Implementation Manager

Who We Are

Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point
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Health.

The Implementation Manager is a high-profile individual contributor playing a key role in pre- and post-sales implementations. To succeed in the role, the incumbent must leverage strong communication and leadership skills in interactions with internal and external audiences at all levels to ensure successful implementations. Schedules and conducts regular internal and external implementation meetings. Develops and manages completion of client specific implementation timeline/checklist.

Coordinates with new business sales executives and service representatives and provides operational support/leverage needed for an effective implementation. Works collaboratively with operations and other internal departments, to ensure timely and accurate case installation. The Implementation Manager is a key individual contributor, acting highly independently and serving as a mentor and leadership example to more junior team members.

• Oversees and coordinates implementation process
• Develops and executes client specific implementation plan
• Schedules and conducts regular implementation meetings
• Resolves problems and issues to ensure Point
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  Health provides outstanding service to all constituents working collaboratively with internal work teams – Claims, Enrollment, Premium Billing, Clinical, etc.

Performs initial case intake and pre-quote assessment of complex/sensitive benefit requests:

• Manages detailed review of all benefit items presented upon quote request
• Applies Point
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  Health business & product rules to compare each request to Point
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  Health standard products and benefits
• Identifies non-standard items, works collaboratively w/operational areas to determine feasibility and recommends alternative benefit options that will meet the client objectives as necessary
• Presents non-standard benefit requests to complex case committee
• Composes polished external response documents to support Account Executive presentation/response to client/broker

• Monitors implementation team metrics and proposes ideas for process improvements.
• Implements process improvements as agreed to by Sales & Operational leadership teams.
• Chairing client and internal meetings as needed
• Answers general prospective client & member calls (prior to the effective date)
• Validate systems set-up of complex plan designs or benefits
• Other duties and projects as assigned.

• Required (minimum):
  Bachelor’s degree in related field
• Preferred:
  Master’s degree

• Required (minimum): 3-5 years client service experience, preferably in health care operations and/or sales or client service.
• Preferred: 3-5 years of knowledge of employee benefits products, insurance contract, alternate funding products, ancillary coverage, administrative procedures, complex underwriting concepts, and brokerage development. Experience with managed care plan, flexible benefits, consultants, and national accounts.

• Requires ability to: juggle multiple priorities; interpersonal, oral, and written…