Capability Manager

We are seeking a Capability Manager to lead delivery for a key claims orchestration initiative within a complex, cross-functional healthcare environment. This role is ideal for someone who thrives on turning strategy into action, aligning stakeholders, and ensuring operational readiness as capabilities scale for future business use cases.

Responsibilities

• Own day-to-day execution, scope coordination, and delivery planning for a major claims orchestration workstream.
• Serve as the primary business lead for the initiative, helping manage risks, dependencies, issue resolution, and communication across business and technology teams.
• Build alignment between capability owners, claims asset teams, business partners, and technical stakeholders.
• Protect delivery scope and support decisions that keep milestones on track.
• Review and support parity, latency, accuracy, and operational readiness against current claims processing processes.
• Translate business needs and decisions into clear plans, requirements, and implementation actions.
• Partner with analysts and technical teams to strengthen traceability, explainability, and delivery quality.
• Support planning and readiness efforts for future expansion into additional orchestration capabilities and enterprise use cases.

Skills

• 5+ years of experience in capability management, product management, program leadership, operations, or a related field.
• 3+ years of healthcare claims experience.
• Experience leading work in complex, matrixed organizations.
• Strong ability to manage timelines, dependencies, budgets, and cross-functional delivery efforts.
• Solid understanding of claims operations and process improvement approaches.
• Excellent communication, problem-solving, analytical, and stakeholder management skills.
• Ability to influence partners without direct authority and build consensus across teams.
• Advanced proficiency in Microsoft PowerPoint, Excel, and Word, with strong reporting and data analysis skills.

Preferred Skills

• Working knowledge of agentic AI, orchestration platforms, MCP patterns, and API-driven workflows.
• Experience with Agile delivery methods and tools such as Rally or Aha!.
• Strong executive presence and experience presenting to senior leaders.
• Background supporting transformational initiatives across business and technology teams.
• Knowledge of healthcare platforms, claims modernization, or enterprise automation efforts.

Pay

The pay range for this role is $22 - $37 per hour based on qualifications and experience.

Benefits

• Medical, dental, and vision coverage
• Retirement benefits