Job Summary:
The Market Implementation Manager partners with Business Development, Market and Product leaders, EPMO, IT, vendors, business owners, and other key stakeholders across the company to support the preparation and launch of new lines of business, new markets, market expansions, plan renewals, and mergers and acquisitions. The role focuses on readiness preparation and assessments, implementations, and a smooth transition of new product lines into the business.
Essential Functions:
- Influence the development and implementation of overarching plans designed to achieve the business objectives defined by executive leaders for readiness activities and market implementations
- Collaborate with EPMO, IT, external vendors, and cross-functional resources to cascade those overarching plans into cohesive sets of actionable and trackable tasks
- Bring a holistic view to implementations and readiness activities including, but not limited to, State/Federal reviews and both pre and post go-live activities, considering the impact on the enterprise and market, and on members, providers, and regulators
- Consider upstream and downstream impacts of decisions and assumptions being made, including financial implications
- Work to enhance communication and visibility with key stakeholders as needed
- Actively participate in preparation sessions, mock audits, and other readiness initiatives
- Coordinate and facilitate meetings as needed to address roadblocks, make decisions, and gain key stakeholder buy-in
- Strive for consistency and scalability of solutions across the enterprise when able, with flexibility to tailor tactics to a market or plan’s unique needs, when needed
- Ensure market requirements will be met as completely, effectively, and efficiently as possible upon go-live, minimizing member, provider, and regulator abrasion
- Identify and assist with the rapid resolution or escalation of issues, blockers, and hindrances
- Develop knowledge of plan requirements to review and approve documentation for implementation and readiness submissions
- Perform any other job duties as requested
Education and Experience:
- Bachelor’s degree in business, healthcare, a related field or equivalent years of relevant work experience is required
- Five (5) years of experience in healthcare or managed care industry with experience implementing new health insurance products or markets is required
Competencies, Knowledge and Skills:
- Broad working knowledge of government-regulated health insurance products including Medicaid, Medicare, and Marketplace
- Knowledge of full range of product requirements from regulatory, operations, clinical, reporting and compliance
- Able to work independently and in a matrixed team environment, across all levels of the organization
- Extensive knowledge of project management processes and terminology
- Strong collaboration, relationship building and influencing skillset
- Proficient with Microsoft Office, including Word, Excel, PowerPoint, and Project, as well as virtual meeting platforms such as Microsoft Teams
- Critical listening and systematic thinking skills
- Strong oral, written, and interpersonal communication skills
- Leadership knowledge and skills
- Flexible and responsive to a changing environment
- Planning, problem identification and resolution skills
- Ability to maintain confidentiality and act in the company’s best interest
- Conflict resolution skills
- Attention to detail as appropriate
- Ability to identify and communicate opportunities to synthesize and integrate work efforts across teams
Licensure and Certification:
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Occasional short-term travel as required
Compensation Range:
$81,400.00 - $130,200.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
Originally posted on Himalayas
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