Applications Manager – Health Plan Operations
KPG99 INC
About the role
Title: Applications Manager – Health Plan Operations
Location: Remote Must be able to travel to the Philadelphia office once per quarter
Duration: 12+ Months Contract.
Interview Mode : Phone + Video
Job Summary
We are seeking an experienced Applications Manager with strong health plan operations experience , particularly across Claims and Membership applications and processes.
The ideal candidate will have experience leading application teams while remaining hands-on with the technical and operational aspects of enterprise healthcare applications. This role will work closely with business stakeholders, technical teams, vendors, and operational teams to support implementations, enhancements, production support, and application delivery.
Key Responsibilities
- Lead, manage, mentor, and develop a technical application support team.
- Provide technical and operational leadership for Claims and Membership applications .
- Lead and support health plan Claims and Membership implementations, enhancements, and upgrades .
- Partner with business and operational teams to understand requirements and translate them into application solutions.
- Oversee application performance, production support, troubleshooting, and issue resolution.
- Provide hands-on technical guidance and problem-solving when required.
- Ensure applications effectively support health plan business processes and operational requirements.
- Coordinate application releases, integrations, upgrades, and implementations.
- Identify opportunities to improve application reliability, efficiency, and support processes.
- Collaborate with stakeholders, vendors, technical teams, and business users.
- Establish application support best practices and mentor team members.
- Participate in Agile/SDLC activities and application delivery initiatives.
Required Qualifications
- Strong experience as an Applications Manager, Application Manager, or similar IT leadership role .
- Deep experience within Health Plan Operations / Healthcare Payer environments .
- Strong hands-on experience with Claims and Membership applications and workflows.
- Proven experience supporting or leading health plan Claims/Membership implementations .
- Strong understanding of health plan business processes and operational workflows.
- Experience leading, mentoring, and developing technical teams.
- Ability to balance people leadership with hands-on technical and operational responsibilities .
- Strong communication, stakeholder management, and problem-solving skills.
- Experience supporting enterprise healthcare or health insurance applications.
Preferred Qualifications
- Experience working with healthcare payers / health insurance organizations .
- Experience with Claims and Membership platforms and integrations.
- Experience managing application implementations, upgrades, enhancements, and production support.
- Knowledge of healthcare data, payer workflows, and enterprise healthcare systems.
- Experience working in Agile/SDLC environments .
Millions of jobs, with real people getting hired every day
Questions, answered.
Click "Apply with JobAssist" – we tailor your resume and application to this role and submit it for your approval.
Yes. This role at KPG99 INC was screened before publishing – we confirmed the employer before listing it.
The employer didn't disclose a salary range for this listing. JobAssist shows pay whenever it's available.
This position can be done from anywhere, with no in-office requirement.
Yes – every application is tailored from your profile and this job's requirements, and you can review and edit before it's sent.