Senior Program Manager – QNXT Transformation (Healthcare Payer)

Location: 100% Remote (U.S.-Based)

Work Hours: Must be able to work Pacific Time (PST) business hours

Duration: Contract Opportunity

Experience Level: Senior/Expert

Overview

We are seeking an experienced Senior Program Manager to lead the business-side execution of a large-scale healthcare payer transformation involving the migration from IKA to QNXT. This individual will serve as the primary business liaison between executive leadership, operational stakeholders, IT teams, and system integration partners throughout the implementation lifecycle.

The ideal candidate brings deep health plan operations experience, a proven track record leading enterprise-wide system transformations, and hands-on end-to-end QNXT implementation experience. This role requires strong executive communication, strategic planning, change management, and cross-functional leadership skills.

Key Responsibilities

• Lead business-side execution for a core administration platform transformation from IKA to QNXT.
• Serve as the primary point of coordination between business leaders, IT organizations, implementation partners, and system integrators.
• Drive integrated business planning, milestone management, dependency tracking, and readiness activities across operational domains.
• Partner with functional leaders to define future-state processes, business requirements, design decisions, and organizational adoption strategies.
• Ensure transformation efforts move beyond "lift-and-shift" methodologies by identifying opportunities for process optimization and operational improvement.
• Manage cross-functional risks, issues, and decision-making processes; escalate critical concerns with clear recommendations and options.
• Lead business readiness activities, including:
  • Change management
  • Training coordination
  • User readiness planning
  • Cutover planning
  • Parallel testing and validation
  • Post-go-live stabilization
• Provide executive-level reporting and presentations on program status, risks, milestones, and organizational readiness.
• Collaborate closely with the Program Management Office (PMO) to manage business deliverables, critical path activities, dependencies, and program governance.

Required Qualifications

Professional Experience

• 10+ years of experience leading large-scale, cross-functional business programs within healthcare insurance or managed care environments.
• Proven experience serving as a Senior business lead for enterprise system implementations, core administration platform replacements, or transformation initiatives.
• Strong understanding of healthcare payer operational functions, including:
  • Enrollment
  • Claims
  • Billing
  • Provider Operations
  • Clinical Operations
  • Fulfillment
  • Finance
• Experience managing complex stakeholder groups across business and technology organizations.
• Demonstrated success leading business readiness, organizational change management, and go-live activities.

Education

• Bachelor's Degree preferred.

Skills & Competencies

• PMP-certified project/program leadership
• QNXT implementation expertise
• Healthcare payer operations knowledge
• Executive communication and stakeholder management
• Strategic planning and program governance
• Risk and issue management
• Organizational change management
• Business process transformation
• Presentation and facilitation skills
• Decision management and executive influence
• Cross-functional leadership

Top 3 Required Skills

1. QNXT Implementation Experience
2. PMP Certification
3. Health Plan / Healthcare Payer Experience

What Will Make a Candidate Stand Out

• Experience leading business workstreams during core administration system transformations.
• Strong executive presence with the ability to present to Senior leadership and steering committees.
• Demonstrated success managing enterprise-wide healthcare operational change initiatives.
• Ability to balance strategic leadership with hands-on program execution.

Important Note

Candidates whose experience is limited exclusively to clinical operations or pharmacy operations will not be considered for this opportunity.

If you are a PMP-certified healthcare transformation leader with deep QNXT implementation expertise and a passion for driving operational excellence, we encourage you to apply.

This is a Contract position based out of Long Beach, CA.

The pay range for this position is $115.50 - $120.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Jul 28, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.