Product Implementation Specialist

3 weeks ago

New York NY United States MetroPlusHealth Full time
Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible.

Job Description
  • Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business.
  • Manage the full project cycle of implementations from beginning to end.
  • Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
  • Use data and insights to inform conclusions and support decision making.
  • Proactively gather information to understand business owner needs.
  • Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments.
  • Review and verify documentation for compliance and operational accuracy.
  • Assist with CPT code verification for benefit implementations ensuring proper configuration.
  • Special projects and other related duties as assigned.
Minimum Qualifications
  • Bachelor’s Degree required.
  • Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field.
  • Medical coding experience preferred.
  • Project Management skills preferred.
  • Working knowledge of Product department, implementations, system transformation and operational aspects of health care
  • Experience or in-depth knowledge of HealthRules Payor system is a plus.
  • Skills in Microsoft Excel, PowerPoint, and Word are required

Licensure and/or Certification Required

  • Medical Coding Certification preferred

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Excellent verbal, written, mathematical, and interpersonal skills
  • Able to work collaboratively and efficiently with multidisciplinary teams
  • Highly detail-oriented
  • Strong presentation skills

#LI-Hybrid

  • Product Implementation Specialist

    3 weeks ago

    New York, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Product Implementation Specialist

    3 weeks ago

    New York, United States MetroPlusHealth Full time

    Job DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...

  • Product Implementation Specialist

    2 months ago

    New York, United States MetroPlusHealth Full time

    Job DescriptionJob DescriptionEmpower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health +...

  • Product Implementation Specialist

    1 month ago

    New York, New York, United States MetroPlusHealth Full time

    Job SummaryThe Product Implementation Specialist will play a critical role in ensuring the smooth implementation of healthcare benefits and payment reimbursement requirements. This position requires a strong understanding of regulatory guidance and the ability to communicate effectively with internal business owners and stakeholders.Key Responsibilities Lead...

  • Product Implementation Specialist

    1 month ago

    New York, New York, United States Athari Full time

    Job OverviewThe Product Implementation Specialist will play a crucial role in ensuring seamless benefit implementations for our clients. This involves working closely with internal stakeholders to collect data, customize configuration forms, and define objectives. The successful candidate will act as the point of contact for the company, initiating...

  • Product Implementation Specialist

    2 months ago

    New York City, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Product Implementation Specialist

    4 weeks ago

    Albany, NY, United States Innova Solutions Full time

    Innova Solutions is immediately hiring for a Benefits Product Implementation SpecialistPosition type: Fulltime Duration: PermanentLocation: New York, NYAs a Benefits Product Implementation Specialist you will:Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business.Manage the full project cycle of implementations...

  • Implementation Specialist

    4 weeks ago

    New York, New York, United States Maybern Solutions, Inc Full time

    We are seeking an experienced Implementation Specialist to join our team at Maybern Solutions, Inc. As an Implementation Specialist, you will be responsible for implementing our software solutions for private fund managers.Key Responsibilities:Implement software solutions for private fund managersCollaborate with the Product and Engineering teams to ensure...

  • Implementation Specialist

    1 month ago

    New York, United States ReliableVA Solutions LLC Full time

    We are looking for a driven and experienced customer success professional to join our team as an Implementation Specialist. You will help our enterprise clients set achievable goals for their programs steer them in the right direction to get up and running on Triple Whale smoothly and will guide them to optimize their program to maximize their north star...

  • Implementation Specialist

    2 months ago

    New York, United States ReliableVA Solutions LLC Full time

    We are looking for a driven and experienced customer success professional to join our team as an Implementation Specialist. You will help our enterprise clients set achievable goals for their programs steer them in the right direction to get up and running on Triple Whale smoothly and will guide them to optimize their program to maximize their north star...

  • Sales Associate

    4 weeks ago

    New Bloomfield, Missouri, United States Product Connections Full time

    Company OverviewProduct Connections is a dynamic and fast-paced company dedicated to providing exceptional customer experiences. We are seeking a Sales Associate - Product Experience Specialist to join our team!Salary$14.50 per hour, with opportunities for career advancement and professional growth.Job DescriptionAs a Sales Associate - Product Experience...

  • Graduate Product Specialist

    2 weeks ago

    New York, NY, United States RedTech Recruitment Full time

    Graduate Product Specialist - SoftwareA brilliant opportunity for a talented Graduate to work as a Product Specialist, joining a market-leading disruptive software technology firm in Manhattan. Offering excellent training, career progression and prospects, this is a unique opportunity to work for a rapidly expanding machine learning software house. This is...

  • Implementation Specialist

    4 weeks ago

    New York, New York, United States Aspire Software Full time

    About the Role:We are seeking an experienced Implementation Specialist to join our team at Aspire Software. The successful candidate will be responsible for ensuring our clients are utilizing DockMaster Software to its full potential.Key Responsibilities:Conduct in-depth needs assessments to understand each client's unique business processes and...

  • Product Specialist, Integrated Products

    1 month ago

    New York, NY, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Implementation Specialist

    1 month ago

    New York, New York, United States Syneos Health inVentiv Health Commercial LLC Full time

    Job SummaryThe Implementation Specialist will be responsible for the end-to-end management of the implementation process and key deliverables for clients. This includes developing and negotiating the implementation plan, monitoring progress against timeline due dates, and interacting directly with clients, subcontractors, and internal or external business...

  • Payroll Implementation Specialist

    4 weeks ago

    New York, New York, United States Justworks Full time

    Job SummaryWe are seeking a highly skilled Payroll Implementation Specialist to join our team at Justworks. As a Payroll Implementation Specialist, you will be responsible for bringing new clients onboard our payroll platform and ensuring all payroll history is fully entered and balanced.Key ResponsibilitiesFully review client information for completeness in...

  • IT Implementation Specialist

    6 days ago

    New York, New York, United States City of New York Full time

    Job SummaryThe City of New York is seeking a highly skilled IT Implementation Specialist to assist in managing the development and implementation of all strategic programs in the agency. This position will lead cross-functional and cross-agency teams and stakeholders in developing, planning, and implementing strategic initiatives and programs.Key...

  • Salesforce Implementation Specialist

    4 weeks ago

    New York, New York, United States TWO95 International Full time

    Job Title: Salesforce Implementation SpecialistWe are seeking an experienced Salesforce Implementation Specialist to join our team at TWO95 International. As a key member of our team, you will be responsible for implementing and managing Salesforce solutions from start to finish.Key Responsibilities: Implement Salesforce solutions for clients Manage and...

  • Platform Implementation Specialist

    4 weeks ago

    New York, New York, United States iCapital Full time

    About the RoleiCapital is seeking an experienced Vice President to lead the Implementation Specialists team as an Implementation lead. The team is responsible for managing platform integrations for both new and existing enterprise clients, as well as managing the ongoing platform experience for existing clients in close partnership with Product Managers and...

  • Implementation & Engagement Specialist

    5 days ago

    New York, United States Jobs for Humanity Full time

    As a member of the Customer Success team, the Implementation & Engagement Specialist - Higher Ed partners with higher ed instructors and administrators to provide guidance, training, and support that exceeds expectations. They serve as a proprietary Implementation, Specialist, Engagement, Instructor, Escalations, Technology, Staffing