Claims & Provider Payment Transformation Lead

Healthfirst; New York (NY); Hybrid; USD 100,000 - 130,000; Full time

Job summary

Healthfirst is looking for a Claims and Provider Payment Modernization Manager to lead initiatives that enhance our claims-related processes. The role requires excellent communication skills and experience in managing complex projects.

The ideal candidate should have a Bachelor's degree and proven competence in driving business automation through change management. This position involves collaboration across multiple departments to ensure seamless transitions from legacy to new systems.

Qualifications

• Bachelor's degree from an accredited institution or equivalent work experience.
• Proven experience driving business automation projects through all phases.
• Change management experience with defining scope and securing buy-in.

Responsibilities

• Manage assigned initiatives, including workplan development and stakeholder management.
• Partner with IT teams in delivery of technical components.
• Lead development of comprehensive process improvement plans.

Skills

Excellent verbal and written communication skills

Driving business automation projects

Change management

Business process management

Agile methodologies

Education

Bachelor’s degree or equivalent work experience

Tools

Scaled Agile (SAFe)

Job description

Healthfirst is looking for a Claims and Provider Payment Modernization Manager to lead initiatives that enhance our claims-related processes. The role requires excellent communication skills and experience in managing complex projects.

The ideal candidate should have a Bachelor's degree and proven competence in driving business automation through change management. This position involves collaboration across multiple departments to ensure seamless transitions from legacy to new systems.