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Head of Project Management

CV Resources

CV Resources is partnering with a Third-Party Administrator (TPA) in Greenville, SC to findan experienced Project Manager with a strong understanding of the Third-Party Administrator (TPA) environment. This role will oversee client implementations, operational initiatives, and cross-functional projects to ensure successful delivery of TPA services including claims administration, eligibility, and vendor integrations.

This is not a general PM role — candidates must understand how a TPA operates and be able to navigate claims, eligibility, funding, and client expectations.

Project & Implementation Management

Lead new client implementations from onboarding through go-live (eligibility, plan setup, funding, reporting, etc.)

Develop and manage project timelines, deliverables, and internal accountability

Coordinate across internal teams (claims, eligibility, IT, client services) to ensure readiness

Oversee vendor integrations (PBM, networks, telehealth, etc.)

Ensure projects translate into smooth day-to-day operations post go-live

Client & Stakeholder Management

Serve as a primary point of contact during implementation and major initiatives

Manage escalations and ensure timely resolution of issues

Work closely with claims and eligibility teams to ensure proper setup and administration

Coordinate plan designs, benefit structures, and funding arrangements

Partner on reporting, analytics, and performance tracking

Document project plans, decisions, and processes in a clear and structured way

2-5+ years of experience in a TPA, insurance carrier, or health plan environment

Direct experience with claims administration, eligibility, or account management strongly preferred

Proven experience managing implementations or operational projects

Strong understanding of TPA operations (claims processing, eligibility, funding, vendors, etc.)

Familiarity with benefit plans (medical, ancillary, or self-funded arrangements)

Experience working with PBMs, provider networks, or third-party vendors is a plus

Professional office presence with the ability to communicate clearly and effectively with clients, vendors, and internal teams

Strong written communication skills, including the ability to draft professional emails, letters, and documentation

Advanced proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, and Teams)

Highly organized with strong project management and follow-through

Ability to manage multiple projects and competing priorities

Vacancy posted 3 days ago
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