Title: TPA/Health Plan Project Manager

Location: Remote (client is located in Seattle, WA)

Start Date:ASAP

Duration:6-12 months to start

Position Description:

· We are seeking a highly motivated and experienced Health Plan Project Manager to lead our integration efforts.

· The ideal candidate will have strong Project Manager experience that has recent TPA (Third Party Administrator) OR Health Plan experience.

· Candidates must be Six Sigma Certified. 

· This PM will be required to bring a combination of experience within integration of operations both internal and Third-Party Vendor Partners as well as integration of newly acquired lines of business.

· The successful candidate will be responsible for managing the integration of various health plan components, including IT systems, provider networks, and member services.

· This role requires a strong understanding of health plan operations, excellent project management skills, and the ability to work collaboratively with cross-functional teams.

Responsibilities:

· Lead and manage integration projects for health plan systems, ensuring alignment with organizational goals and objectives.

· Develop and maintain detailed project plans, including timelines, milestones, and deliverables.

· Coordinate with internal teams and external partners to ensure successful integration of systems and processes.

· Identify and mitigate project risks, resolving issues promptly to keep projects on track.

· Ensure compliance with regulatory requirements and industry standards throughout the integration process.

· Provide regular updates to senior management on project status, highlighting achievements and addressing any concerns.

· Facilitate effective communication and collaboration among stakeholders, including IT, operations, provider networks, and member services.

· Conduct post-integration evaluations to identify areas for improvement and ensure continuous optimization.

Required Skills:

· Bachelor’s degree in healthcare administration, Business Administration, Project Management, or a related field. Master's degree preferred.

· Six Sigma Certification

· PMP or similar project management certification is highly desirable.

· Minimum of 5 years of experience in project management within the healthcare or health plan industry (candidates who have recent TPA experience will receive first consideration over others).

· Strong knowledge of health plan operations, including claims processing, provider networks, and member services.

· Proven track record of leading successful integration projects, preferably in a health plan environment.

· Excellent organizational and multitasking skills, with the ability to manage multiple projects simultaneously.

· Exceptional communication and interpersonal skills, with the ability to work effectively with diverse teams and stakeholders.

· Proficiency in project management software and tools.

· Understanding of regulatory requirements and compliance standards in the healthcare industry.