
Client Implementation Manager - PBM - REMOTE
- North Kingstown, RI
- Permanent
- Full-time
- 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.
- Gather Group benefit setup terms and effectively communicate to downstream entities for plan building
- Ensure operational and technology readiness for launch and obtain readiness signoff for all necessary stakeholders.
- Monitor launch activity to identify any potential issues and develop rapid response plans to implement solutions and remediation efforts
- Identify project risks and mitigation strategies and communicate to the appropriate stakeholders.
- Keep rework events for plan build events below 5% (as measured by both client event and situational event)
- Manage downstream entities, new group setup, and changes, to meet expected deadlines and client expectations for Medicare and Commercial Book of Business
- Identify issues that can increase risk of delay or failure per client's benefit requirements
- Communicate issues to appropriate personnel
- Adjust requirements to minimize risk or seek client adjustment through Account Management
- 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 insures 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 implementation timeline to provide Sales and Acct Mgmt with expected timeframes for common scenarios
- Update internal documentation with new and terminating groups
- Update Optum with new and terminating groups
- 3-5 years of experience in similar role or project management; Bachelor's degree, or combination of education and offsetting experience. Client facing experience a plus
- Broad understanding of health benefits plan setups, (copays, drug coverage, and accumulators).
- Demonstrated business analysis skills in the health care benefits industry.
- Must be a self-starter and possess the ability to solve issues independently and collaboratively.
- Goal oriented.
- Significant ingenuity and flexibility are expected.
- Reporting tools a strong plus.
- Demonstrates initiative to learn more and take on more challenges.
- Strong written and verbal communication skills required.
- Must possess ability 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.
- Experience or knowledge of pharmacy benefit manager and Medicare Part D a strong plus.