Health Plan Project Manager

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Title: TPA/Health Plan Project Manager

Location: Remote (client is located in Seattle WA)

Start Date:ASAP

Duration:612 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 ThirdParty 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 crossfunctional 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 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 (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.