Implementation Lead – ASO Employer Health Benefits

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the entire implementation lifecycle for new employer groups and TPA partners, from the initial kickoff to the effective date and post-launch stabilization.

• Develop and maintain comprehensive implementation plans that encompass benefit design, plan documentation, group structure, eligibility and enrollment, stop-loss coordination, integrations, member communications, and compliance.

• Ensure accurate group setup across XO systems and partner platforms, which includes benefit configuration, eligibility file testing, ID cards, welcome kits, member app configuration, and SSO or portal integrations.

• Convert client requirements into precise internal directives and confirm execution prior to the go-live date.

• Lead cross-functional implementation teams, achieve milestones, identify risks, address obstacles, and escalate issues with actionable recommendations.

• Collaborate with Claims, Plan Operations, Network, IT, Compliance, and Finance departments.

• Maintain leadership reporting and highlight any risks that could affect the go-live process.

• Act as the primary liaison for clients, brokers, and TPAs; facilitate status meetings and monitor outstanding items and decisions.

• Create client-facing implementation documents, checklists, and readiness approvals.

• Transition stabilized implementations to ongoing account managers with complete documentation.

• Own and enhance XO’s implementation playbook, timelines, checklists, templates, and data requirements.

• Identify potential failure points and manual processes, collaborating with Operations and Product teams to automate or eliminate them.

⛳️ Requirements

• A minimum of 5 years of experience in implementation, client onboarding, or project management within self-funded health benefits, TPA operations, or a health plan.

• Proficient understanding of self-funded medical and pharmacy plan design along with compliance regulations such as ERISA, ACA, CAA, and Mental Health Parity.

• Direct experience managing complex, multi-party healthcare implementations that adhere to a fixed effective date.

• Strong familiarity with the employer and TPA distribution channel, including brokers, consultants, benefits administrators, and stop-loss carriers.

• Comfortable working with eligibility files, enrollment data, and system configuration.

• Excellent communication skills, enabling effective leadership in client discussions and providing leadership with clear, informed responses.

• Exceptional organizational skills and the ability to prioritize competing urgent demands effectively.

🏝️ Benefits

• Comprehensive health benefits package.

• Competitive salary and performance-based bonuses.

• Opportunities for professional development and career advancement.

• Flexible work arrangements and supportive work environment.