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 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 self-funded client
implementation Multi-employer Trust (Hours & Eligibility mgmt, Contribution Acctg) or Health
Plan Administration (Benefits & Claims Administration, Portals) , 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 project/program with Internal and external
teams preferred.