Technical Program Manager (TPM) – Healthcare Payer Woodland Hills, CA

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ramashish kumar

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5:10 PM (6 hours ago) 5:10 PM
to rama...@valzosoft.com

Hi,

Kindly share your updated resume if you are good with below JD. I will be happy to share more information.

 

Job Title: Technical Program Manager (TPM) – Healthcare Payer

Location: Woodland Hills, CA
Employment Type: Contract  

Job Summary

We are seeking an experienced Technical Program Manager (TPM) with strong Healthcare Payer domain expertise to lead enterprise delivery programs in a UHG/Optum environment. The ideal candidate will manage client governance, executive stakeholder communication, delivery operations, and cross-functional program execution across healthcare payer platforms and applications.

Key Responsibilities

  • Lead end-to-end program delivery across healthcare payer applications and managed services engagements.
  • Own client governance, executive status reporting, steering committee meetings, and escalation management.
  • Manage delivery lifecycle including requirements, implementation, testing, UAT, deployment, hyper-care, and production support.
  • Monitor SLAs, KPIs, operational metrics, risks, dependencies, and issue resolution activities.
  • Coordinate with business, engineering, QA, infrastructure, and support teams across onsite/offshore models.
  • Drive release planning, platform upgrades, enhancements, and operational improvements.
  • Ensure compliance with HIPAA regulations and healthcare operational standards.
  • Support digital transformation initiatives including automation, AI/GenAI, and process optimization.
  • Manage multiple concurrent workstreams and ensure timely delivery within scope and budget.
  • Maintain delivery documentation, governance reports, RAID logs, and executive dashboards.

Required Skills

  • 8+ years of IT experience with strong Program/Project Management background.
  • 3+ years of Healthcare Payer domain experience.
  • Experience working in UHG/Optum or similar healthcare payer environments.
  • Strong understanding of:
    • Claims Processing
    • Member Enrollment
    • Provider Management
    • Benefits & Eligibility
    • Prior Authorization
    • Care Management
    • Utilization Management
    • EDI Transactions (834/835/837)
    • HIPAA Compliance
  • Experience managing client-facing delivery and executive stakeholder relationships.
  • Strong Agile/Scrum and SDLC experience.
  • Ability to manage distributed onsite/offshore teams.
  • Excellent communication, reporting, and risk management skills.

 

 

Regards

Ramashish Kumar

E:   rama...@valzosoft.com


Valzo Soft Solutions LLC

A: 12600 Deerfield Parkway ,
Suite -2123, Alpharetta, GA-30004

 

LinkedIn : linkedin.com/in/ramashishkumar86

 

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