Implementation Director

Cotiviti

1d • $122,000 - $155,000 • Remote

About The Position

The Implementation Director will guide the delivery of services and technology to one or more clients by planning, supporting and / or managing implementation activities from pre-sales support through production verification.

Requirements

• Bachelor’s Degree
• Health Claims system knowledge on any of the following: Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare.
• 6+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery.
• Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project)
• Functional SQL experience
• Professional with ability to properly handle confidential information
• Ability to work well independently and in a team environment
• Ability to handle multiple tasks, prioritize and meet deadlines
• Ability to work within a matrix organization
• Excellent written and verbal communication skills
• Must have ability to positively handle/manage stress, such as high work volume and frequent change
• Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
• Communicating with others to exchange information.
• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Making timely decisions in the context of a workflow.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Learning new tasks and completing tasks in situations that have a speed or productivity quota.
• Remembering and adhering to processes and protocols.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Nice To Haves

• PMP Certification preferred

Responsibilities

• Project Management - Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan:
• Identify and initiate joint company and client teams to complete pre-sales and/ or implementation opportunity analysis, establish medical policy, integrate applications, establishing invoicing, test configuration and interface, train end users and to communicate to internal and external audiences.
• Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings.
• Establish project plan based on scope of services.
• Ensure company and client buy-in to project plan and milestones.
• Ensure work of each company and client committees progress as scheduled against the plan
• Coordinate, facilitate and document client-facing meetings for medical policy, technology, communication training, Finance and testing committees.
• Ensure follow-through against commitments made by company and client resources.
• Identify, track and ensure closure of all implementations related issues across all aspects of delivery.
• Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis.
• Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality.
• Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix.
• Client Relationship Management:
• Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period such as: executive leadership, medical policy, claims operations and grievance / appeals, provider relations, corporate communications, information technology, and Finance/actuarial.
• Serve as key day-to-day client contact to present a consistent primary point of contact with company.
• Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit.
• Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily.
• Serve as key day-to-day client contact to present a consistent primary point of contact with company.
• Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit.
• Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily.
• Transition to Client Services and Network Operations:
• Ensure client operational cycles are understood and supported by company.
• Integrate and effectively transition to Client Service Manager to provide a seamless transfer for on-going business support.
• Integrate and effectively transition to Network Operations to ensure seamless transfer for on-going technology support.
• Implementation Process Improvement:
• Undertake process and departmental improvement projects identified individually, as a team or as assigned by the Implementation Services VP and/or AVP.
• Coordinate process improvement initiatives with other team members and organizational components.
• Complete all responsibilities as outlined in the annual performance review and/or goal setting.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.
• Other responsibilities as assigned.

Benefits

• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

What This Job Offers

• Job Type: Full-time
• Career Level: Director