This range is provided by TalentoHC. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$50.00/hr - $70.00/hr

Direct message the job poster from TalentoHC

Project Manager – Claims Operations & TPA Integration

Employment Type: Contract

Workplace Type: Hybrid

Location: Purchase, NY

Compensation: $50/hr. - $70/hr.

Overview

TalentoHC has partnered with a global multi-billion-dollar enterprise in the insurance space seeking a Claims Project Manager to lead high-impact, end-to-end initiatives that strengthen the TPA ecosystem, modernize Claims operational workflows, and improve data quality across the organization. This role requires a seasoned PM with deep insurance/TPA experience, strong project governance skills, and the ability to operate in complex, data-driven environments involving Claims Operations, TPA partners, Data Engineering, Finance, Technology, and external vendors.

Qualifications

Lead and manage multiple concurrent Claims and TPA integration projects from planning through execution and stabilization
Establish structured project governance for multi-team programs across Claims, IT, Data Engineering, Finance, and vendor partners
Manage TPA Data End-to-End Reconciliation, ensuring accuracy, consistency, and downstream alignment with systems including RSG
Oversee RSG data aggregation redesign, improving ingestion, quality rules, and reporting structures
Lead onboarding of new TPAs including workflow alignment, system integration, data mapping, feed validation, testing, and operational readiness
Coordinate the build-out and standardization of data feeds for additional TPAs, including transformation rules and full UAT coverage
Partner with Data Engineering and IT to ensure end-to-end data flow integrity, lineage completeness, and reconciliation controls
Lead system testing across SIT, UAT, and cutover phases
Interface with TPA partners to clarify requirements, align timelines, and track deliverables
Facilitate working groups, steering committees, and executive-level reporting
Ensure compliance with audit, regulatory, and data governance standards
Collaborate with Change Management teams on training, communications, SOP updates, and readiness assessments
Support rollout plans, process documentation, and hypercare activities

Requirements

10–15 years of experience in Project/Program Management (insurance or claims highly preferred)
Strong understanding of TPA operations, claims workflows, and data integration
Experience with Guidewire, RSG, Luminoso, data warehouses, or similar platforms
Excellent communication, stakeholder management, and issue-resolution skills
Strong analytical abilities and data mapping experience
PMP, Scrum Master, or similar certification is a plus

TalentoHC is a leading talent acquisition, executive search, and human capital consulting partner, dedicated to helping our clients build their best teams yet. Our success is driven by our unwavering commitment to fostering an inclusive and diverse workforce, embracing individuals from various backgrounds, perspectives, and skills. Talento Human Capital is an equal opportunity employer.

People + Passion + Perseverance = Progress

Seniority level

Mid-Senior level

Employment type

Contract

Job function

Project Management and Information Technology

Industries

Insurance

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