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Trading Partner Project Manager in Wayne, PA at Vaco

Date Posted: 3/6/2018

Job Snapshot

Job Description

The Trading Partner Project Manager will lead cross-functional team projects to onboard new Third Party Administrator (TPA) and carrier (ASO) partnerships. The complex implementation projects include operational and technology workstreams. The role will collaborate closely with Vice President, Partner Relations and Trading Partner Relationships Manager to ensure a seamless transition from implementation to ongoing operations. Responsibilities will vary project by project and will depend on the combined skills and roles of the team, and the size of the partner itself.

Establishing additional trading partnership is a foundational component to the company's growth strategy.

Duties and Responsibilities

  • Work as a liaison between Operations, Client/Member Services, Sales, Marketing, Finance and IT teams and corresponding teams at the partners to ensure successful implementation projects.
  • Establish and execute detailed project plans. Develop reusable documents, templates and supporting materials to enable stability of implementation projects.
  • Gather, document, and present to appropriate constituencies the models and process strategies that will drive the electronic exchange of healthcare data among multiple parties.
  • Facilitate communication and interaction among the business, IT and external partners and report project status to key internal/external stakeholders.
  • Understand the business and third-party requirements and translate them into specific software and data requirements. Identify process, service, or other gaps and recommend solutions.
  • Evaluate proposed application projects including assessing, analyzing, interpreting, and reporting the functional and economic aspects of such projects.
  • Work with constituencies, analyze, and redesign processes to streamline transaction processing and align processes and transactions to support strategic decision making.
  • Assess the types of analysis that will inform strategic decision-making at multiple levels of responsibility, including the senior management, department managers, corporate IT and external partners.
  • Ensure risks and problems are identified as/before they occur and take steps to prevent/resolve them.
  • Other duties as assigned.
Required Experience and Education

  • Bachelor's degree in Business Administration, Computer Science or related field from an accredited institution.
  • 3+ years of experience as a Project Manager/Business Analyst
  • 5+ years of business experience.
  • Healthcare experience preferred

Summary of essential job functions

  • Experience facilitating a project or solution which involves a team of people, preferably from the beginning to end of a project; team experience includes working closely with business professionals as well as technical resources and acting as a bridge between the two groups, including liaison with vendors.
  • Experience with healthcare EDI transactions (837, 834, 270/271)
  • Experience working with payers, health insurance vendors and/or third-party administrators preferred.
  • Knowledge of claims, enrollment and eligibility processes and operations.
  • Proven experience in developing creative solutions to business and technology challenges.
  • Excellent client-facing and internal communication skills
  • Ability to analyze and document complex business processes and recommended solution options.
  • Solid technical background with understanding and/or hands-on experience with ETL tools.
  • Ability to facilitate requirements meetings.
  • Strong documentation skills (e.g. data mapping, requirements, test scripts, project status, management presentations, etc.)
  • Experience with the software development lifecycle.
  • Ability to interface with vendors/senior managers/business/technology professionals.
  • Microsoft Office proficient (Word, Excel, and PowerPoint).
  • Independent worker who takes initiative to identify and react to new opportunities and projects.
  • Excellent written and verbal communication skills.
  • Solid organizational skills including attention to detail and multi-tasking skills.
  • Ability to make effective decisions under pressure and work in a fast-paced environment.
  • Microsoft Visio and Microsoft Project experience.
  • Data conversion and systems testing experience preferred.
  • Report development experience (SSRS, preferred.