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Requirement ID: 93407
Job Title: Claim Project Manager
Job Type: Contract
Duration: 6 - 9 months
Location: Any US location
Job Description:

Requesting for more Senior Manager profiles who has strong Technical/IT project manager experience along with good experience on Claim Adjudication and who understands Claim terminologies and has experience in managing Claim Adjudication related projects specifically. Kindly treat this in priority.

  • Open to converting to a full-time employee (FTE) in the future. No visa sponsorship available.
  • Preferred experience in healthcare/insurance and Claim Adjudication
  • Previous experience in managing Claim Adjudication projects
  • Previous work experience with CVS/Aetna is preferred.
  • Experience managing large platform modernization or transformational projects/programs.
  • Preferred tools include:
    • Jira, IBM RTC( Rational Team Concert), IBM RRC (Rational Requirement Composer)
    • Clarity (for budget management), SharePoint, QuickBase and other Microsoft office tools
  • Experience in Serving as both Scrum Master and Project Manager.
  • Budget management responsibilities include resource hours/costs, SOW, infrastructure, and cloud expenses.
  • Experience managing Agile and Hybrid projects (Waterfall, Agile, Kanban, etc.).
  • Proficient in developing detailed project plans, roadmaps, and executive presentations (skilled in PowerPoint).
  • Experienced in providing status updates, including risk and issue updates, to senior leadership.
  • Capable of facilitating both technical and business discussions.


 

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