Implementation Specialist

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

📋 Description

• Oversee the onboarding and renewal procedures for employer groups, health plans, vendors, and benefit programs.

• Act as the main implementation point of contact among clients, brokers, vendors, carriers, internal teams, and technology partners.

• Create, manage, and monitor timelines for implementation and renewal to ensure that milestones and deadlines are achieved.

• Collect, assess, and validate requirements for plan design, specifications for benefits, eligibility criteria, vendor needs, and related documentation.

• Coordinate system configuration tasks to guarantee that benefit plans are accurately established within the relevant administrative platforms.

• Assist with the setup of eligibility files, data file testing, vendor feeds, and other operational data necessities.

• Collaborate with claims, eligibility, customer service, account management, compliance, finance, and IT teams to ensure operational preparedness.

• Identify risks, issues, and gaps in implementation, and coordinate with the relevant parties to address them.

• Organize meetings, status updates, and communications throughout the implementation or renewal process.

• Keep precise records, project documentation, plan materials, and implementation checklists.

• Ensure that all necessary documentation is complete, accurate, and accessible before the effective or renewal date.

• Assist with post-implementation reviews and issue resolution.

• Confirm that implementation activities adhere to company policies, client requirements, regulatory standards, and contractual commitments.

• Perform additional duties as assigned.

⛳️ Requirements

• A high school diploma or equivalent is required.

• Previous experience in healthcare benefits administration, third-party administration, health insurance, employee benefits, implementation, account management, or a related field is essential.

• Strong knowledge of medical benefits, eligibility, plan design, vendor coordination, and administrative processes.

• Experience in project coordination, managing timelines, deliverables, and cross-functional communication.

• Excellent organizational skills and meticulous attention to detail.

• Capability to handle multiple priorities and deadlines in a fast-paced environment.

• Outstanding verbal and written communication skills.

• Proficiency in Microsoft Office applications, including Outlook, Excel, Word, and Teams.

• Ability to work collaboratively with internal teams and external business partners.

🏝️ Benefits

• 5% annual bonus based on company profitability.

• Affordable health, vision, and dental insurance for you and your family.

• Company contributes up to $2,300 to Health Savings Account annually.

• Wellness program that adds extra funds to your HSA.

• Automatic 3% contribution into the retirement plan.

• Opportunities for career development and growth.

• Flexible Time Off & 10 paid holidays per year.