Healthcare Program Manager

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Hi

Role : Program Manager

Location: Remote

Duration: Longterm

Number of Positions: 2

Keywords: Benefit & Plan Administration, healthcare benefit administration, healthcare payer domain, (Enrollment & Eligibility, Benefits & Claims Administration, Vendor integration, Member Portals & Engagement), TPA experience

Program Manager About this Role: We are seeking a passionate, results-oriented Program Manager in the healthcare payer domain with Benefit & Plan Administration of self-funded client who excels in client interactions and can collaborate effectively with stakeholders to implement the healthcare benefit administration of large self-funded Employer groups.

The ideal candidate will have worked in-depth in the healthcare payer domain implementing large complex clients or rolling out new products in the Health Plan Administration (Enrollment & Eligibility, Benefits & Claims Administration, Vendor integration, Member Portals & Engagement) in Program Management capacity.

The ideal candidate is an experienced program manager with healthcare payer / TPA experience who excels in client interaction and can effectively oversee strategic programs or projects that involve multiple workstreams/departments.

They are skilled in managing initiatives from start to finish, leading cross-functional teams and ensuring ongoing program success.

They are adept at guiding stakeholders through important decisions, coordinating activities, and driving process improvements.

Furthermore, they have a keen understanding of stakeholder needs and utilize this knowledge to develop strategies that optimize ROI, customer satisfaction, and overall organizational performance.

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.