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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.
Full Time
$106k-132k (estimate)
07/04/2024
08/01/2024