- Lead business‑side execution for core admin transformation across all operational domains, serving as the primary point of coordination between business leaders, IT, and system integrators
- Drive integrated business planning, milestone tracking, dependencies, and readiness activities across enrollment, billing, claims, provider, finance, and shared services.
- Partner with operational leaders to translate future‑state processes into clear requirements, design decisions, and adoption plans; avoid “lift‑and‑shift” approaches.
- Manage cross‑functional risks, issues, and decisions; escal …
- Drive business readiness activities including change management, training coordination, cutover planning, parallel runs, and post‑go‑live stabilization.
- Provide clear executive‑level updates on progress, risks, and readiness across business workstreams.
- Work in close collaboration with Program PMO to manage milestones, dependencies, risks, and critical path business deliverables.
Requirements
- Minimum 5-7 years of related experience
- 10+ years leading complex, cross‑functional business programs, preferably in healthcare, insurance, or other highly regulated operational environments
- Bachelor's Degree or equivalent experience
- PMP certification required
- Proven experience serving as a senior business lead for large‑scale system implementations or core platform transformations
- QNXT experience is required
- Strong understanding of operational domains such as Enrollment, Claims, Billing, Provider Operations, Clinical, Fulfillment and Finance
- Proven ability to operate in ambiguity, align senior stakeholders, and drive execution across multiple teams and vendors.
- Strong executive communication, judgment, and decision‑management skills.
- Must possess strong presentation skills.
Core Competencies
Demonstrates expertise in leading complex, cross‑functional business programs with a focus on operational domains such as Enrollment, Claims, and Billing. Proven ability to manage change, drive execution, and provide executive‑level communication in highly regulated environments.
Highest-signal resume keywords
- PMP Certification
- QNXT Experience
- Cross-Functional Business Program Leadership
- Executive Communication Skills
- Change Management
ATS Optimization Keywords
Hard Skills
- Business Process Design
- Milestone Tracking
- Risk Management
- Requirements Gathering
- System Implementation
Soft Skills
- Decision Management
- Judgment
- Presentation Skills
Certifications & Qualifications
Industry Keywords
- Healthcare
- Insurance
- Operational Domains
- Regulated Environments
Tools & Technologies
- Program PMO
- Change Management Tools