Senior Principal Implementation Program Manager

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

📋 Description

• Oversee the comprehensive implementation of Eviti’s oncology utilization management solutions for health plan clients across commercial, Medicare, and Medicaid sectors.

• Direct the planning and execution of intricate, multi-workstream health plan implementations, which include defining the scope, project charters, integrated work plans, timelines, resource allocations, and criteria for go-live readiness.

• Manage a portfolio of simultaneous implementations, adeptly balancing priorities, dependencies, and resources to fulfill contractual obligations.

• Act as the primary implementation lead and escalation contact for client executives and project sponsors; facilitate project kickoffs, steering committees, and status updates.

• Coordinate technical integration workstreams related to eligibility and member files, prior authorization data exchanges, provider data, reporting feeds, single sign-on, and portal configurations.

• Collaborate with Eviti’s clinical team to customize client-specific clinical policies, benefit rules, and authorization workflows.

• Ensure that implementations comply with regulatory, accreditation, and contractual requirements, including NCQA, HITRUST, state and federal utilization management timelines, and CMS-0057-F guidelines.

• Identify, monitor, and mitigate project risks, issues, and dependencies; drive decision-making and escalate matters as necessary.

• Lead user acceptance testing, operational readiness, client and provider training, and post-go-live hypercare support.

• Define, monitor, and report implementation KPIs to Eviti leadership.

• Own and continually enhance Eviti’s implementation methodology, templates, and tools.

• Assist sales and account management with implementation scoping, timeline estimates, RFP responses, and client due diligence inquiries.

• Mentor members of the implementation team and cross-functional partners on best practices in program management.

⛳️ Requirements

• Bachelor’s degree in business, healthcare administration, information systems, or a related field, along with 12+ years of relevant experience; an equivalent combination of education and experience will be accepted.

• 12+ years of progressive program or project management experience, with significant expertise in leading client implementations within a healthcare payer, utilization management, or health IT setting.

• Proven success in delivering enterprise-scale implementations for health plans, including complex technical data integrations.

• Recognized as an expert and go-to resource in implementation program management, with a strong command across multiple job areas.

• Project Management Professional (PMP) certification is preferred.

• Experience in implementing oncology, specialty pharmacy, or prior authorization programs.

• Familiarity with healthcare data standards and exchange (e.g., X12 834/278, HL7 FHIR) as well as CMS interoperability regulations.

• Background in supporting Medicare Advantage and Managed Medicaid implementations.

• Proficiency in project and portfolio management tools (e.g., Monday, Smartsheet, Jira).

• Capability to resolve complex issues involving clinical, technical, operational, and contractual variables.

• Ability to work autonomously with minimal oversight and establish operational plans.

• Strong communication skills for effective interaction with executive leadership, clients, vendors, partners, and stakeholders.

• Ability to guide, coach, and train employees throughout the organization.

• Capacity to lead strategically significant initiatives involving large, cross-divisional teams.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Competitive salary and performance-based bonuses.

• Opportunities for professional development and career advancement.

• Flexible work environment and remote work options.