Program Manager – Plan Administration

TechDigital Group; Long Island (KS); Remote; USD 90,000 - 130,000; Full time

Job summary

A leading company seeks a Program/Project Manager specialized in Healthcare Payer and Third-party Administration. This remote position involves planning and managing complex projects while ensuring alignment with business outcomes. Candidates should have substantial experience in program management within the healthcare industry, with a strong emphasis on teamwork and stakeholder management.

Qualifications

• 8+ years of program/project management experience focused on client and product implementation.
• 4+ years in Healthcare Payer with Business and IT Solutions for self-funded client implementation.

Responsibilities

• Responsible for planning, directing, and coordinating complex product/program implementation.
• Documents scope and objectives aligning them with expected business outcomes.
• Develops and manages project plans, including scheduling, resource tracking, and financials.

Skills

Leadership

Time Management

Facilitation

Organizational Skills

Analytical Skills

Problem-Solving Skills

Stakeholder Management

Education

Bachelor's degree in business administration or healthcare related field

Job description

Mandatory Skills: Healthcare Payer, Third party administration(TPA), Claims,

Responsibilities
∙Responsible for planning, directing, and coordinating complex product/program
implementation in the Healthcare Payer domain and/or Third-party Administration of self-
funded clients.
∙Documents scope, objectives and ensure 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 business and technology
partners.
∙Proactively identifies and manages project risks and dependencies.
∙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, prioritizingthem 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 (Enrollment/Benefit Administration, Claims Administration, Portals,
Finance, 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.
∙This position is remote. Being in or around Long Island, NY is a plus.