Director, Implementations & Benefit Quality

Job Description

Job Description

Responsibilities include but are not limited to:

• Manage implementation and business quality assurance team members.
• Direct complex integration and implementation projects while meeting critical milestones.
• Delegate tasks for primary benefit design set up for new plans and clients to implementation team members.
• Serve as primary point of contact for new large clients through the implementation phase.
• Facilitate conference calls and communication between clients and other internal departments for more complex aspects of specialized benefit requirements.
• Identify project bottlenecks and deploy strategies to ensure timelines are met.
• Maintain detailed documentation supporting all aspects of implementation.
• Balance competing priorities for the implementation team.
• Travel to client locations as necessary to provide implementation “go live” support.
• Ensures all claims processing edits, pricing, messaging and configuration meets the business requirements of the client.

Qualifications:

• 7 years of PBM or healthcare implementation experience
• Project management skills
• Prior management experience
• Excellent organizational and time management skills
• Excellent telephone etiquette, verbal and written communication skills
• Excellent presentation skills to interface with clients and prospects.
• Proficient in Microsoft Office applications
• Ability to analyze, interpret and develop solutions effectively
• High level of professionalism

Education Requirements:

• Bachelor's degree preferred

I confirm that I meet or exceed the educational and experience requirements set forth herein.