Director, Implementations & Benefit Quality

ProCare Rx•Gainesville, GA

19h

About The Position

This role is responsible for managing implementation and business quality assurance team members, directing complex integration and implementation projects, and serving as the primary point of contact for new large clients through the implementation phase. The position requires ensuring all claims processing edits, pricing, messaging, and configuration meet client business requirements, while also balancing competing priorities and maintaining detailed documentation.

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.