Consulting Manager, Claims modernization Program Manager (healthcare)

About the role

As a Consulting Manager, Claims Modernization (QNXT Migration) Program Manager, you will lead large-scale healthcare transformation programs focused on claims platform modernization, operational excellence, and business growth. You will collaborate with business leaders, product owners, architects, UX/UI teams, API developers, vendors, and client stakeholders to successfully execute complex claims modernization initiatives. In this role, you will combine program leadership, stakeholder management, and healthcare domain expertise to drive the successful delivery of enterprise-scale transformation programs while enhancing member and provider experiences.

Responsibilities

• Lead and manage a large-scale, multi-year healthcare claims modernization and QNXT migration program across multiple workstreams and cross-functional teams.
• Establish and govern integrated program plans, including schedules, milestones, dependencies, resource plans, critical paths, and risk management activities using Microsoft Project.
• Drive Agile delivery execution through sprint planning, backlog prioritization, release planning, Jira governance, stakeholder reviews, and program performance tracking.
• Manage program financials, including budgeting, forecasting, resource utilization, cost management, and executive reporting.
• Collaborate closely with business, technology, QA, UX/UI, API, data, vendor, and client teams to ensure successful program outcomes and delivery commitments.
• Identify, assess, and mitigate program risks, dependencies, and issues while maintaining alignment with strategic objectives.
• Provide executive-level status reporting, Steering Committee presentations, and strategic recommendations to support informed decision-making.
• Ensure adherence to governance frameworks, quality standards, compliance requirements, and organizational delivery methodologies.
• Drive stakeholder engagement, organizational readiness, and change management activities to support successful adoption of modernization initiatives.

Requirements

• Proven experience leading large-scale enterprise transformation, modernization, or migration programs within complex organizations.
• Extensive expertise in program and project management using Microsoft Project, including integrated planning, scheduling, dependency management, resource planning, and risk tracking.
• Demonstrated experience managing Agile delivery programs, including sprint planning, backlog management, release planning, stakeholder reviews, and Jira-based execution tracking.
• Experience managing program financials, including budgeting, forecasting, cost management, and executive financial reporting.
• Strong leadership, communication, presentation, and stakeholder management skills with the ability to influence and align business, technology, vendor, and client organizations.

Qualifications

• Healthcare payer industry experience with knowledge of claims administration, benefits, enrollment, provider operations, compliance, and regulatory requirements.
• Experience leading QNXT implementation, migration, upgrade, or claims platform modernization initiatives.
• Experience presenting program status, risks, financials, and key decisions to executive leadership and Steering Committees.
• Familiarity with healthcare integration technologies, APIs, data migration, interoperability solutions, and digital transformation initiatives.
• Experience collaborating with UX/UI, cloud modernization, digital transformation, and vendor partner teams.
• PMP, PMI-ACP, SAFe, Scrum, or other relevant project and program management certifications.

Work Model

This is a remote position open to qualified applicants in the United States. The working arrangements for this role are accurate as of the date of posting and may change based on project, business, and client requirements.

Pay

$105,000 - $129,500. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) plan and contributions
• Employee stock purchase plan
• Employee assistance program
• 10 paid holidays plus PTO
• Paid parental leave and fertility assistance
• Learning and development certifications and programs