IT Project Manager (Claims Platform Implementation) - Remote (West Coast preference)

V-Soft Consulting Group, Inc. is a recognized technology services company that specializes in agile and innovative solutions. They are seeking an IT Project Manager to lead the implementation of a claims platform, overseeing the full lifecycle of technical projects and ensuring compliance with regulatory requirements.

Responsibilities:

• Lead the full lifecycle technical implementation of QNXT as the enterprise claims platform, including ownership of the integrated IT project plan and technical milestones
• Oversee Systems & Integration strategy across upstream and downstream systems (enrollment, provider data, finance, reporting, EDI, etc.) and direct data migration strategy
• Establish Technical Governance & Risk Management structure, release management processes, and drive structured issue resolution across vendors and internal teams
• Manage Vendor & Partner performance (QNXT vendor and systems integrator), ensuring deliverables meet contractual and technical standards

Requirements:

• 8+ years of IT Project or Program Management experience leading large-scale healthcare systems implementations
• Deep expertise in implementing or upgrading core claims platforms (QNXT strongly preferred). This includes a strong understanding of claims adjudication systems/workflows, Medicare Advantage operations, and CMS regulatory/reporting requirements. This isn't a learning role—you need to be a subject matter expert
• Demonstrated ability to work autonomously and manage your own time effectively to meet project goals
• Experience with managing complex, enterprise-wide technology transformations, and strong knowledge of SDLC, testing methodologies, and structured governance frameworks
• Ensure Compliance & Regulatory Alignment, incorporating CMS and Medicare Advantage regulatory requirements into system design and partnering with compliance teams for validation
• Strong communication skills to provide clear and concise status updates to the project team and provide executive-level reporting on technical progress