Implementation Manager – Utilization Management

This is a fully remote position, open to applicants in California, +14 more states.

📋 Description

• Oversee the complete implementation of technology solutions that support Utilization Management.

• Convert business and clinical requirements into scalable and well-governed system deployments.

• Lead the project from design through to go-live and ensure stability post-launch.

• Collaborate with clinical, operational, and IT teams to configure, test, and effectively adopt new capabilities.

• Manage project scope, timelines, stakeholder alignment, and delivery across various cross-functional teams.

• Establish governance frameworks, project structures, and performance measurement criteria.

• Integrate clinical outcomes, operational performance data, and feedback from front-line staff into reports suitable for executives.

• Identify, assess, and prioritize opportunities for technology and process improvements.

• Oversee system configuration, workflow design, and integration efforts with IT and vendor teams.

• Choose implementation strategies based on workflow complexity, associated risks, and business value.

• Guide requirements gathering, solution design, user acceptance testing, and cutover planning for core UM platforms.

• Collaborate with business leaders, IT, clinical operations, vendor management, and enterprise Program Management Offices.

• Define and monitor success metrics linked to business outcomes.

• Interpret technical concepts, trade-offs, and recommendations for stakeholders.

• Carry out additional duties as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• Must possess authorization to work in the U.S. without the necessity for employment-based visa sponsorship, either now or in the future.

• A Bachelor's Degree is required.

• A minimum of 2 years of experience in technology implementation, systems configuration, or solution deployment, including AI, is required.

• Proficient with a variety of implementation and project management tools.

• Proven experience in delivering enterprise systems.

• At least 3 years of project management and cross-functional delivery experience is required.

• Experience in the healthcare and/or managed care sectors is preferred.

• Demonstrated ownership and initiative are essential.

• Strong project management abilities.

• Excellent analytical skills.

• High attention to detail is necessary.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off along with holidays.

• Flexible working arrangements, including remote, hybrid, field, or office schedules.

• Additional incentive forms may be included in the overall compensation package.

• Equal opportunity employer dedicated to promoting diversity.