VP of Implementation

Job not on LinkedIn

🔥 30 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthcare Fraud Shield

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Private Equity Round on 2021-01

Healthcare • Consulting • Healthcare Insurance

Healthcare Fraud Shield is a company specializing in Payment Integrity and Cost Containment solutions for healthcare insurers. They offer a comprehensive, AI-driven platform that incorporates advanced anomaly detection and a proprietary data fusion library to combat fraud, waste, abuse, and errors in healthcare claims. Their robust end-to-end solution optimizes the auditing process, utilizing both pre- and post-payment data to maximize savings and improve accuracy in claim processing. By providing actionable insights and expert support, Healthcare Fraud Shield helps organizations achieve significant annual savings and enhance operational efficiency.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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