Implementation Manager PBM

About the position

Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line.

Responsibilities

• Expert in project management with consideration of operational processes and procedures to facilitate successful client onboarding and implementation of services.
• Responsible for providing accurate information for plan sponsors and members while ensuring that achieve timelines and budgetary requirements.
• Lead multiple PBM client implementations from kickoff through go-live and stabilization.
• Provides Sales and Client Service support which may include direct contact with customers and/or the customer's representatives.
• Develop and maintain implementation plans, timelines, milestones, task assignments, dependencies, and status reporting.
• Facilitate/leadership role for implementation of internal quality assurance and efficiency to create an incredible service experience.
• Serve as a primary implementation contact for clients, brokers, consultants, vendors, and other client representatives.
• Provide strategic insights on risk mitigation and growth opportunities obtained during client onboarding.
• Confirm that plan designs, formularies, pharmacy networks, eligibility requirements, member materials, reporting requirements, and other implementation specifications are accurately documented and communicated.
• Produces objective reporting to the Senior Management and SVPs, regarding critical path items, opportunities, and overall customer standing.
• Identify implementation risks, blockers, scope changes, and unresolved dependencies; develop mitigation plans and escalate issues when appropriate.
• Apply communication principles and appropriate positioning of information to deliver to various client types.
• Monitor project progress against established timelines and communicate delays, decisions, and critical-path items to leadership and project stakeholders.
• Able to provide analysis of workflows and efficiency with other department teams.
• Support Sales and Client Services by providing implementation guidance, operational information, and client-ready updates.
• Conducts post-implementation analysis to identify areas for improvement, new process development to mitigation of risks areas with future implementations.
• Coordinate implementation quality-assurance activities to confirm operational readiness before go-live.
• Conduct post-implementation reviews to evaluate outcomes, document lessons learned, and recommend process improvements.
• Analyze implementation workflows and recommend improvements that increase accuracy, consistency, and operational efficiency.
• Provide leadership with objective reporting regarding implementation status, client readiness, risks, opportunities, and overall account standing.
• Perform other duties as assigned.

What success looks like

• Ability to manage multiple projects to successful and timely conclusion, including measurement of milestones, alerting project participants to outliers and project status updates.
• Able to communicate internally and externally with all levels of people in a manner which illustrates superior professionalism. Communications may include speaking in front of groups of people.
• Able to prepare for, lead and direct meetings, both internally and externally, with various group sizes. Directing includes keeping meetings on track, providing follow-up/meeting minutes, Gantt charts, etc.
• Strong project-management and organizational skills, including the ability to manage multiple concurrent implementations.
• Relationship focused, with excellent interpersonal skills for dealing with clients, peers, other departments, and senior management.
• Advanced project planning skills with attention to detail, with the ability to prioritize and meet deadlines.
• Strong written, verbal, presentation, negotiation, and meeting-facilitation skills.
• Must have the ability to use logical methods to address problems and develop effective solutions, ensuring customer expectations are met or exceeded.
• Ability to communicate effectively with clients, brokers, vendors, operational teams, and senior leadership.
• Able to work independently as well as support, contribute to, and lead teams.
• Strong relationship-management and client-service skills.
• Able to prioritize competing responsibilities and meet established deadlines.
• Able to remain professional and effective in high-pressure or time-sensitive situations.

What you need

• Education: Bachelor’s degree in Business, Healthcare Administration, Project Management, or a related field preferred.
• Experience: 3–5+ years of project or implementation management experience, specifically within the Pharmacy Benefit Management (PBM) or healthcare industry.
• Domain Knowledge: Strong working knowledge of PBM components, including plan designs, formularies, specialty pharmacy networks, and eligibility file transfers.
• Communication: Exceptional client-facing communication, negotiation, and meeting facilitation skills.
• Technical Tools: Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and project tracking tools.
• Certifications: PMP (Project Management Professional) certification is preferred.

Work requirements

• Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible.
• Travel expectations up to 15%.

Why work at Marpai?

• We have great benefits: Generous PTOMedical and Prescription Health and Wellness Programs EAP FSA / HSA / Dependent CareDental Vision Life and Disability STD/LTDVoluntary Benefits: Critical Illness, Accident, Hospital401k with Employer Match
• Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
• This is a remote position.