Director, Implementations & Benefit Quality
About The Position
This role is responsible for managing an implementation and business quality assurance team. The Director will lead complex integration and implementation projects, ensuring critical milestones are met. Key responsibilities include delegating tasks for benefit design setup, serving as the main client contact during implementation, and facilitating communication between clients and internal departments. The role also involves identifying and resolving project bottlenecks, maintaining detailed documentation, balancing team priorities, and providing on-site support during client go-lives. A crucial aspect is ensuring that all claims processing, pricing, messaging, and configuration align with client business requirements.
Requirements
- 7 years of PBM or healthcare implementation experience
- Project management skills
- Prior management experience
- Excellent organizational and time management skills
- Excellent telephone etiquette, verbal and written communication skills
- Excellent presentation skills to interface with clients and prospects.
- Proficient in Microsoft Office applications
- Ability to analyze, interpret and develop solutions effectively
- High level of professionalism
Responsibilities
- Manage implementation and business quality assurance team members.
- Direct complex integration and implementation projects while meeting critical milestones.
- Delegate tasks for primary benefit design set up for new plans and clients to implementation team members.
- Serve as primary point of contact for new large clients through the implementation phase.
- Facilitate conference calls and communication between clients and other internal departments for more complex aspects of specialized benefit requirements.
- Identify project bottlenecks and deploy strategies to ensure timelines are met.
- Maintain detailed documentation supporting all aspects of implementation.
- Balance competing priorities for the implementation team.
- Travel to client locations as necessary to provide implementation “go live” support.
- Ensures all claims processing edits, pricing, messaging and configuration meets the business requirements of the client.
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What This Job Offers
Job Type
Full-time
Career Level
Director
