Implementation Manager, Health Plan

Summary

Sanford Health is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. The Implementation Manager will lead the implementation of Health Plan products and initiatives, developing strategies, managing project plans, and coordinating cross-functional teams, government programs, vendors, and regulatory requirements.

Responsibilities

• Translates product documentation into business requirements that ensure products and services meet the needs of the market
• Leads cross-functional teams to create Implementation plans and appropriate documentation for product or project rollouts
• Collaborates with all departments to assist in supporting tactical tasks, implementation, and administration for government program product lines
• Communicates project and initiative implementation status, key objectives, success metrics and any risks/issues effectively throughout the organization
• Assesses project issues and leads the team to develop resolutions to meet goals and objectives
• Maintains current knowledge of the regulatory environment that impacts existing and new products to ensure compliance with external state and federal regulators
• Manages complex concurrent projects and vendor relations to support and accomplish the goals and objectives of the organization
• Coordinates with government programs to submit product filings and applicable product reporting to governmental agencies
• Understands business requirements and identifies internal resources needed to respond to government agency requests, implement new guidance and/or assist in developing or streamlining internal processes
• Serves as the conduit between applicable governmental agencies, internal departments, and subcontracted agencies to ensure timely and accurate dissemination of product requirements and lead their implementation
• Coordinates and/or monitors timely required reporting and filings to meet contract requirements
• Applies knowledge and experience of Medicare Advantage, Affordable Care Act (ACA), and commercial health insurance products to support daily operations and business objectives

Skills

• Bachelor's Degree in Business, Marketing, or Healthcare related field
• 3 years experience in health insurance industry or related field required
• Experience working within Health Plan and/or project management experience, preferred
• Certified Associate in Project Management (CAPM), preferred

Qualifications

Must Haves

• Bachelor's Degree in Business, Marketing, or Healthcare related field
• 3 years experience in health insurance industry or related field required

Nice to Haves

• Experience working within Health Plan and/or project management experience, preferred
• Certified Associate in Project Management (CAPM), preferred

Benefits

• Work remotely while collaborating with departments across the organization.