Product Implementation Specialist

6 hours ago


New York, New York, United States MetroPlusHealth Full time
Job Summary

The 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 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.

Requirements

Bachelor's Degree required.
Minimum 5 years of experience in healthcare, 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 healthcare.
Experience or in-depth knowledge of HealthRules Payor system is a plus.
Skills in Microsoft Excel, PowerPoint, and Word are required.

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

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