Overview:
The Implementation Services 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. This position will not have direct reports.
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 for pursuit.
- Leverage ISVP 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.
- Coordinate process improvement initiatives with other team members and organizational components.
- Other responsibilities as assigned.
- Complete all responsibilities as outlined on annual Performance Plan.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
Qualifications:
- Bachelor’s Degree in relevant field, or equivalent.
- PMP Certification preferred
- 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).
- 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.
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- 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.
Base compensation ranges from $122,000 to $155,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
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. For information about our benefits package, please refer to our Careers page.
This role is based remotely and all interviews will be conducted virtually.
Date of posting: 1/24/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/24/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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