Network Ops Project Manager

About the Role
Brighton Health Plan Solutions seeks an Network Operations Project Manager experienced in overseeing a complex, cross-functional program comprising strategic projects that involve external vendors and multiple business areas. This role involves handling high-risk projects with significant legal and financial impact on the company. The ideal candidate will have hands-on experience managing large, intricate Healthcare Insurance projects across various domains.
Primary Responsibilities

• Apply comprehensive knowledge of corporate initiatives, Project Management Life Cycle, and delivery process for organization-wide goal and timeline adherence.
• Assist in executing/delivering projects within designated program(s) and domain/corporate initiative.
• Manage all project aspects including risk, process improvement, operational and tech implementation to meet Senior Management's priorities.
• Employ communication skills for persuasion, cooperation, presentations, consensus-building, and conflict resolution.
• Demonstrate excellent written skills for internal/external reports and presentations to Senior Leadership committees.
• Manage full project life cycle for complex, strategic initiatives and client implementations.
• Collaborate with workstream Leads and Business/IT leadership to capture and implement requirements.
• Support Delivery Team in identifying solutions for user areas and ensuring seamless integration.
• Oversee resources, mitigate risks, and facilitate coordination between internal/external teams.
• Assist in Operational Readiness for new systems and processes adoption.
• Provide regular updates to Leadership, sponsors, and stakeholders on project status and delays.

Essential Qualifications

• Bachelor's degree in Computer Science, Business, Engineering, or equivalent work experience required.
• 4+ years of project management experience, preferably 2+ years in Healthcare Insurance, focusing on planning, development, implementation, and maintenance of processes and systems.
• Experience in Program Management and concurrent execution of related development projects, particularly in systems development, with knowledge of Systems Development Lifecycle and Project Management Lifecycle.
• Strong teamwork, interpersonal, and communication skills across all levels.
• Excellent oral and written communication, with the ability to present technical information effectively.
• Solid management, business planning, and development skills.
• Exceptional program and project management skills, including resource allocation.
• Analytical, problem-solving, and conceptual abilities.
• Proficient in Microsoft Suite tools such as MS Project, PowerPoint, Excel, and Word.
• Project Management certificate (PMP) from PMI is a plus.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employer
 

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]