Program Manager

Job Summary

A company is looking for a Program Manager (Claims Research).

Key Responsibilities

• Lead and manage complex claims projects, including root cause analysis and remediation planning
• Ensure well-documented policies, workflows, and program controls are maintained
• Collaborate with stakeholders to support governance standards and program adoption

Required Qualifications

• At least 4 years of Program and/or Project management experience
• Operational Process Improvement experience
• Managed Care experience in a shared service, CoE, or matrixed environment
• Experience with Microsoft Project and Visio
• 7+ years experience in medical claims processing or a related field is preferred