Product Implementation Mgr

2 weeks ago

Portland, United States Cambia Health Solutions Full time


PRODUCT IMPLEMENTATION MANAGER (I or II) (HEALTHCARE)

Telecommute thru Onsite Options - Must reside in ID, OR, UT or WA


WHO WE NEED

The Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product enhancements are implemented and delivered to the market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First Tier, Downstream, and Related Entities (FDRs) requirements. This role strives to improve the member experience through program design and oversight. This ideal candidate will have experience in leading and managing the implementation of new programs or supplemental benefits through vendor programs, standing down existing programs, and managing program/plan/benefit changes year over year. The role will lead cross departmental teams to meet these objectives, including collaboration with compliance, member experience, marketing, actuary and others.


Normally to be proficient in the competencies listed below:

Product Implementation Manager I:

  • Bachelor's degree in business administration, healthcare administration or a related field

  • 3 years of experience managing large and complex projects.

  • At least 1 year of experience installing new insurance products and enhancements.

  • Or an equivalent combination of education and experience


Product Implementation Manager II:

  • Bachelor's degree in business administration, healthcare administration or a related field

  • 5 years of experience managing large and complex projects.

  • At least 1 year of experience installing new insurance products and enhancements.

  • Or an equivalent combination of education and experience

YOUR ROLE:

  • Responsible for delivering projects to successful completion; accountable for the quality and timeliness of all defined projects, and for issues (goals, resource allocation, release planning, technology architecture, etc.) within the projects.

  • Contribute to the development of, and ensure adherence to, company adopted project management methods.

  • Plan, direct, coordinate and report project management activities in accordance with Enterprise Program Management Office policies and standards.

  • Manages the overall project plan(s). Prepares and presents project plans and status reports to organizational leadership, project teams and client/customer groups.

  • Responsible for project outcomes through effective project planning, task definition, scope management, resource allocation and negotiation, risk mitigation, cost management, and stakeholder communication.

  • Assembles project team, assigns individual responsibilities, identifies appropriate project resources and provides guidance and direction to project team members.

  • Defines, collects and analyzes metrics to ensure projects are on target.

  • Effectively keeps leaders and key business partners informed through regular written and verbal status communications

  • Proactively recommends courses of action to maintain cost effectiveness.

  • Ensure timely resolution of problems within the scope of the assignment.

  • Develops basic knowledge of statutory and regulatory requirements for federal, state and/or local as needed.

Additional for PIM level II

  • Facilitates and drives multiple projects; accountable for integrating with dependent projects and processes, oversees program and project scope, risks and issues management, schedule, and budget ensuring timely deliverables within budgetary constraints.

  • Facilitates coordination with third party vendors

  • Interpret regulations and understand impact to projects

  • Provides subject matter expertise, direction, and solutions related to assigned projects or business processes. Facilitates in the design and implementation of related processes and procedures and provides related guidance and direction to the team and/or impacted departments, including when a tool or FAQ is needed.

  • Identifies the need for new processes and provides process improvement consultation, facilitation and management for targeted processes.

  • Oversee documentation for the work performed regarding assigned projects, work plans, progress reports, data analysis and project outcome reports. Works with appropriate personnel to ensure that all new processes and procedures are clearly documented by time of actual implementation.

  • Uses subject matter expertise to provide best in practice feedback to peers/implementation team when needed.

  • Develops and fosters collaborative, productive and professional partnerships with key stakeholders internally and externally.

  • Interacts, coordinates and communicates with all levels of management, internal and external customers such as clients, vendors, government officials and outside consultants in order to ensure effective use of systems and processes, provide project updates, and ensure coordination of activities for efficient implementation.

  • Perform responsibilities above with an increased degree of independence and self-direction. Take initiative to pursue larger-scope projects.

WHAT YOU BRING:

  • Experience in Medicare payors including knowledge of regulatory guidance pertaining to Medicare Advantage and/or vendor/program oversight

  • Experience managing benefits and vendor programs in accordance with CMS regulations

  • Functional competencies include Budgeting, Change Management, Client Management, Project Planning and Organization, Risk Management.

  • 5 years of experience managing large and complex projects

  • At least one year of experience installing new Medicare products or programs.

  • Understands new product and product enhancements and can represent them as a subject matter expert

  • Team player able to drive against deliverable dates and hold business areas and people accountable to delivering on agreed upon dates.

  • Ability to lead multi-disciplinary, high-performance work teams.

  • Strong communication skill in leading work groups, documenting project plans, and messaging for leadership

  • Demonstrated ability to identify problems, mediate issues, develop solutions and implement a course of action.

  • Strong interpersonal and communication skills (both oral and written) with a customer service orientation.

  • Demonstrated success at meeting project budget, timelines, and requirement targets and managing variances.

  • Ability to mitigate project milestones/deliverable delays and critical resource allocation issues from the work breakdown schedule.

  • Skilled in the identification, assessment and contingency planning for risk factors.

  • Presentation experience to all levels of management.

  • Exceptionally strong leadership skills.

  • Demonstrated experience working with business sponsors and partners to identify and implement solutions.

  • Proven ability to motivate teams to achieve defined deliverables and be able to work effectively with clients.

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