Implementation Manager

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

📋 Description

• Lead comprehensive implementation cycles encompassing discovery, data readiness, configuration, integration, User Acceptance Testing (UAT), go-live, and post-launch transition.

• Create and manage project plans, timelines, milestones, RAID logs, risk mitigation strategies, and status updates.

• Organize and facilitate both internal and external project meetings, including kickoffs, milestone reviews, and collaborative working sessions.

• Supervise cross-functional project teams to guarantee the timely completion of tasks and the proactive resolution of issues.

• Recognize and mitigate risks; escalate obstacles to leadership when necessary.

• Ensure that implementation activities adhere to quality standards, data security requirements, contractual obligations, and industry regulations such as HIPAA and CMS.

• Act as the primary contact throughout the implementation process and deliver a responsive, solution-oriented experience for clients.

• Provide updates, action items, and outline next steps.

• Prepare and present client-facing status presentations, project updates, training materials, and process documentation.

• Communicate complex or technical concepts to both technical and non-technical stakeholders, including client leadership.

• Coordinate data mapping, validation, ingestion, and quality checks across various healthcare file types, such as claims, eligibility, provider, and pharmacy.

• Convert requirements into JIRA or ADO tickets and assist in grooming and sprint planning with engineering teams.

• Support integrations related to claims audits, Coordination of Benefits (COB), Subrogation, data mining services, payment integrity algorithms, and related workflows.

• Design, refine, and optimize operational workflows in line with client needs and product capabilities.

• Diagnose operational or system-related issues and work collaboratively to resolve them internally.

• Create user guides, Standard Operating Procedures (SOPs), quick-start guides, implementation plans, and process maps.

• Maintain comprehensive and clear implementation documentation.

• Conduct training on platform features, workflows, AI-driven tools, and processes.

• Offer feedback to enhance implementation methodologies, tools, templates, and process efficiency.

• Assist with onboarding, coaching, and knowledge transfer for new members of the Implementation team.

• Participate in continuous improvement initiatives aimed at enhancing scalability, quality, and efficiency.

⛳️ Requirements

• Bachelor’s degree in Business, Healthcare, IT, Data, Project Management, or a related field (or equivalent experience).

• 3–5+ years of experience in implementation or project management within healthcare technology, payment integrity, insurance services, analytics, or related fields.

• Familiarity with healthcare data structures and exchange file types (claims, eligibility, provider, pharmacy) and their associated integration workflows.

• Strong understanding of data mining concepts, analytics workflows, and the role of data in supporting audit or recovery outcomes.

• Experience with the implementation of both SaaS products and service-based solutions.

• Proficient in JIRA, Smartsheet, Excel, Word, PowerPoint, and Outlook.

• Experience utilizing AI tools to enhance efficiency and accuracy.

• Exceptional verbal and written communication skills, with the ability to explain technical concepts to non-technical audiences.

• Strong analytical, problem-solving, and critical-thinking abilities, capable of managing data-intensive implementations.

• Ability to juggle multiple priorities and deadlines in a fast-paced setting.

• Excellent relationship-building skills and a customer-centric approach.

• High level of professionalism, reliability, and consistency in a client-facing capacity.

• Familiarity with CMS requirements, healthcare regulations, and HIPAA.

• Ability to collaborate across distributed teams, lead through influence, and work independently with minimal supervision.

• PMP, PRINCE2, Agile, or similar certification is preferred.

🏝️ Benefits

• Work remotely from anywhere in the US! Machinify embraces a digital-first approach.

• Comprehensive Medical/Dental/Vision benefits.

• Flexible Spending Account (FSA) and Health Savings Account (HSA).

• Tuition reimbursement program.

• Competitive salary offerings.

• 401(k) plan with company matching.

• Additional health and wellness benefits and perks.

• A flexible and trusting environment where you’ll feel empowered to perform at your best.