Remote BPaaS & Core Admin Transformation Lead

HealthEdge Software, Inc.; Massachusetts; Hybrid; USD 135,000 - 155,000; Full time

Job summary

HealthEdge Software, Inc. is looking for a Senior Health Plan Operations Strategist to lead BPaaS solutions for Core Administration. This role involves working with health plan executives to modernize operations and design scalable service models. The ideal candidate has 10+ years in health plan operations with strong skills in operational design and strategy. Located remotely in the US, the position offers a salary range of $135,000 to $155,000 with full-time, permanent employment.

Qualifications

• 10–15+ years in health plan operations, Core Administration, or healthcare BPaaS strategy.
• Deep operational expertise across one or more Core Admin domains.
• Proven ability to assess operational models and design future-state BPaaS service blueprints.

Responsibilities

• Lead service model design and solution blueprinting for Core Administration transformation initiatives.
• Define how BPaaS service layers connect across the health plan ecosystem.
• Support Advisory and Sales teams on strategic BPaaS pursuits.

Skills

Healthcare BPaaS strategy

Operational expertise in Core Admin domains

Sales-facing skills

Analytical and communication skills

Education

10–15+ years in health plan operations

Experience with Core Admin platforms

Tools

HealthRules Payer

Facets

QNXT

QicLink

Javelina

Job description

HealthEdge Software, Inc. is looking for a Senior Health Plan Operations Strategist to lead BPaaS solutions for Core Administration. This role involves working with health plan executives to modernize operations and design scalable service models. The ideal candidate has 10+ years in health plan operations with strong skills in operational design and strategy. Located remotely in the US, the position offers a salary range of $135,000 to $155,000 with full-time, permanent employment.