Description and Requirements

The Claims and Provider Payment Modernization Manager represents Healthfirst Operations in the support of defined claims-related and/or provider payment modernization efforts. S/he will have business oversight of capabilities as they transition from legacy models and systems into new standard configurations and new systems. This role carries strategic importance and will help generate new operational processes and operating models. The role requires a strong understanding of program and project management best practices, including timeliness, issue resolution, risk mitigation, communications, and stakeholder management.

Duties & Responsibilities:

Manages assigned initiatives, including workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status to business stakeholders.

Partners with IT and Delivery teams in the delivery of technical...