Job description
About The Role
We are seeking an experienced program manager with healthcare payer / TPA experience who excels in client interaction and can effectively oversee strategic programs or projects that involve multiple workstreams/departments. They are skilled in managing initiatives from start to finish, leading cross-functional teams and ensuring ongoing program success. They are adept at guiding stakeholders through important decisions, coordinating activities, and driving process improvements. Furthermore, they have a keen understanding of stakeholder needs and utilize this knowledge to develop strategies that optimize ROI, customer satisfaction, and overall organizational performance.
Primary Responsibilities
- Responsible for planning, directing, and coordinating complex product/program implementation in the HealthCare Payer domain and or Third-party Administration of self-funded clients
- Documents scope, objectives and ensures they align with expected business outcomes.
- Develops and manages project plans, including scheduling, resource tracking, and financials.
- Defines and implements program/project management standards and processes.
- Ensures timely production and approval of deliverables from business and technology partners.
- Proactively identifies and manages project risks and dependencies.
- Established program governance and provides clear communication to all program stakeholders, including senior management.
- Serves as the primary point of contact for program management-related inquiries.
- Works closely with clients, cross-functional teams, and stakeholders to plan and develop project scope, resources, and timelines.
- Manages project risks, issues, and decisions, prioritizing them effectively.
- Develops and manages project budgets, delivering against business goals.
- Builds and maintains strong client and business partner relationships.
- Contributes to internal initiatives to drive efficiencies and best practices.
Essential Qualifications
- Bachelor’s degree in business administration or healthcare related field.
- 8+ years of program/project management experience with focus on client and product implementation.
- 4+ in Healthcare Payer with Business and IT Solutions across these domains for self-funded client implementation (Enrollment/Benefit Administration, Claims Administration, Portals, Finance, Reporting)
- Strong leadership, time management, facilitation, and organizational skills
- Working knowledge of Payer Administration with client implementation and product enablement
- Strong analytical, problem-solving, and conceptual skills
- Strong working knowledge of change management principles.
- Solid teamwork and interpersonal skills, with the ability to communicate and persuade customers, employees, and management at all levels and thrive in a cross-functional environment.
- Stakeholder management skills in large complex project/program with Internal and external teams preferred.
About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
DEI Purpose Statement
At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.
*We are an Equal Opportunity Employer
*Open to fully remote candidates
