Project Manager

Intelligence and National Security Alliance; Greenville (SC); On-site; USD 70,000 - 110,000; Full time

Job summary

CV Resources, in Greenville, SC, is partnering with a Third‑Party Administrator to recruit an experienced Project Manager. The role focuses on client implementations, operational initiatives, and cross‑functional projects within the TPA environment.

The PM will oversee onboarding, plan setup, funding, and vendor integrations, while coordinating claims, eligibility, and client expectations to ensure successful delivery.

Qualifications

• Experience in a TPA, insurance carrier, or health plan environment is required.
• Direct experience with claims administration, eligibility, or account management is highly preferred.
• Proven experience managing implementations or operational projects.

Responsibilities

• Lead new client implementations from onboarding through go-live and plan setup.
• Develop and manage project timelines, deliverables, and internal accountability.
• Coordinate across internal teams to ensure readiness and success of initiatives.
• Oversee vendor integrations with PBMs, networks, or telehealth.
• Ensure smooth day-to-day operations post go-live and drive process improvements.
• Manage client and stakeholder communications, status calls, and escalations.
• Coordinate plan designs, funding arrangements, and reporting requirements.
• Create clear, professional client-facing communications and maintain SOPs.

Job description

CV Resources is partnering with a Third‑Party Administrator (TPA) in Greenville, SC to findan experienced Project Manager with a strong understanding of the Third‑Party Administrator (TPA) environment. This role will oversee client implementations, operational initiatives, and cross‑functional projects to ensure successful delivery of TPA services including claims administration, eligibility, and vendor integrations.

This is not a general PM role — candidates must understand how a TPA operates and be able to navigate claims, eligibility, funding, and client expectations.

Key Responsibilities

Project & Implementation Management

• Lead new client implementations from onboarding through go-live (eligibility, plan setup, funding, reporting, etc.)
• Develop and manage project timelines, deliverables, and internal accountability
• Coordinate across internal teams (claims, eligibility, IT, client services) to ensure readiness
• Oversee vendor integrations (PBM, networks, telehealth, etc.)

Operational Oversight

• Ensure projects translate into smooth day‑to‑day operations post go‑live
• Identify gaps in processes, workflows, or handoffs and drive improvements
• Monitor service expectations including turnaround times, accuracy, and SLAs
• Support ongoing operational initiatives and system enhancements

Client & Stakeholder Management

• Serve as a primary point of contact during implementation and major initiatives
• Run status calls and maintain clear communication with clients and internal teams
• Manage escalations and ensure timely resolution of issues
• Align expectations around scope, timelines, and deliverables

TPA‑Specific Coordination

• Work closely with claims and eligibility teams to ensure proper setup and administration
• Coordinate plan designs, benefit structures, and funding arrangements
• Understand and support compliance‑related components (ASA agreements, plan requirements, reporting)
• Partner on reporting, analytics, and performance tracking

Professional Communication & Documentation

• Create clear, professional client‑facing communications including emails, letters, reports, and meeting summaries
• Maintain a high level of professionalism in all written and verbal communication
• Document project plans, decisions, and processes in a clear and structured way
• Develop and maintain SOPs for repeatable workflows

Requirements

Experience

• 2-5+ years of experience in a TPA, insurance carrier, or health plan environment
• Direct experience with claims administration, eligibility, or account management strongly preferred
• Proven experience managing implementations or operational projects

Knowledge

• Strong understanding of TPA operations (claims processing, eligibility, funding, vendors, etc.)
• Familiarity with benefit plans (medical, ancillary, or self‑funded arrangements)
• Experience working with PBMs, provider networks, or third‑party vendors is a plus

Skills

• Professional office presence with the ability to communicate clearly and effectively with clients, vendors, and internal teams
• Strong written communication skills, including the ability to draft professional emails, letters, and documentation
• Advanced proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, and Teams)
• Highly organized with strong project management and follow‑through
• Ability to manage multiple projects and competing priorities
• Strong problem‑solving skills with the ability to identify issues and drive solutions quickly