Job Details

CV Resources has partnered with a Third-Party Administrator (TPA) in Greenville, SC to find an experienced Project Manager with a strong understanding of the Third-Party Administrator (TPA) environment. This role will oversee client implementations, operational initiatives, and cross-functional projects to ensure successful delivery of TPA services including claims administration, eligibility, and vendor integrations. This is not a general PM role — candidates must understand how a TPA operates and be able to navigate claims, eligibility, funding, and client expectations. Key Responsibilities Project & Implementation Management Lead new client implementations from onboarding through go-live (eligibility, plan setup, funding, reporting, etc.) Develop and manage project timelines, deliverables, and internal accountability Coordinate across internal teams (claims, eligibility, IT, client services) to ensure readiness Oversee vendor integrations (PBM, networks, telehealth, etc.) Operational Oversight Ensure projects translate into smooth day-to-day operations post go-live Identify gaps in processes, workflows, or handoffs and drive improvements Monitor service expectations including turnaround times, accuracy, and SLAs Support ongoing operational initiatives and system enhancements Client & Stakeholder Management Serve as a primary point of contact during implementation and major initiatives Run status calls and maintain clear communication with clients and internal teams Manage escalations and ensure timely resolution of issues Align expectations around scope, timelines, and deliverables TPA-Specific Coordination Work closely with claims and eligibility teams to ensure proper setup and administration Coordinate plan designs, benefit structures, and funding arrangements Understand and support compliance-related components (ASA agreements, plan requirements, reporting) Partner on reporting, analytics, and performance tracking Professional Communication & Documentation Create clear, professional client-facing communications including emails, letters, reports, and meeting summaries Maintain a high level of professionalism in all written and verbal communication Document project plans, decisions, and processes in a clear and structured way Develop and maintain SOPs for repeatable workflows Requirements Experience 2-5 years of experience in a TPA, insurance carrier, or health plan environment Direct experience with claims administration, eligibility, or account management strongly preferred Proven experience managing implementations or operational projects Knowledge Strong understanding of TPA operations (claims processing, eligibility, funding, vendors, etc.) Familiarity with benefit plans (medical, ancillary, or self-funded arrangements) Experience working with PBMs, provider networks, or third-party vendors is a plus Skills Professional office presence with the ability to communicate clearly and effectively with clients, vendors, and internal teams Strong written communication skills, including the ability to draft professional emails, letters, and documentation Advanced proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, and Teams) Highly organized with strong project management and follow-through Ability to manage multiple projects and competing priorities Strong problem-solving skills with the ability to identify issues and drive solutions quickly PandoLogic., Location:Greenville,SC-29603, PL:604145588a25371ca-cde7-4fb6-ba87-2cf40b156c8b