VP of Implementation

🕒 Setembro 8

🏰 Missouri – Remoto

🏰 Missouri – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

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Healthcare Fraud Shield

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2011

🏥 Saúde

💼 Consultoria

⚕️ Seguro de Saúde

💰 Private Equity Round em 2021-01

Healthcare • Consulting • Healthcare Insurance

Healthcare Fraud Shield é uma empresa especializada em soluções de Integridade de Pagamentos e Contenção de Custos para seguradoras de saúde. Eles oferecem uma plataforma abrangente, impulsionada por IA, que incorpora detecção de anomalias avançada e uma biblioteca proprietária de fusão de dados para combater fraudes, desperdícios, abusos e erros em sinistros de saúde. Sua solução robusta de ponta a ponta otimiza o processo de auditoria, utilizando dados pré e pós-pagamento para maximizar economias e melhorar a precisão no processamento de sinistros. Ao fornecer insights acionáveis e suporte especializado, a Healthcare Fraud Shield ajuda as organizações a alcançar economias anuais significativas e melhorar a eficiência operacional.

Descrição

• Provide strategic leadership and direction for all client implementation projects • Lead, mentor, and develop implementation team members • Forecast implementation demand and team capacity; balance workloads and plan staffing needs • Oversee multiple concurrent implementations, managing plans, milestones, dependencies, risks, scope changes, readiness activities, and go-live requirements • Ensure projects are well-scoped, well-planned, high quality, and delivered predictably • Identify delivery risks and lead corrective action when projects deviate from plan • Collaborate with the CTO, IT Manager, Software Development, Product, Data, Client Engagement, Sales, Support, technical leads, and other stakeholders • Partner with Product and technical teams on new products and major product changes • Develop and improve implementation processes, documentation, templates, handoffs, metrics, and escalation practices • Work directly with customers on implementation planning, training, process workflows, system configuration, and data mapping • Build client relationships, set expectations, facilitate decisions, resolve issues and trade-offs, and support adoption • Maintain project scope, specifications, timelines, decisions, action items, risks, and documentation • Review contract language for alignment with implementation scope, timelines, deliverables, client responsibilities, and internal commitments • Schedule, lead, and document implementation planning and governance meetings • Manage cross-team communication, dependencies, decisions, and escalations • Establish project tracking, reporting, and metrics for individual implementations and the overall portfolio • Ensure client data interface specifications are approved and coordinate data mapping, validation, remediation, and reconciliation • Support Client Engagement and SIU with client data nuances and workflow impacts • Understand and comply with Privacy and Security standards • Protect all protected health information as required by law • Perform other duties as needed

🎯 Requisitos

• Experience leading enterprise software implementation projects, including management or leadership role and proven experience managing and developing teams of project managers, implementation specialists, or similar professionals • PMP, PgMP, or a comparable recognized project/program management credential required • Healthcare or health-tech implementation experience required • Experience with healthcare payers, claims, payment integrity, SIU, audit, or adjacent workflows strongly preferred • Demonstrated success implementing and supporting enterprise SaaS solutions for external clients from project initiation through go-live and post-implementation support • Experience managing multiple concurrent implementations • Experience building and developing implementation teams, forecasting resource needs, balancing workloads, coaching performance, and creating cross-training and coverage • Experience establishing repeatable implementation processes and adapting them for new products, significant product changes, or evolving client and technical requirements • Strong technical and data implementation background, including product functionality, data mapping and validation, integrations, testing, security considerations, and technical issue resolution • Highly organized, with disciplined control of project scope, specifications, schedules, dependencies, risks, decisions, reporting, and quality across multiple projects and teams • Strong verbal and written communication skills, including work with client executives and multiple internal stakeholders • Ability to handle difficult situations professionally, resolve ambiguity, and create alignment across business and technical teams • Experience working with remote teams and standard business and project management tools, including Microsoft Office applications • Ongoing discretion and secure handling of confidential and sensitive information • Must comply with company Privacy and Security standards • Must not use or disclose protected health information except as permitted or required by law

🏖️ Benefícios

• Medical, Dental & Vision insurance • 401(k) retirement savings with employer match • Vacation and sick paid time off • 7 paid holidays & 2 floating holidays • Paid maternity/paternity leave • Disability & Life insurance • Flexible Spending Account (FSA) • Employee Assistance Program (EAP) • Professional and career development initiatives • Remote work eligible • High-speed Internet required, with minimum 25mbs download and 5mbs upload; satellite Internet is not allowed