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Mandatory Skills: Healthcare Payer, Third party administration(TPA), Claims,
Responsibilities
• Responsible for planning, directing, and coordinating complex product/program
implementation in the Healthcare Payer domain and/or Third-party Administration of self-
funded clients.
• Documents scope, objectives and ensure they align with expected business outcomes.
• Develops and manages project plans, including scheduling, resource tracking, and financials.
• Defines and implements program/project management standards and processes.
• Ensures timely production and approval of deliverables from business and technology
partners.
• Proactively identifies and manages project risks and dependencies.
• Established program governance and provides clear communication to all program
stakeholders, including senior management.
• Serves as the primary point of contact for program management-related inquiries.
• Works closely with clients, cross-functional teams, and stakeholders to plan and develop
project scope, resources, and timelines.
• Manages project risks, issues, and decisions, prioritizing them effectively.
• Develops and manages project budgets, delivering against business goals.
• Builds and maintains strong client and business partner relationships.
• Contributes to internal initiatives to drive efficiencies and best practices.
Skills and Qualifications
• Bachelor's degree in business administration or healthcare related field.
• 8+ years of program/project management experience with focus on client and product
implementation.
• 4+ in Healthcare Payer with Business and IT Solutions across these domains for self-funded
client implementation (Enrollment/Benefit Administration, Claims Administration, Portals,
Finance, Reporting)
• Strong leadership, time management, facilitation, and organizational skills
• Working knowledge of Payer Administration with client implementation and product
enablement
• Strong analytical, problem-solving, and conceptual skills
• Strong working knowledge of change management principles.
• Solid teamwork and interpersonal skills, with the ability to communicate and persuade
customers, employees, and management at all levels and thrive in a cross-functional
environment.
• Stakeholder management skills in large complex project/program with Internal and external
teams preferred.
• This position is remote. Being in or around Long Island, NY is a plus.
Date Posted: 11 April 2025
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