Offer summary

Qualifications:

6+ years of program/project management experience in the healthcare payer domain., Strong focus on client and product implementation, particularly for self-funded clients., Experience with Health Plan Administration including Enrollment, Benefits, and Claims Administration., Familiarity with TPA and multi-employer environments..

Key responsibilities:

Collaborate with stakeholders to implement healthcare benefit administration for large self-funded employer groups.

Manage the onboarding and implementation of new self-funded clients.

Oversee the integration of various systems including vendor management and member portals.

Ensure effective communication and reporting throughout the project lifecycle.

Quantix is an IT workforce management services provider that prioritizes people and purpose for growth. Pioneering the road map for changing the culture in the IT services industry. Quantix believes in unleashing the power of human potential, embracing diversity, and helping people and organizations thrive in reshaping our economy and the world. Quantix is on a mission to set a new standard for business to create a more inclusive reality for individuals and teams by supporting organizations that create the type of workplace where people feel motivated to contribute in a way that fuels bottom-line growth. Since 2002 we've been providing contract, contract-to-hire and direct hire services to a wide range of clients. We provide individual consultants, project management, project teams and executive management placements.

Job description

Title: Program Manager - Product & Portfolio Delivery
Location: 100% Remote
Time Zone: EST
Hours: 9:00 – 6:00
Type: Direct Hire

Job Description:
We are seeking a passionate, results-oriented Program Manager in the healthcare payer domain with Benefit & Plan Administration of self-funded client who excels in client interactions, and can collaborate effectively with stakeholders to implement the healthcare benefit administration of large self-funded Employer groups. The ideal candidate will have worked in-depth in healthcare payer domain implementing large complex client or rolling out new products in the Health Plan Administration (Enrollment & Eligibility, Benefits & Claims Administration, Vendor integration, Member Portals & Engagement) in Program Management capacity.

Required Skills:

6+ years of program/project management functional Payer experience, with a focus on client and product implementation, including implementation and onboarding new self-funded clients.
4+ in Healthcare Payer with Business and IT Solutions across these domains for self-funded client implementation (Enrollment vendor upstream & downstream) Benefit Administration (new clients), Claims Administration 9processing), Portals, Finance (invoicing & billing, Reporting)
TPA 3^rd Party Administration experience
Multi-employer experience

Required profile