Manager, Expansion Implementations

Ophelia

12h • $120,000 - $130,000 • Remote

About The Position

Ophelia is hiring a Manager, Expansion Implementations to run the day-to-day execution of partnership arrangements that drive the company’s growth. The role takes partnership agreements from signed contracts to go-live by translating agreed terms into clear implementation plans and coordinating well-run, well-communicated launches. The work includes both established implementation processes and new initiatives without existing playbooks.

The manager will lead cross-functional work across payors, new government programs, and strategic partnerships, coordinating internal and external stakeholders from kickoff through go-live and into steady-state operations. The role requires client-facing project and relationship management, clear communication, proactive issue resolution, and the ability to influence without direct authority. The position reports to the Senior Director, Payor Strategy & Contracting.

Requirements

• 4–6 years of experience in project management or implementation roles, with increasing responsibility.
• Deep knowledge of managed care contracts and/or provider relationships, ideally related to Medicaid.
• Understanding of provider credentialing, revenue cycle management, and/or claims submission.
• Ability to lead new, ambitious implementations without existing playbooks and help functional area leads make informed implementation decisions.
• A track record of delivering projects on time, on budget, and within scope.
• Ability to identify blockers early and raise them before they delay a project.
• Ability to influence internal and external parties without direct authority through trust, candid communication, and consistent follow-through.
• Clear written and verbal communication, adapted to the audience.
• Ability to learn quickly and implement a variety of client relationships.

Nice To Haves

• Experience helping launch a new type of program or partnership.

Responsibilities

• Lead payor and partner implementations from kickoff through go-live, working with internal and external stakeholders.
• Determine what each new initiative requires based on its contract and client type, including participants, open questions, and a reasonable implementation plan.
• Develop draft implementation plans and key questions for functional area leads, then collaborate to revise timelines and resolve unknowns.
• Keep project plans, trackers, and minute logs accurate and current, including dependencies and status.
• Own implementation open questions and action items, coordinating with colleagues and external parties to resolve them promptly and updating plans and timelines as needed.
• Work with the leadership team by presenting updates, raising risks, and bringing forward decisions requiring leadership input.
• Set clear process metrics and SMART goals, and coordinate with external partners on timelines, targets, and operations.
• Coordinate resolution of revenue cycle issues, such as claims processing and credentialing, with internal and external operations teams during implementation.

Benefits

• Competitive medical, vision, and health insurance, with many plans fully covered for the employee.
• 20 days of PTO initially, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure.
• 10 company holidays.
• Work From Home Stipend.
• 401k Contribution Platform.
• Additional benefits through the benefits provider, including life insurance, short- and long-term disability, financial wellness, and virtual primary care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed