Technical Project Manager – Claims System Modernization

Project Leadership & Execution

• Lead the full lifecycle of the claims modernization project—from planning and  requirements gathering to development, testing, deployment, and post-launch  support.

• Develop and maintain project plans, timelines, milestones, and deliverables using  Agile, Waterfall, or hybrid methodologies.

• Ensure clear scope definition, manage changes, and maintain alignment with  business goals.

• Track progress, manage risks and issues, and escalate roadblocks proactively.

• Stakeholder & Cross-Functional Coordination.

• Collaborate closely with claims operations, underwriting, IT, compliance, and  finance teams to ensure project alignment.

• Facilitate communication across technical and non-technical groups, ensuring  transparency and shared understanding.

• Run regular stand-ups, sprint planning, retrospectives, steering committee  updates, and status meetings.

Technical Management

• Work with solution architects and engineering leads to understand system  integrations, technical dependencies, data migration needs, and infrastructure  requirements.

• Coordinate with developers and QA teams to ensure high-quality system  components and on-time delivery.

• Support the design and implementation of APIs, workflow enhancements, rules  engines, automated claims processing tools, and other modernization  components.

• Ensure proper documentation, configuration management, and version control  practices.

Vendor & Partner Management

• Engage with third-party vendors involved in system components, claims platforms,  or cloud services.

• Manage vendor deliverables, SLAs, timelines, and performance.

• Ensure smooth integration between internal systems and vendor technologies.

• Data, Testing & Quality Assurance.

• Support data mapping, data migration, and data validation efforts from legacy  systems to the new claims platform.

• Develop and oversee test plans (functional, UAT, integration, regression,  performance).

• Ensure compliance with industry regulations (HIPAA, SOC, PCI, insurance-specific  rules).

• Change Management & Deployment.

• Coordinate training, communication, and process updates for claims teams.

• Manage rollout strategies, including phased deployments, pilot testing, and post-deployment support.

• Ensure the new system is adopted smoothly and meets operational expectations.