Job Description
We are seeking an experienced Technical Project Manager (TPM) to lead a Claims System Modernization initiative. This role will drive end-to-end project execution, working closely with business stakeholders, architects, developers, QA teams, and external vendors to deliver a modern, efficient, secure, and scalable claims processing platform.
This is an onsite / hybrid position, requiring close collaboration with internal teams and stakeholders.
Key Responsibilities
Project Leadership & Execution
- Lead the full lifecycle of the claims modernization project, from planning and requirements gathering through development, testing, deployment, and post-launch support.
- Develop and maintain detailed project plans, timelines, milestones, and deliverables using Agile, Waterfall, or hybrid methodologies.
- Define and manage scope, handle change requests, and ensure alignment with business objectives.
- Track progress, manage risks and issues, and proactively escalate roadblocks.
Stakeholder & Cross-Functional Coordination
- Partner closely with claims operations, underwriting, IT, compliance, and finance teams to ensure alignment.
- Facilitate communication between technical and non-technical stakeholders to maintain transparency and shared understanding.
- Lead regular stand-ups, sprint planning, retrospectives, steering committee updates, and status meetings.
Technical Management
- Collaborate with solution architects and engineering leads to understand system integrations, technical dependencies, data migration requirements, and infrastructure needs.
- Coordinate with development and QA teams to ensure quality deliverables and on-time execution.
- Support the design and implementation of APIs, workflow enhancements, rules engines, and automated claims processing components.
- Ensure proper documentation, configuration management, and version control practices.
Vendor & Partner Management
- Manage relationships with third-party vendors supporting claims platforms, system components, or cloud services.
- Oversee vendor deliverables, SLAs, timelines, and performance.
- Ensure seamless integration between internal systems and vendor technologies.
Data, Testing & Quality Assurance
- Support data mapping, migration, and validation from legacy systems to the new claims platform.
- Develop and oversee test plans, including functional, UAT, integration, regression, and performance testing.
- Ensure compliance with industry and regulatory requirements, including HIPAA, SOC, PCI, and insurance-specific regulations.
Change Management & Deployment
- Coordinate training, communications, and process updates for claims and operational teams.
- Manage rollout strategies, including phased deployments, pilot programs, and post-deployment support.
- Ensure smooth adoption of the new system and alignment with operational expectations.
Qualifications
- 5+ years of experience as a Technical Project Manager, IT Project Manager, or similar role.
- Background in claims systems, insurance platforms, financial services, or enterprise modernization projects.
- Strong understanding of system integrations, APIs, databases, cloud technologies, and application architecture.
- Experience with Agile/Scrum and traditional project management methodologies.
- Excellent communication, documentation, problem-solving, and leadership skills.
- Proven ability to manage large, multi-phase technology projects with multiple stakeholders.
- Experience with claims processing systems.
- Familiarity with data migration tools and best practices for legacy system modernization.
- PMP, PMI-ACP, Scrum Master, or similar certifications preferred.
- Experience working with offshore and onshore development teams.
Work Arrangement: Onsite / Hybrid
Location: To be discussed
Interested candidates or referrals are encouraged to apply or reach out directly.