Program Manager

2 weeks ago

Chapel Hill, North Carolina, United States Brighton Health Plan Solutions Full time
About the Role

The ideal candidate is an experienced program manager in the healthcare payer domain with a strong background in third-party administration of self-funded clients in multi-employer trusts or health plan administration. They should excel in client interaction and effectively oversee strategic programs or projects that involve multiple workstreams/departments.

Key Responsibilities
  • Plan, direct, and coordinate product/program implementation in the multi-employer trust or health plan administration of self-funded clients in healthcare payer.
  • Develop and manage project plans, including scheduling, resource tracking, and financials.
  • Define and implement program/project management standards and processes.
  • Ensure timely production and approval of deliverables from internal and external stakeholders.
  • Proactively identify and manage project risks & decisions and communication.
  • Establish program governance and provide clear communication to all program stakeholders, including senior management.
  • Serve as the primary point of contact for program management-related inquiries.
  • Work closely with clients, cross-functional teams, and stakeholders to plan and develop project scope, resources, and timelines.
  • Manage project risks, issues, and decisions, prioritizing them effectively.
  • Develop and manage project budgets, delivering against business goals.
  • Build and maintain strong client and business partner relationships.
  • Contribute to internal initiatives to drive efficiencies and best practices.
Requirements
  • Bachelor's degree in business administration or healthcare-related field.
  • 8+ years of program/project management experience with a focus on client and product implementation.
  • 4+ years in healthcare payer with business and IT solutions across these domains for self-funded client implementation multi-employer trust (hours & eligibility mgmt, contribution acctg) or health plan administration (benefits & claims administration, portals, 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 Brighton Health Plan Solutions

At Brighton Health Plan Solutions, 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.

We partner with self-insured employers, Taft-Hartley Trusts, health systems, providers, and other TPAs to enable 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.

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