Implementation Director (Healthcare)
Cotiviti · United States · 1 mo ago
RemoteRemoteBusiness Development$122k–$155k/yrFull-time
Responsibilities
- Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan
- Identify and initiate joint company and client teams to complete pre-sales and/or implementation opportunity analysis, establish medical policy, integrate applications, establish invoicing, test configuration and interface, train end users and to communicate to internal and external audiences
- Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings
- Establish project plan based on scope of services. Ensure company and client buy-in to project plan and milestones
- Ensure work of each company and client committees progress as scheduled against the plan. Serve as a key collaboration catalyst, coordinating and documenting strategic meetings across medical policy, technology, communication, finance, and testing domains to ensure seamless cross-functional alignment
- Ensure follow-through against commitments made by company and client resources. Identify, track and ensure closure of all implementations related issues across all aspects of delivery
- Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis
- Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality
- Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix
Client Relationship Management
- Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period such as: executive leadership, medical policy, claims operations and grievance / appeals, provider relations, corporate communications, information technology, and Finance/actuarial
- Serve as the key day-to-day client contact to present a consistent primary point of contact for the company
- Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit
- Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily
- Serve as key day-to-day client contact to present a consistent primary point of contact with company
- Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit
- Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily
Implementation Process Improvement
- Undertake process and departmental improvement projects identified individually, as a team or as assigned by the Implementation Services VP and/or AVP
- Cook up and effectively transition to Client Service Manager to provide a seamless transfer for on-going business support
- Cook up and effectively transition to Network Operations to ensure seamless transfer for on-going technology support
Qualifications
- Bachelor’s Degree
- PMP Certification preferred
- Health Claims system knowledge on any of the following: Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare
- 5+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery
- Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project)
- Professional with ability to properly handle confidential information
- Able to work well independently and in a team environment
- Able to handle multiple tasks, prioritize and meet deadlines
- Able to work within a matrix organization
- Excellent written and verbal communication skills
- Able to positively handle/manage stress, such as high work volume and frequent change
- Able to work within an international organization, including conference calls scheduled to accommodate global time zones