Program Director
Location: Boston, Massachusetts
Pay Rate: $80 To $90/hr on 1099
Contract: 6 months with potential extension or conversion
Work Mode: Remote, but must live locally in Boston, MA
Experience: Minimum 10 years required
No visa sponsorship provided
About the Role
We are seeking an experienced Program Director / Health Plan Transformation Leader for an insurance client in Boston, Massachusetts. This role leads a large-scale health plan transformation initiative, including transition to a new carrier model, Aetna-focused payer migration, operational readiness, governance, go-live planning, and post-implementation stabilization.
Responsibilities
Lead planning and execution of health plan transformation and payer migration initiatives
Coordinate operational readiness across claims, enrollment, eligibility, and member services
Manage dual claims environments during legacy-to-future-state transition
Develop runbooks, governance models, transition playbooks, and readiness frameworks
Partner with executive leadership, vendors, and cross-functional teams to manage risks and go-live execution
Requirements
MUST have Aetna experience in health plan transformation or payer migration programs
Minimum 10 years of healthcare operations, payer transformation, or health plan conversion experience required
Strong claims administration, enrollment, eligibility, and member services experience required
Experience managing TPA transitions, carrier migrations, dual claims environments, and go-live stabilization required
Bachelor's degree in Healthcare Administration, Business, or related field required; MBA preferred
To Apply: Please forward your updated CV with the subject line mentioning Role, Location, and Experience to:
adarsh.mallik@centstone.com
andvidyasagar.chintala@centstone.com