Program Manager

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

HJ Staffing

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2016

💼 Consulting

📦 Logistics

🏗️ Construction

Consulting • Logistics • Construction

HJ Staffing is a premier staffing agency dedicated to providing tailored workforce solutions for businesses across various industries. With a focus on delivering exceptional human resources support, HJ Staffing connects leading companies with outstanding talent through temporary staffing, direct placement, and human resource consulting. The company serves clients in multiple states including Texas, Louisiana, Delaware, and California, asserting its commitment to a personalized approach and superior customer service in every client relationship.

📋 Description

• Take full accountability for the Claims Workstream within a large-scale QNXT core platform transformation • Lead the complete migration from the IKA platform to QNXT • Own end-to-end planning, execution, governance, issue resolution, and delivery of claims-related implementation activities • Manage the claims implementation plan across operations, configuration, testing, data conversion, training, cutover, and post-go-live stabilization • Maintain RAID logs, decision logs, and status reporting • Coordinate Claims, Provider Data, Benefits, Utilization Management, and Capitation workstreams • Ensure accurate future-state claims adjudication, pricing, and payment • Direct day-to-day collaboration with external implementation consultants and software vendors • Keep scope, timelines, deliverables, and architecture decisions on track • Lead system testing preparation, defect triage, mock conversions, go-live cutover, and post-implementation stabilization • Validate contingency and readiness plans • Identify execution risks, workflow gaps, and dependency issues • Safeguard project timelines, claims accuracy, and stakeholder confidence • Align senior leadership, technical teams, consultants, and vendors around common priorities • Resolve blockers before they affect critical-path timelines

🎯 Requirements

• Bachelor’s degree in Business, Health Administration, Information Systems, or a related field, or equivalent combination of education and experience • Minimum 6 years of related experience within a health plan, managed care, or healthcare organization • Hands-on experience with QNXT or a directly comparable core administrative platform required • Deep expertise in healthcare payer claims operations and the end-to-end claims lifecycle, including adjudication, pricing, payment, and provider/benefit configuration interactions • Proven experience leading large, cross-functional system implementations or platform migrations involving data conversion, system testing, defect triage, mock conversions, cutover planning, and go-live stabilization • Advanced skills with Microsoft Office Suite (Word, Excel, PowerPoint, Teams), Visio, Access, and SQL • Ability to work standard PST business hours, Monday–Friday, 8:00 AM–5:00 PM PST • Master’s degree (MBA, MPH, MHA, or MS in Information Systems) preferred • Direct experience leading IKA-to-QNXT platform migrations preferred • Experience driving AI-driven operational improvements within healthcare claims environments preferred

🏖️ Benefits

• 100% remote work • Monday–Friday, 8:00 AM–5:00 PM PST schedule • Full-time position