Program Manager

About this Role: The ideal candidate is an experienced program manager in healthcare payer domain with Third party Administration of self-funded clients in the Health Plan administration 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 client /program implementation in the Health Plan Administration of self-funded clients in healthcare payer
• Documents scope, objectives and ensures 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 internal and external stakeholders
• Proactively identifies and manages project risks & decisions and communication
• 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 plan administration of large complex group with (Provider Network Implementation, Claims & Benefit Administration, Provider & Member service )
• Strong leadership, time management, facilitation, and organizational skills
• Hands on experience developing and managing Project plans and management of Risks, Issues, decisions and action log.
• 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.