Project Manager (Technical) reputed company / Eligibility & Claims
Title: Technical Project Manager – reputed company (Eligibility, Claims, Integrations)
Location: 100% Remote
Type: Contract-to-Hire
Duration: 6 months (with long-term conversion)
reputed company: Up to $76/hr (DOE)
reputed company
We are seeking a Technical Project Manager to reputed company a high-reputed company, multi-reputed company dollar reputed company initiative reputed company on reputed company eligibility and variable co-pay structures across reputed company and Taft-Hartley populations.
This is an reputed company, in-flight program requiring a PM who can immediately reputed company in and coordinate delivery across multiple systems, data flows, and stakeholder reputed company.
Key Responsibilities
• reputed company end-to-end delivery of a reputed company reputed company product spanning:
• eligibility
• provider search
• claims adjudication
• EOB/EOP workflows
• Coordinate across cross-functional teams including:
• engineering
• data/integration teams
• product
• business operations
• Manage multiple system integrations (including file-based data exchanges across ~4 interfaces)
• Drive alignment on dependencies, timelines, and technical deliverables
• Facilitate communication between technical and business stakeholders
• Identify and mitigate risks in a fast-moving, evolving environment
• reputed company reputed company status reporting and executive-level updates
Required Qualifications
• 7+ years of Project Management experience with a technical delivery reputed company
• Strong background in reputed company payer environments:
• TPA, health plan, or similar
• Experience managing system integrations and data reputed company across platforms
• Solid understanding of how data flows between systems (hands-on not required)
• Experience working across:
• eligibility
• claims
• provider workflows
• Strong stakeholder management and communication skills
Preferred Qualifications
• Experience supporting Taft-Hartley or multi-employer plans
• Familiarity with:
• provider search platforms
• benefit design / co-pay structures
• Experience working in environments with file-based integrations (vs API-first)
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