Implementation Manager, Health Plan
Sanford Health
Summary
Drive healthcare innovation from strategy to implementation. Join a team where your leadership, problem-solving skills, and ability to bring people together will directly shape the future of health plan products and member experiences. This is a high impact and highly visible role. Work remotely while collaborating with departments across the organization. Continue to build expertise in regulatory, operational, and strategic aspects of health insurance.
Job description
Department Details
Drive healthcare innovation from strategy to implementation. Join a team where your leadership, problem-solving skills, and ability to bring people together will directly shape the future of health plan products and member experiences. This is a high impact and highly visible role. Work remotely while collaborating with departments across the organization. Continue to build expertise in regulatory, operational, and strategic aspects of health insurance.
Summary
The Implementation Manager will play a critical role in bringing products and services from design to market. This individual will serve as the leader for the successful implementation of key Health Plan initiatives and product execution. The Implementation Manager will develop and manage implementation strategies, understands internal and external requirements, develops and manage project plans to enable end-to-end implementation of products and initiatives in collaboration with business and technology teams. This individual will lead cross-functional implementation activities, execution, and alignment/synergies, and understands business and technical details of execution according to stringent deadlines. The Implementation Manager must be able to indirectly lead cross-functional teams and is responsible for fostering a culture of service excellence and continuous improvement.
Job Description
Translates product documentation into business requirements that ensure products and services meet the needs of the market. Leads cross-functional teams to create Implementation plans and appropriate documentation for product or project rollouts. Collaborates with all departments to assist in supporting tactical tasks, implementation, and administration for government program product lines. Communicates project and initiative implementation status, key objectives, success metrics and any risks/issues effectively throughout the organization.
Assesses project issues and leads the team to develop resolutions to meet goals and objectives. Maintains current knowledge of the regulatory environment that impacts existing and new products to ensure compliance with external state and federal regulators. Manages complex concurrent projects and vendor relations to support and accomplish the goals and objectives of the organization.
Coordinates with government programs to submit product filings and applicable product reporting to governmental agencies. Understands business requirements and identifies internal resources needed to respond to government agency requests, implement new guidance and/or assist in developing or streamlining internal processes. Serves as the conduit between applicable governmental agencies, internal departments, and subcontracted agencies to ensure timely and accurate dissemination of product requirements and lead their implementation. Coordinates and/or monitors timely required reporting and filings to meet contract requirements.
Applies knowledge and experience of Medicare Advantage, Affordable Care Act (ACA), and commercial health insurance products to support daily operations and business objectives.
Qualifications
- 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
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
Company overview
Sanford Health is one of the largest integrated healthcare delivery systems in the United States, operating as a nonprofit organization headquartered in Sioux Falls, South Dakota. Founded in 1894, the organization has grown into a comprehensive health system with 44 medical centers, 482 clinics, and more than 200 senior living facilities across 26 states and nine countries. Sanford Health provides a full spectrum of healthcare services including acute care hospitals, specialty clinics, senior care through the Good Samaritan Society, genomic medicine, global clinics, and the Sanford Health Plan insurance program. The system employs over 48,000 healthcare professionals including 1,400 physicians and delivers care through five Centers of Excellence: Cancer, Children's, Heart, Orthopedics/Sports Medicine, and Women's Health. Annually, Sanford Health handles approximately 5.3 million outpatient visits, 84,000 admissions, and 136,000 surgeries. The organization is also actively involved in medical research and education through partnerships with academic institutions, positioning itself as a regional healthcare leader in the Midwest with expanding international presence.