Implementation Manager I

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Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

As an Implementation Manager you will manage all aspects of new and existing government implementations for managed care organizations and state entities from project initiation through execution. Work cross functionally at all staff levels within the company and with external managed care organizations and state agencies throughout the entire implementation life cycle.

The Implementation Manager is responsible for all phases of the Implementation from Project Preparation, Requirements Gathering, Development, Testing, Monitoring and Control through Execution and Post Implementation. The Implementation Manager will act as the liaison between Avesis and the client.

Job Summary:

The Implementation Manager I is responsible for the successful implementation of the MCO dental and/or vision benefits and program requirements.   Through open communication, setting clearly defined expectations, project tools, and well-managed workplans, the Implementation Manager I will facilitate and lead weekly internal and external operational and technical work group meetings, manage all documentation and communication regarding the implementation and/or program change, and provide weekly dashboard reports that focus on major milestones achieved, deliverables produced, potential risk issues and major decisions to be made.  The Implementation Manager I will also convene Implementation Steering Committee meetings on an as needed basis to discuss any decisions that need to be made regarding operational and/or technical issues and potential risks. The Implementation Manager I is a remote position with limited travel.

Competencies

Functional:

• Manage new health plan implementations with 1-2 products, lines of business with timelines no longer than 6 months
• Manage multiple program changes for existing health plans with ability to occasionally manage more than 2 concurrent new implementations alongside multiple program changes
• Development and execution of detailed implementation work plans utilizing the appropriate project management tool and provides a single point of contact for internal staff and MCO client
• Identifies, creates and maintains implementation resources, schedules, work plans and status reports for the execution of all new MCO accounts
• Identifies the impact across all functional work teams that may negatively impact daily activities or the effectiveness of the implementation
• Conducts implementation meetings consisting of Company and MCO personnel with the ability to understand and articulate appropriately
• Works cross-functionally at all staff levels within the Company and within the MCO operations by directing the client implementation.
• Develop project scope and objectives, involving all relevant stakeholders and ensure operational and technical feasibility to deliver all project on-time and within scope
• Measure project performance using appropriate systems, tools and techniques
• Responsible for the development and delivery of detailed work plans, comprehensive project documentation, including training, processes and workflows, and reports to MCO partners, Internal Avesis directors and staff
• Develop effective and professional client relationship for long term commitments
• Ability to provide technical support to the implementation teams to ensure tasks are completed effectively within required timeframe
• Works closely with project sponsors and business owners to ensure all federal, state and health plan requirements are complete, accurate and measurable
• Ability to manage any necessary project related escalations to meet timeline requirements and client expectations throughout the project implementation
• Ensure that any implementation change requests are assessed for impact to schedule and resources, and that they are approved by governance committee and implemented, if applicable
• Responsible to perform quality audit of specific deliverables prior to providing to the MCO entity
• Identifies, tracks, and manages all implementation RADIQ items (Risks, actions, decisions, issues and questions) performing risks analysis and assist in development of risk contingency plans to resolve all RADIQ items
• Ability to drive all State and internal readiness review deliverables to ensure meeting prior to implementation go live
• Perform oversight assessments after Go-live to ensure all Operational and technical areas are meeting requirements, SLAs, TATs, etc.
• Responsible for identifying lessons learned and executing process improvement projects after every implementation by creating risk assessments and working closely with the Director of Implementations/Sr. Implementation Manager and Avesis department heads for quality improvement efforts every quarter.

Core:

• Conducts implementation meetings consisting of Company and MCO personnel with the ability to understand and articulate appropriately
• Ability to solve problems, analyze processes/data and make decisions that affect the project on a regular basis
• Ability to manage time efficiently and effectively while prioritizing multiple deliverables across projects
• Establishing and maintaining client relationships to ensure continuous engagement and open communication between Avesis and its clients
• Risk Management
• Project Scope Management
• Critical Thinking Skills
• Process Improvement
• Presentation/Public Speaking Skills

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. 
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive:  managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility:  acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

• High School Diploma or equivalent required.
• Bachelor’s degree or equivalent 4 years' work experience
• Minimum of 3+ years Account/Project Management experience
• Previous Healthcare experience
• Knowledge of Managed Care, Medicare and Medicaid, Exchange and Commercial Health Plans
• Proficient in all aspects of Microsoft Office Suite
• Familiar with Smartsheet or project management software
• Strong relationship building skills
• Excellent organizational and time management skills to coordinate multiple tasks within the project with changing priorities and deadlines
• Excellent interpersonal and communication skills at all levels within a Company
• Proven Project Management skills
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.

Preferred Qualifications:

• Experience working with Managed Care Organizations
• Implemented Medicaid and Medicare programs
• Knowledge of dental and vision insurance

FLSA Status:  Salary/Exempt
National Salary Range: $61,360 - $96,040

 

How to stay safe:
Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam).  If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avēsis, We See You.  We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic.  At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients.  We focus on recruiting, training and retaining those individuals that share similar goals.  Come Dare to be Different at Avēsis, where We See You!

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