Product and Regulatory Implementation Manager
About The Position
The Product & Regulatory Implementation Manager leads end-to-end implementation of health plan products, strategic initiatives, and regulatory requirements across all lines of business and the Jefferson enterprise. The role ensures initiatives are delivered on time, within budget, and in compliance with regulatory standards, coordinating across operational, technology, product, and compliance functions. It translates strategic and regulatory requirements into operational execution to support organizational goals, regulatory readiness, and high-quality member and business outcomes. The manager serves as an implementation subject matter expert and a key liaison among business, operations, IS&T, clients, and external partners. The role develops workplans and documentation, coordinates system and platform work, manages cross-functional teams, monitors risks and progress, and supports issue resolution and continuous improvement after implementation.
Requirements
- Bachelor’s degree in Business Administration, Healthcare Management, or a related field, or a high school diploma/GED with 7 years of experience in Product Development, Regulatory Implementation, and/or Project Management.
- 5 years of experience in Product Development, Regulatory Implementation, and/or Project Management, preferably within the healthcare industry.
- Demonstrated expertise managing complex projects from inception to completion, including planning, execution, monitoring, and closing.
- Proficiency with project management tools such as Microsoft Project, Jira, or similar software.
- Ability to work effectively with cross-functional teams, including product development, operations, compliance, marketing, and IT.
- Experience with system integration, data migration, and end-to-end testing (SIT/UAT).
- Ability to partner with IT teams to translate business requirements into technical specifications.
- Understanding of health plan operations and supporting systems, including enrollment, claims, billing, and customer service platforms.
Nice To Haves
- Master’s degree.
- Understanding of CMS bid submission, Pennsylvania Insurance Department (PID) and Pennie filing timelines, and Medicaid HealthChoices and CHIP program agreement processes and regulations.
- Experience with innovative benefits and services such as OTC/Flex Card and transportation.
- PMP (Project Management Professional) certification from the Project Management Institute.
Responsibilities
- Lead end-to-end implementation of products, regulatory requirements, and initiatives across internal systems and external platforms.
- Serve as the primary point of contact for internal teams, clients, and external partners; provide updates, address challenges, and develop stakeholder relationships.
- Develop and maintain implementation documentation, process workflows, training materials, and client-facing resources.
- Serve as the subject matter expert for initiatives and applicable requirements.
- Translate product and regulatory requirements into actionable workplans, timelines, and deliverables.
- Collaborate with product and regulatory teams to define scope and align implementation activities with business objectives.
- Coordinate with operations and IS&T teams to define system requirements, support configuration, oversee integration, and validate data flows across platforms.
- Manage cross-functional teams, facilitate status meetings, document progress, and address risks and dependencies.
- Provide post-implementation support, including issue resolution, performance monitoring, and continuous process improvement.
- Act as the primary liaison between business, operations, and IS&T, ensuring clear communication of requirements, timelines, and impacts.
- Identify operational and technical risks or barriers and develop strategies and contingency plans to minimize impacts on timelines and outcomes.
Benefits
- Medical insurance, including prescription coverage
- Supplemental insurance
- Dental insurance
- Vision insurance
- Life and AD&D insurance
- Short- and long-term disability insurance
- Flexible spending accounts
- Retirement plans
- Tuition assistance
- Voluntary benefits, including access to group insurance rates and discounts
- Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
