Program Manager - Healthcare

Overview

Remote
Depends on Experience
Contract - W2
Contract - Independent
Contract - 2 Year(s)
10% Travel

Skills

Healthcare Payer administration
Enrollment/Benefits Administration
Claims Administration
Portals
Finance
Reporting
project implementation
TPA
Benefits Administration
project management
Program Manager
change management
program implementation
project plans

Job Details

TQUAL is looking for a Senior Healthcare Program Manager to work as a contractor for our direct client in NY.

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 keenly understand stakeholder needs and utilize this knowledge to develop strategies that optimize ROI, customer satisfaction, and overall organizational performance. This is a remote position with occasional travel to Melville, NY location as required by the client.

<>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, and 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 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 focusing on client and product implementation.
  • 4+ in Healthcare Payer with Business and IT Solutions across these domains for self0funded client implementation (Enrollment/Benefits 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 projects/program with Internal and external teams preferred.

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