Director, Implementations & Benefit Quality

ProCare Rx

$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7 years of PBM or healthcare implementation experience
  • Strong project management skills
  • Prior management experience in a team setting
  • Exceptional organizational and time management abilities
  • Proficient verbal and written communication skills, including telephone etiquette
  • Outstanding presentation skills to engage clients and prospects
  • Proficient in Microsoft Office applications
  • Ability to analyze, interpret, and develop effective solutions
  • Demonstrates a high level of professionalism

Responsibilities

  • Manage a team focused on implementation and business quality assurance.
  • Direct complex integration and implementation projects, ensuring milestones are met.
  • Delegate tasks related to benefit design setup to implementation team members.
  • Act as the primary point of contact for large clients during implementation.
  • Facilitate communication between clients and internal departments regarding specialized benefit requirements.
  • Identify project bottlenecks and deploy strategies to meet timelines.
  • Maintain detailed documentation of all implementation phases.
  • Balance competing priorities for the implementation team.
  • Travel to client locations as needed for implementation support.
  • Ensure claims processing aligns with client business requirements.

Benefits

  • Opportunity to work with large, complex clients in the healthcare sector
  • Strong focus on professional development and skill enhancement
  • Dynamic work environment with diverse responsibilities
  • Possibility of travel to various client sites for hands-on support
Full Job Description
Responsibilities include but are not limited to:

  • Manage implementation and business quality assurance team members.
  • Direct complex integration and implementation projects while meeting critical milestones.
  • Delegate tasks for primary benefit design set up for new plans and clients to implementation team members.
  • Serve as primary point of contact for new large clients through the implementation phase.
  • Facilitate conference calls and communication between clients and other internal departments for more complex aspects of specialized benefit requirements.
  • Identify project bottlenecks and deploy strategies to ensure timelines are met.
  • Maintain detailed documentation supporting all aspects of implementation.
  • Balance competing priorities for the implementation team.
  • Travel to client locations as necessary to provide implementation "go live" support.
  • Ensures all claims processing edits, pricing, messaging and configuration meets the business requirements of the client.


Qualifications:

  • 7 years of PBM or healthcare implementation experience
  • Project management skills
  • Prior management experience
  • Excellent organizational and time management skills
  • Excellent telephone etiquette, verbal and written communication skills
  • Excellent presentation skills to interface with clients and prospects.
  • Proficient in Microsoft Office applications
  • Ability to analyze, interpret and develop solutions effectively
  • High level of professionalism


Education Requirements:

  • Bachelor's degree preferred


I confirm that I meet or exceed the educational and experience requirements set forth herein.

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