Implementation Specialist jobs in Rhode Island

A
PBM Implementation Specialist
  • Amwins Group Benefits, LLC
  • North, RI FULL_TIME
  • PURPOSE:The Implementation Specialist is responsible for leading and managing the implementation of new client healthcare plans based on client benefits and regulatory specifications. The Implementation Specialist will also help facilitate enterprise-wide projects, program renewals, analysis, and continuous process improvement initiatives. The Implementation Specialistposition may also be called upon to implement new regulatory changes that impact our business.
    RESPONSIBILITIES:
    • Lead new employer, Union, and TPA implementation processes, including driving client, consultant/broker, and data partner meetings to gather and document requirements for internal and external teams.
    • Manage downstream entities, new group setup, and changes to meet expected deadlines and client expectations for multiple products, including Medicare and Commercial.
    • Provide clear direction and oversight to internal and external stakeholders through Implementation and projects despite potentially challenging or complex requirements.
    • Gather client benefit setup terms and effectively communicate to applicable stakeholders for new group setup.
    • Ensure operational and system readiness for client launch through collaboration and consultation with applicable stakeholders.
    • Identify project risks and mitigation strategies, ensuring communication with the appropriate stakeholders.
    • Monitor go-live claim activity to identify potential issues and facilitate response plans to implement concise solutions.
    • Help maintain benefit rework occurrences below 5% (as measured by both client event and situational event).
    • Demonstrate flexibility in adjusting requirements to minimize risk or based on client requirements.
    • Log all new/change requests to manage deliverable dates
    • Manage all signoffs by filing all documents to evidence the requirements and signoffs
    • Manage Implementation for accuracy and timeliness:
      • Document and maintain process that ensures timely, authorized updates
      • Provide documents for review by all key stakeholders
      • Maintain Client signoff document
      • Common document agreeable for Amwins and Envision with agreed-upon definitions of all items
      • Define and maintain implementation timeline to provide Sales and Account Management with expected timeframes for common scenarios
    Requirements:
    Education/Experience:
    • 3-5 years of experience in a similar role or project management; Bachelor's degree or combination of education and offsetting experience. Client-facing experience a plus
    Skills & Qualifications:
    • Broad understanding of health benefits plan setups (deductibles, copays, drug coverage, accumulators, eligibility).
    • Demonstrated Project Management and/or business analyst knowledge and applied experience, preferably in the healthcare industry.
    • Strong interpersonal communication skills, including team leadership, conflict resolution, and meeting leadership/facilitation with various internal and external leaders
    • Experience with project management software and data reporting tools a strong plus.
    • Experience or knowledge of pharmacy benefit manager and Medicare Part D a strong plus.
    • Must be a self-starter and can solve issues independently and collaboratively.
    • Goal-oriented.
    • Significant ingenuity and flexibility are expected.
    • Demonstrates initiative to learn more and take on challenges.
    • Strong written and verbal communication skills required.
    • Must be able to motivate people to accomplish goals with allotted resources.
    • Excellent leadership, organization, and prioritization skills.
    • Ability to effectively multi-task, independently prioritize work, and meet deadlines.
    • Strong attention to detail and accuracy.
    • Excellent teamwork abilities, flexibility, diligence, and organization skills.
  • 9 Days Ago

R
Kitchen Designer/Sales Consultant
  • RIHI The Kitchen and Bath Specialist
  • Warwick, RI FULL_TIME
  • In-Home sales: Kitchen DesignerRIHI is a full-service Kitchen and Bath Remodeling company specializing in residential remodeling. We have been family-owned and operated for 75 years. Our mantra is to ...
  • 8 Days Ago

A
Contract Implementation Designer
  • (add)ventures
  • East Providence, RI FULL_TIME
  • Contract Implementation Designer (New England): We’re searching for a contract Implementation Designer to work collaboratively alongside our team of designers in our EPIC (East Providence Innovation C...
  • 22 Days Ago

I
Emerging Products Implementation Project Manager - HYBRID
  • Inclusively
  • Smithfield, RI FULL_TIME
  • Inclusively is partnering with a multinational financial services company to hire a Emerging Products Implementation Project Manager - HYBRID.ABOUT INCLUSIVELY:Inclusively is a digital tech platform t...
  • 1 Month Ago

E
AP Specialist/Payroll Specialist
  • Encompass Health Rehabilitation Hospital of...
  • Johnston, RI FULL_TIME
  • AP Specialist/Payroll Specialist $21. 00 - $27. 00 / Hourly Compensation will be determined based on years of experience and applicable certifications. Payroll Specialist Career Opportunity Appreciate...
  • 13 Days Ago

E
AP Specialist/Payroll Specialist
  • Encompass Health
  • , RI FULL_TIME
  • $21.00 - $27.00 / HourlyCompensation will be determined based on years of experience and applicable certifications.Payroll Specialist Career OpportunityAppreciated for your payroll expertiseAre you pa...
  • 13 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Implementation Specialist jobs
$56,030 to $71,828

Implementation Specialist in Watertown, MA
Audit all groups that were approved in Complex Case – ensure they were implemented based on Complex Case approval requirements.
December 20, 2022
Implementation Specialist in Portland, OR
Feel comfortable presenting in front of large and small groups of people, as well as presenting digitally.
April 10, 2023
Implementation Specialist in Phoenix, AZ
Drive toward and satisfaction in the attainment of goals.
March 20, 2023