Implementation Lead – ASO Employer Health Benefits

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🇺🇸 United States – Remote

💵 $125k - $140k / year

⏰ Full Time

🟠 Senior

🛠️ Implementation Specialist

👻 Ghost score 3%

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XO Health Inc.

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

XO Health Inc. is a company that provides comprehensive, tech-enabled health benefit solutions specifically designed for the self-insured market. Their services cater to self-insured employers, brokers and consultants, and third-party administrators, aiming to unify the healthcare experience. XO Health offers a value-based provider network, member advocacy and care navigation, integrated medical and pharmacy plans, and employer stop-loss coverage. Their solutions are focused on balancing cost and quality, providing flexible and tailored healthcare solutions for employers.

📋 Description

• Lead the full implementation lifecycle for new employer groups and TPA partners from kickoff through effective date and post-go-live stabilization • Build and maintain implementation plans covering benefit design, plan documents, group structure, eligibility and enrollment, stop-loss coordination, integrations, member communications, and compliance • Own accurate group setup across XO systems and partner platforms, including benefit configuration, eligibility file testing, ID cards, welcome kits, member app configuration, and SSO or portal integrations • Translate client requirements into clear internal instructions and verify execution before go-live • Run cross-functional implementation teams, complete milestones, surface risks, resolve blockers, and escalate with recommendations • Coordinate with Claims, Plan Operations, Network, IT, Compliance, and Finance • Maintain leadership reporting and flag risks to go-live • Serve as primary contact for clients, brokers, and TPAs; lead status meetings and track open items and decisions • Prepare client-facing implementation documentation, checklists, and readiness sign-offs • Hand off stabilized implementations to ongoing account owners with complete documentation • Own and improve XO’s implementation playbook, timelines, checklists, templates, and data requirements • Identify failure points and manual steps and work with Operations and Product to automate or remove them

🎯 Requirements

• 5+ years in implementation, client onboarding, or project management within self-funded health benefits, TPA operations, or a health plan • Working knowledge of self-funded medical and pharmacy plan design and ERISA, ACA, CAA, and Mental Health Parity compliance • Direct experience running complex, multi-party healthcare implementations on a fixed effective date • Fluency in the employer and TPA distribution channel, including brokers, consultants, benefits administrators, and stop-loss carriers • Comfort with eligibility files, enrollment data, and system configuration • Clear, concise communication skills for leading client discussions and providing leadership with direct, well-informed answers • Strong organizational skills and judgment to prioritize competing urgent demands

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