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Sira Consulting, an Inc 5000 company · 2 days ago
TPA/Health Plan Project Manager
California, United States
Contract
Onsite
Senior Level
$50/hr - $56/hr
5+ years exp
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Hiring Manager
Krishan Nagar
Insider Connection @Sira Consulting, an Inc 5000 company
Responsibilities
Lead and manage integration projects for health plan systems, ensuring alignment with organizational goals and objectives.
Develop and maintain detailed project plans, including timelines, milestones, and deliverables.
Coordinate with internal teams and external partners to ensure successful integration of systems and processes.
Identify and mitigate project risks, resolving issues promptly to keep projects on track.
Ensure compliance with regulatory requirements and industry standards throughout the integration process.
Provide regular updates to senior management on project status, highlighting achievements and addressing any concerns.
Facilitate effective communication and collaboration among stakeholders, including IT, operations, provider networks, and member services.
Conduct post-integration evaluations to identify areas for improvement and ensure continuous optimization.
Qualification
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Required
Bachelor’s degree in healthcare administration, Business Administration, Project Management, or a related field. Master's degree preferred.
Six Sigma Certification
Minimum of 5 years of experience in project management within the healthcare or health plan industry
Proven track record of leading successful integration projects, preferably in a health plan environment
Strong knowledge of health plan operations, including claims processing, provider networks, and member services
Excellent organizational and multitasking skills, with the ability to manage multiple projects simultaneously
Exceptional communication and interpersonal skills, with the ability to work effectively with diverse teams and stakeholders
Proficiency in project management software and tools
Understanding of regulatory requirements and compliance standards in the healthcare industry
Preferred
PMP or similar project management certification is highly desirable
Company
Sira Consulting, an Inc 5000 company
SiRA Consulting is a Certified MBE consulting company that was founded in 2012.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase
