bout this Role :
The ideal candidate is an experienced program manager in healthcare payer domain with Third
party Administration of self-funded clients in the Multi-employer Trust or 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 product / program implementation in the
Multi-employer Trust or 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 stakeholdersProactively identifies and manages project risks & decisions and communicationEstablished 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 projectscope, 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 productimplementation
4 in Healthcare Payer with Business and IT Solutions across these domains for self-funded clientimplementation Multi-employer Trust (Hours & Eligibility mgmt, Contribution Acctg) or Health
Plan Administration (Benefits & Claims Administration, Portals) , Reporting
Strong leadership, time management, facilitation, and organizational skillsWorking knowledge of Payer Administration with client implementation and product enablementStrong analytical, problem-solving, and conceptual skillsStrong 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 externalteams preferred.
