Program Lead, QNXT Implementation - SCAN Temp

The Job

The Program Lead, QNXT Implementation - SCAN Temp is the accountable leader for successful implementation of the Claims workstream within the QNXT core platform transformation, including migration from the current IKA platform. This role directs end-to-end planning, execution, governance, and delivery across claims-related workstreams and coordinates closely with supporting product managers for Claims, Provider Data, and Configuration (including provider contracts, benefits, UM/business rules, and capitation), future state design, internal subject matter experts, and external consultants.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience - Business, Health Administration, Information Systems, or related fields.
• Master’s degree (preferred) - MBA, MPH, MS in Health Administration, Information Systems, or related field.
• Minimum 6 years related experience with in the health plan, healthcare, or related industry.
• Strong knowledge of healthcare payer claims operations, end-to-end claims lifecycle, and business processes required to support accurate adjudication, pricing, payment, and issue resolution.
• Experience leading large, cross-functional system implementations or business transformations involving claims, operations, configuration, data, testing, and operational readiness.
• Working knowledge of QNXT or comparable core administrative platforms, including the relationship between claims processing and upstream/downstream functions such as provider data, benefits, contracts, UM/business rules, and capitation.
• Ability to build and manage integrated workplans, deliverables, RAID logs, decision logs, and governance routines in a complex program environment.
• Ability to translate strategy and future state design into clear business requirements, implementation priorities, accountable owners, and executable plans.
• Strong facilitation, communication, and influencing skills, with the ability to align senior leaders, SMEs, operational teams, and consultants around decisions, priorities, and timelines.
• Demonstrated ability to coach teams, drive accountability, and elevate performance in fast-paced, ambiguous, and high-stakes transformation environments.
• Strong analytical and problem-solving skills, including the ability to assess risks, surface tradeoffs, resolve blockers, and make sound decisions with incomplete information.
• Experience supporting implementation testing, defect triage, operational readiness, cutover planning, and go-live stabilization for major platform transitions.
• Ability to balance strategic transformation goals with day-to-day operational realities to deliver a stable, controlled, and business-ready migration from IKA to QNXT.
• Program leadership and accountability.
• Strategic planning and execution discipline.
• Cross-functional collaboration and influence.
• Executive communication and stakeholder management.
• Coaching, team leadership, and talent development.
• Risk management and decision making.
• Change leadership and organizational readiness.
• Consultant and vendor management.
• Operational excellence and results orientation.

What's in it for you?

• Base Wage Range: $51.06 - $73.90 hourly.
• Work Mode: Partially Remote.
• Medical Benefits.
• Paid Sick Time.
• Excellent 401(k) Retirement Saving Plan.
• Robust employee recognition program.
• An opportunity to become part of a team that makes a difference to our members and our community every day!