, continuous improvement, and cross-functional alignment to optimize health plan performance and AI-enabled operations across multiple lines of business. This role is responsible for leading complex deliverables and establishing governance frameworks across multiple lines of business.

Primary Duties

Planning & Execution

• Oversees the end-to-end delivery of complex project plans and workstreams from concept to execution.
• Design, build, and implement test-and-learn programs from concept to rollout to support operational excellence and potential program scaling
• Drive systematic workflow optimization by leveraging AI-powered tools and workflows to streamline operations, manage multiple simultaneous priorities, identify/mitigate risks, and increase team capacity for performance management.

Stakeholder Engagement & Communication

• Serve as a subject matter expert and key liaison between SME teams and cross-functional project groups to eliminate communication silos.
• Proactively identify risks and implement solutions to align stakeholders on project goals and deliverables.
• Establish structured governance frameworks and automations to manage operating cadences, autonomously support leadership in executive forums, and mentor junior Project Specialists.

Data Analytics & Reporting

• Analyze operational trends to identify key optimization opportunities and synthesize findings into strategic reports.
• Develop an AI-first reporting framework to showcase health plan performance, ROI, and Value-Based Care (VBC) outcomes.

Minimum Qualifications

Core Competencies

• Bachelor's degree in Business, Project Management, or a related field
• 4+ years of experience in project management or project coordination
• Strong organizational, time management, and problem-solving skills, with acute attention to detail and the ability to bring clarity to complex initiatives
• Exceptional written and verbal communication skills, with proven ability to collaborate across cross-functional teams
• Demonstrated ability to document and maintain standard operating procedures (SOPs) and effectively communicate data insights to diverse audiences

Technical & AI Proficiencies

• Proficiency with Google Workspace (Docs, Sheets, Slides), Microsoft Excel, and project management platforms (Monday.com, Salesforce)
• Experience with reporting/collaboration tools (Tableau, Snowflake, Power BI, Jira, Miro)
• Experience leveraging AI-driven tools and platforms (Claude, Gemini) with a proven ability to quickly adopt new technologies

Industry Knowledge

• Familiarity with managed care frameworks, Medicare/Medicaid regulations, and quality performance measures (HEDIS, STARS)

Preferred Qualifications

• PMP Certification
• Value Based Care experience across multiple lines of business

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.

What Does This Mean for You?

At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

• Robust time-off plan (21 days of PTO in your first year)
• Two paid volunteer days and 11 paid holidays
• 12 weeks paid parental leave for all new parents
• Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs.