Implementation Manager, Payor

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $125k - $180k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

👻 Ghost score 20%

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Logo of Hippocratic AI

Hippocratic AI

11 - 50 employees

Founded 2023

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $50M Seed Round on 2023-05

Artificial Intelligence • Healthcare Insurance • Healthcare

Hippocratic AI is an innovative healthcare technology company that specializes in artificial intelligence-driven solutions designed to improve patient care and clinical decision-making. Their products leverage advanced data analysis and machine learning to support healthcare providers, enhancing efficiency and accuracy in medical practices. By integrating cutting-edge AI technology into healthcare processes, Hippocratic AI aims to revolutionize the medical field, ultimately improving outcomes for patients and practitioners alike.

📋 Description

• Own end-to-end health plan use case deployments from contract signature to go-live • Serve as primary project lead and drive accountability for timeline and quality • Build and maintain Implementation Charters documenting timelines, configuration decisions, data requirements, go-live checklists, and sign-off criteria • Configure dialers, agents, population filters, exclusion rules, call cadence, and routing logic • Coordinate with health plan data and IT teams to define, validate, and onboard member data files • Project-manage population health, care management, clinical operations, Stars/HEDIS, IT, and vendor management stakeholders • Define and refine HAI's standard platform onboarding process, including integrations, data pipelines, member file schemas, and care management system connections • Build and maintain the HAI implementation playbook, reusable templates, checklists, and best practices • Hand off deployments to Customer Success at go-live with complete documentation • Travel 25–40% to client sites for deployments, stakeholder meetings, clinical workflow mapping, and go-live support • Periodically travel to Palo Alto headquarters for team alignment, playbook refinement, and strategic planning

🎯 Requirements

• Minimum 5 years of implementation, onboarding, or professional services experience specifically with health plans or managed care organizations • Deep fluency in health plan operations, including population health, care management, Stars/HEDIS, and utilization management • Proven experience managing complex, multi-stakeholder enterprise deployments with 60–120 day timelines • Hands-on experience with health plan member data, including eligibility files, risk stratification outputs, and care gap lists • Ability to coordinate with health plan IT or data teams to ensure data quality • Familiarity with health plan IT environments and vendor onboarding processes, including security questionnaires, BAA requirements, and care management platform integrations • Strong project management and process documentation skills • Preferred: healthcare SaaS experience serving payors • Preferred: healthcare IT consulting experience with health plan clients • Preferred: deep familiarity with Stars/HEDIS measures • Preferred: experience with voice AI, outbound member engagement platforms, dialers, or telephony configuration • Preferred: knowledge of CMS, NCQA, HIPAA, and regulated data governance • Preferred: experience scaling implementation processes across multiple customers or deployments • Legally authorized to work in the United States

🏖️ Benefits

• Performance bonus included in compensation range • Equity • Remote work arrangement • Travel to client sites and periodic travel to Palo Alto headquarters

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