TPA Implementation & Operations Lead

CV Resources

Greenville (SC)

On-site

USD 85,000 - 125,000

Full time

3 hours ago
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Job summary

CV Resources is partnering with a Third-Party Administrator (TPA) in Greenville, SC to find an experienced Project Manager with a strong understanding of the 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

Qualifications

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

Responsibilities

  • Lead new client implementations from onboarding through go-live (eligibility, plan setup, funding, reporting).
  • Develop and manage project timelines, deliverables, and internal accountability.
  • Coordinate across claims, eligibility, IT, and client services to ensure readiness.
  • Oversee vendor integrations (PBM, networks, telehealth, etc.).
  • Ensure projects translate into smooth day-to-day operations post go-live.
  • Identify gaps in processes and drive improvements.

Skills

Project management
TPA knowledge
Client communication
Cross-functional coordination
Vendor management
Scheduling & planning
Stakeholder management

Job description

CV Resources is partnering with a Third-Party Administrator (TPA) in Greenville, SC to find an experienced Project Manager with a strong understanding of the 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

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