Regal Medical Group · 1 month ago
Sr. Project Manager, Claims Processing
Northridge, CA
Full-time
Onsite
Senior Level
$70K/yr - $75K/yr
5+ years expRegal Medical Group, Inc. is one of the fastest growing Independent Physician Associations in Southern California, offering a fast-paced and supportive work environment. The Sr. Project Manager will provide direct support to the SVP of Claims Processing on professional claims projects, manage all project phases, and mentor team members while ensuring effective communication across departments.
Health CareMedicalTherapeutics
Responsibilities
Provide direct support to the SVP, Claims Processing on professional claims projects, collaborating with IT, Data Management, and Decision Support teams to resolve issues efficiently
Apply standardized project management tools, methodologies, and templates for deliverables such as timelines, milestone reports, budgets, and resource tracking
Manage all project phases including scope planning, analysis, scheduling, budgeting, risk management, implementation, and post-project evaluation
Maintain consistent communication with claims staff, vendors, consultants, and leadership; coordinate activities across departments to ensure project alignment
Mentor and support team members, promoting active engagement and accountability throughout the project lifecycle
Identify and mitigate project risks; escalate critical issues for resolution when necessary and implement strategies to prevent recurrence
Qualification
Required
5+ years of claims processing experience in a healthcare environment, preferably using EZ-CAP or comparable systems
5+ years of experience in the healthcare industry, with exposure to claims operations and related processes
Strong ability to partner with management and project managers to define business process issues, analyze operational efficiency, implement creative solutions, and track measurable results
Demonstrated disciplined, process-driven and data-driven approach to work and decision-making
Proven ability to conduct and interpret both qualitative and quantitative analyses, with strong problem-solving skills
Excellent verbal, written, and presentation skills, with the ability to communicate clearly at all levels of the organization
Ability to work effectively with individuals at all organizational levels and act as a strong team player
Highly organized, with strong time-management skills and the ability to prioritize multiple tasks while working with minimal supervision
Demonstrated initiative, independent judgment, and a self-starter mindset in driving projects forward
Preferred
Working knowledge of claims payment policies and their application in day-to-day adjudication is preferred
Strong PC skills with business software, including Microsoft Access, Excel, PowerPoint, and Word
Benefits
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
401k Retirement Savings Plan
Income Protection Insurance
Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Company
Regal Medical Group
Regal Medical Group is an acute care community hospital that provides health care, therapies, pediatrics and dermatology services.
1001-5000 employees
H1B Sponsorship
Regal Medical Group has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2022 (1)
Funding
Current Stage
Late StageLeadership Team
Jennifer Dunphy, DrPH, MBA, MPH
Chief Population Health Officer | Senior Vice President
Jeanette Grandes
Executive Assistant to Senior Vice President and Chief Operations Officer
Recent News
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