Client Implementation Manager - PBM Job at Associate Staffing, North Kingstown, RI

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  • Associate Staffing
  • North Kingstown, RI

Job Description

The Company: 

Large Insurance Company

What You Will Be Doing:

Implementation Manager is responsible for implementing client health care plans per client and regulatory specifications and projects related to benefits and claims activity. Provide analysis to correct and improve processes and problems that arise. The implementation manager position may also be called upon to implement new regulatory changes etc., that impact our business.

Qualifications:



  • Lead new employer, Union, and TPA implementation processes, including driving client, consultant/broker, and data partner meetings to gather and document requirements for internal and external teams. 

  • Gather Group benefit setup terms and effectively communicate to downstream entities for plan building

  • Ensure operational and technology readiness for launch and obtain readiness signoff for all necessary stakeholders.

  • Monitor launch activity to identify any potential issues and develop rapid response plans to implement solutions and remediation efforts

  • Identify project risks and mitigation strategies and communicate to the appropriate stakeholders.

  • Keep rework events for plan build events below 5% (as measured by both client event and situational event)

  • Manage downstream entities, new group setup, and changes, to meet expected deadlines and client expectations for Medicare and Commercial Book of Business

  • Identify issues that can increase risk of delay or failure per client's benefit requirements

  • Communicate issues to appropriate personnel

  • Adjust requirements to minimize risk or seek client adjustment through Account Management

     

    Equal Opportunity Employer:

    Associate Staffing is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law. We are committed to creating a diverse and inclusive work environment and welcome applicants from all backgrounds to apply for open positions with our company.

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