Implementation Specialist jobs in Woonsocket, RI

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.
  • 10 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 ...
  • 9 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...
  • 23 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...
  • 14 Days Ago

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Expedition Specialist
  • Girl Scouts of Southeastern New England
  • Newport, RI FULL_TIME
  • Job Summary: To assist in the operation and facilitation of the Girl Scout expedition programs at Camp Rocky Farm. To provide for the health and safety of the campers - always act within the framework...
  • 10 Days Ago

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0 Implementation Specialist jobs found in Woonsocket, RI area

M
Project Manager, Implementation
  • Medical Information Technology, Inc.
  • Foxboro, MA
  • Job Type Full-time Description As a Project Manager - Implementation at MEDITECH, your role is to assist customers in me...
  • 4/19/2024 12:00:00 AM

F
Workday Implementation Manager
  • firstPRO, Inc
  • Boston, MA
  • Summary: We are seeking an experienced HRIS professional to manage our HRIS operations and related technology and suppor...
  • 4/19/2024 12:00:00 AM

F
Workday Implementation Manager
  • Firstpro Inc
  • Boston, MA
  • Summary: We are seeking an experienced HRIS professional to manage our HRIS operations and related technology and suppor...
  • 4/18/2024 12:00:00 AM

T
IT Project Manager - Workday Implementation
  • Talent Groups
  • Providence, RI
  • Maintain comprehensive system functionality documentation. Coordinate multiple workstreams involving various vendors and...
  • 4/18/2024 12:00:00 AM

S
Technical Implementation Consultant
  • Softworld, a Kelly Company
  • Waltham, MA
  • Job Title: Technical Implementation Consultant Location: Waltham MA 02453 Requirements: J2EE, SQL, Java, some kind of fr...
  • 4/17/2024 12:00:00 AM

C
SOC Implementation Lead
  • Commonwealth Of Massachusetts
  • Chelsea, MA
  • The Executive Office of Technology Services and Security (EOTSS) is the states lead office for information technology. W...
  • 4/17/2024 12:00:00 AM

S
Technical Implementation Consultant
  • Softworld A Kelly Company
  • Waltham, MA
  • Job Title Technical Implementation Consultant LocationWaltham MA 02453 Requirements: J2EE, SQL, Java, some kind of front...
  • 4/16/2024 12:00:00 AM

E
Account Implementation Specialist (Remote)
  • ezCater, Inc
  • Boston, MA
  • ezCater is the most trusted provider of corporate food solutions and is purpose-built for business. ezCater's corporate ...
  • 4/15/2024 12:00:00 AM

Woonsocket (/wʊnˈsɒkɪt, wən-/ wuun-SOK-it, wən-) is a city in Providence County, Rhode Island, United States. The population was 41,186 at the 2010 census, making it the sixth largest city in the state. Woonsocket lies directly south of the Massachusetts state line and constitutes part of both the Providence metropolitan area and the larger Greater Boston Combined Statistical Area. The city is the corporate headquarters of CVS Health, a pharmacy services provider. It is home to Landmark Medical Center, the Museum of Work and Culture, and the American-French Genealogical Society. According to ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Implementation Specialist jobs
$56,245 to $72,103
Woonsocket, Rhode Island area prices
were up 1.6% from a year ago

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Document all relevant information and requirements related to the solution and all functional areas of the solution in a Statement of Work.
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