Operations Implementation Manager Jobs in Milton, MA

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Implementation Manager is a high-profile individual contributor playing a key role in pre- and post-sales implementations. To succeed in the role, the incumbent must leverage strong communication and leadership skills in interactions with internal and external audiences at all levels to ensure successful implementations. Schedules and conducts regular internal and external implementation meetings. Develops and manages completion of client specific implementation timeline/checklist. Coordinates with new business sales executives and service representatives and provides operational support/leverage needed for an effective implementation. Works collaboratively with operations and other internal departments, to ensure timely and accurate case installation. The Implementation Manager is a key individual contributor, acting highly independently and serving as a mentor and leadership example to more junior team members.

Job Description

Key Responsibilities/Duties - what you will be doing (top five):

Manages the implementation of specific sold accounts:

• Oversees and coordinates implementation process
• Develops and executes client specific implementation plan
• Schedules and conducts regular implementation meetings
• Resolves problems and issues to ensure Point32Health provides outstanding service to all constituents working collaboratively with internal work teams - Claims, Enrollment, Premium Billing, Clinical, etc.

Performs initial case intake and pre-quote assessment of complex/sensitive benefit requests:

• Manages detailed review of all benefit items presented upon quote request
• Applies Point32Health business & product rules to compare each request to Point32Health standard products and benefits
• Identifies non-standard items, works collaboratively w/operational areas to determine feasibility and recommends alternative benefit options that will meet the client objectives as necessary
• Presents non-standard benefit requests to complex case committee
• Composes polished external response documents to support Account Executive presentation/response to client/broker

Process monitoring and improvement initiatives:

• Monitors implementation team metrics and proposes ideas for process improvements.
• Implements process improvements as agreed to by Sales & Operational leadership teams.
• Chairing client and internal meetings as needed
• Answers general prospective client & member calls (prior to the effective date)
• Validate systems set-up of complex plan designs or benefits
• Other duties and projects as assigned.

Qualifications - what you need to perform the job

Certification and Licensure

Education

• Required (minimum): Bachelor's degree in related field
• Preferred: Master's degree

Experience

• Required (minimum): 3-5 years client service experience, preferably in health care operations and/or sales or client service.
• Preferred: 3-5 years of knowledge of employee benefits products, insurance contract, alternate funding products, ancillary coverage, administrative procedures, complex underwriting concepts, and brokerage development. Experience with managed care plan, flexible benefits, consultants, and national accounts.

Skill Requirements

• Requires ability to: juggle multiple priorities; interpersonal, oral, and written communication skills.
• Must be flexible, detail oriented, well organized and demonstrate a high degree of initiative and good judgment.
• Superior business writing and presentation skills (delivered with a polished professional presence & confidence)
• Must possess subject matter expert level Point32Health product knowledge and industry experience.
• Must be able to work cooperatively as a team member. Requires excellent interpersonal skills and the ability to communicate and interact professionally and effectively with a broad spectrum of people both internal and external, in person, via email and on the telephone.
• Exceptional leadership, influencing and relationship building skills. Ability to achieve consensus, motivate, lead, and influence team members across the organization with potentially conflicting requirements and interests.
• Must be self-motivated with an ability to influence & encourage others to perform at the same high level.

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$80,218.50 -$120,327.74

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation andbenefits remains in the Company's sole discretion and maybe modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage

• Retirement plans

• Paid time off

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition program

• Well-being benefits

• Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

We welcome all
All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org