Job Details

ID #19916646
State Pennsylvania
City Philadelphia
Job type Permanent
Salary USD TBD TBD
Source Amerihealth
Showed 2021-09-19
Date 2021-09-03
Deadline 2021-11-02
Category Et cetera
Create resume

Implementation Lead

Pennsylvania, Philadelphia, 19107 Philadelphia USA

Vacancy expired!

Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Responsibilities: The Implementation Lead reports to the Dir, New Business Implementation and is responsible for leading cross-functional business requirements, readiness activities, risks and issues to support new business implementations as AmeriHealth Caritas enters new ACA exchange markets. The Implementation Lead supports the insurance application process for new states, including managing licensing submission and coordinating responses to the state DOI feedback and objections. The Implementation Lead coordinates QHP applications for new states through the Product Submission Lead, facilitating resolutions to any objections from the state or CMS. The Implementation Lead works across the enterprise to gather, document, prioritize and socialize upcoming timeline and requirements and coordinates with AmeriHealth Caritas' IT organization to implement necessary system and configuration changes to implement new exchange business. The Implementation Lead supports the Dir, New Business Implementation on the Exchange Segment growth plan and manages communication and readiness activities as incremental staff are hired. The Implementation Lead also supports the Medicaid RFP bid submission process for states that encourage or require potential Medicaid managed care insurers to offer exchange products. The Implementation Lead works on topics of moderately complex scope, requiring the exercise of independent judgement and the application of an intermediate level of subject matter expertise with limited oversight, often requiring evaluation of multiple competing factors across functional areas. The Implementation Lead's contributions will have an impact on the growth and cost management of the Exchange segment. The Implementation Lead manages the work efforts of small to medium teams, capable of delivering on several tasks simultaneously within tight time frames. Coordinates internal project delivery:
  • Medium/complex scope in multiple geographies
Tracks Implementation Budgets
  • Provides accurate performance reporting and forecasting to management
Maintains stakeholder relationships:
  • Manages first to mid-level stakeholder relationships

Education/Experience:
  • Bachelor's Degree.
  • Detail oriented, ability to work in "gray areas" towards a solution.
  • Strong organizational and communication skills along with the ability to communicate with all levels in the organization.
  • Demonstrated ability to conduct research, learn, and apply the learning in a business environment. Ability to communicate business and financial analytics and reports across disciplines.
  • Proven ability to work across organizations and rapidly gain / build trust with stakeholders.
  • Advanced proficiency in Microsoft Office Word, Excel, Outlook, PowerPoint, SharePoint and Visio.
  • 3+ years in project management role or similar position.
  • Demonstrates a strong working knowledge of key health plan business functions and capabilities, CMS and state healthcare regulations, operational policies, processes, and methodologies applicable to health plan business readiness activities.
  • This position is teleworker eligible

Back Share
Apply Now

Vacancy expired!

Subscribe Report job