Implementation Manager, Health Plan

🕒 September 23

🗿 South Dakota – Remote

🗿 South Dakota – Remote

💵 $32 - $52 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

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This company has sponsored H1B visas in the past.

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Lead successful implementation of key Health Plan initiatives and product execution • Develop and manage implementation strategies and project plans for end-to-end product and initiative implementation • Translate product documentation into business requirements • Lead cross-functional teams in creating implementation plans and rollout documentation • Collaborate with departments on tactical tasks, implementation, and administration for government program product lines • Communicate implementation status, objectives, success metrics, and risks/issues throughout the organization • Assess project issues and lead resolution development • Maintain current knowledge of regulatory environments affecting products • Manage complex concurrent projects and vendor relations • Coordinate product filings and reporting with government agencies • Identify internal resources to respond to agency requests and implement new guidance • Serve as conduit between government agencies, internal departments, and subcontracted agencies • Coordinate and monitor required reporting and filings to meet contract requirements • Support daily operations and business objectives for Medicare Advantage, ACA, and commercial health insurance products

🎯 Requirements

• Bachelor’s Degree in Business, Marketing, or Healthcare related field • 3 years experience in health insurance industry or related field required • Experience working within Health Plan and/or project management experience, preferred • Certified Associate in Project Management (CAPM), preferred • Knowledge and experience of Medicare Advantage, Affordable Care Act (ACA), and commercial health insurance products • Ability to indirectly lead cross-functional teams • Ability to manage complex concurrent projects and vendor relations • Knowledge of regulatory requirements affecting health insurance products • Ability to coordinate product filings and reporting with government programs and agencies

🏖️ Benefits

• Remote work • 40 scheduled hours per week • Day shifts (8 hours) • Accommodation support for individuals with disabilities during the application process

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