TPAHealth Plan Project Manager
Posted on :
01-07-2024
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Job Description
Title: TPA/Health Plan Project Manager
Location: Remote (Anywhere in the USA)
Duration: 612 Months
Implementation Partner: Sierra Solutions Group
End Client: To be disclosed
JD:
Position Description:
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 postintegration evaluations to identify areas for improvement and ensure continuous optimization.
Required Skills:
- Bachelors degree in healthcare administration Business Administration Project Management or a related field. Masters 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.
- Proven track record of leading successful integration projects preferably in a health plan environment.
- Strong knowledge of health plan operations including claims processing provider networks and member services.
- 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.
Employment Type
Full Time
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