Senior Manager, Payer Implementation

Chamber Cardio•Washington, DC

2d•Remote

About The Position

Chamber is rebuilding cardiology around outcomes rather than volume, partnering with independent cardiologists and providing technology, data, and operational tools to support population health and better patient care. The Senior Manager, Payer Implementation will guide payer implementations from late-stage contract discussions through go-live, turning strategic commitments into practical launch plans. This is a hands-on individual-contributor role that leads payer-facing implementation efforts and influences cross-functional execution without direct people-management responsibilities. Ongoing account management is handled by a separate team; contracting, pricing, and payment terms are owned by the Head of Implementation. The role owns day-to-day implementation planning and delivery, coordinating workstreams across data exchange, enrollment and eligibility, clinical design, outreach and marketing, agreements, vendor onboarding and compliance, and launch readiness. The manager assesses implementation progress, identifies gaps and unresolved issues, drives decisions, maintains project documentation, and keeps implementation plans aligned with contract commitments. They serve as Chamber’s implementation point of contact for payer partners and collaborate with Clinical, Operations, Finance, Provider Operations, Legal, and other teams. The role also develops Chamber’s implementation playbook and toolkit, including project plans, status templates, meeting notes and trackers, risk and decision logs, questionnaire responses, readiness checklists, and handoff materials. After each launch, the manager leads a lessons-learned review and incorporates improvements into the playbook. The position reports to the Head of Implementation & Corporate Initiatives.

Requirements

At least 5 years of experience leading payer implementations, either as a vendor to health plans or within a health plan onboarding vendors.
Experience aligning payer data, compliance, legal, marketing, and clinical teams and keeping them moving on a shared timeline.
Experience building and leading payer implementation plans when scope and requirements are not fully defined, including sequencing work while terms remain open.
Comfort operating amid ambiguity and in environments where standard structures and processes may not yet exist.
Experience managing several workstreams at once, including data, outreach, and clinical operations, while maintaining alignment and momentum.
Strong written communication and documentation skills, including experience preparing accurate payer-facing presentations, meeting summaries, and implementation materials that distinguish decisions from open questions and identify owners and next steps.
Experience managing cross-functional partnerships through influence rather than direct authority.
Authorization to work in the United States without sponsorship.

Nice To Haves

Value-based care experience.
Health plan vendor oversight or delegation requirements experience, ideally for Medicare Advantage.

Responsibilities

Own day-to-day payer implementation delivery from late-stage contract conversations through go-live, building and maintaining project plans, coordinating workstreams, and driving open items to resolution.
Assess implementations already underway, identify unresolved issues, and drive the decisions needed to move forward.
Establish and lead payer-specific implementation workstreams, coordinating data exchange requirements, file layouts, testing, acceptance criteria, and pre-launch validation.
Track agreed enrollment, eligibility, in-program, and exclusion rules and ensure written definitions align across Finance, Clinical, and payer stakeholders.
Run clinical design sessions and manage pre-reads, follow-ups, and decision logs, ensuring decisions are reflected in data rules and care team workflows.
Coordinate payer approval of member-facing outreach and marketing materials, consent and opt-out handling, and outreach timing.
Coordinate with Legal on BAAs, data use agreements, and other implementation agreements; track status with the payer and keep agreements on the launch timeline.
Coordinate payer vendor onboarding and compliance activities, including security questionnaires, delegation assessments, training attestations, exclusion screening, and oversight audit requirements.
Run launch-readiness reviews and go/no-go discussions with payers, lead post-launch stabilization, and provide a documented handoff to account management.
Partner with the Head of Implementation to assess payer requirements, clarify known information and outstanding questions, and translate findings into actionable, sequenced plans.
Prepare implementation progress reports against contract commitments and program goals, highlighting milestones, open issues, and decisions needed before go-live.
Serve as Chamber’s implementation point of contact for payer partners; guide meetings, set agendas, and ensure follow-through on commitments.
Surface questions, risks, and decisions to the Head of Implementation and other leaders, resolve blockers, protect launch timelines, and route payer questions about scope, pricing, or contract terms.
Prepare partner-facing project plans, presentation decks, meeting notes, and decision logs.
Keep internal stakeholders and payer partners aligned through timely updates on milestones, risks, decisions, and next steps.
Partner with Clinical, Operations, Finance, Provider Operations, Legal, and other teams to align workstreams, clarify responsibilities, and coordinate responses to emerging issues.
Own and develop Chamber’s payer implementation playbook, capturing repeatable steps, lessons learned, templates, and best practices.
Build and maintain the implementation toolkit, including project plans and status templates, meeting notes and trackers, risk and decision logs, a questionnaire response library, a readiness checklist, and handoff materials.
Lead a lessons-learned review after each launch and incorporate improvements into the playbook before the next implementation.
Within the first 90 days, establish a path forward for an active health plan implementation by building a project plan, documenting open items, and advancing data, outreach, and clinical operations workstreams.
Own the project plan, status deck, and trackers by day 60, build relationships with the Head of Implementation and relevant teams, and begin developing core templates from the active implementation.