Project Manager (Technical) Healthcare / Eligibility & Claims

Title: Technical Project Manager – Healthcare (Eligibility, Claims, Integrations)
Location: 100% Remote
Type: Contract-to-Hire
Duration: 6 months (with long-term conversion)
Rate: Up to $76/hr (DOE)

Overview

We are seeking a Technical Project Manager to lead a high-priority, multi-million dollar healthcare initiative focused on complex eligibility and variable co-pay structures across commercial and Taft-Hartley populations.

This is an active, in-flight program requiring a PM who can immediately step in and coordinate delivery across multiple systems, data flows, and stakeholder groups.

Key Responsibilities
• Lead end-to-end delivery of a complex healthcare 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
• Provide clear status reporting and executive-level updates

Required Qualifications
• 7+ years of Project Management experience with a technical delivery focus
• Strong background in healthcare payer environments:
• TPA, health plan, or similar
• Experience managing system integrations and data movement 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)