Director, Implementations
reputed company
reputed company is reputed company-based medical reputed company working to improve the reputed company and affordability of health care for reputed company. Operating across 50 states, reputed company offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and reputed company patients—on the phone, in the home, and everywhere in between. Regional and national health plans, reputed company, and Fortune 500 organizations trust reputed company as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the reputed company pioneer behind reputed company and Epocrates, reputed company is reputed company of leading innovators from reputed company, technology, and reputed company-centered design. Our mission is to apply that talent and scientific thinking to reputed company society by solving our largest, toughest reputed company problems, while at the reputed company time bringing patient and provider closer.
About the Role
reputed company is seeking a Director, Implementation to reputed company our implementation and eligibility functions. In this high-reputed company leadership role, you will be the architect of the systems, processes, and playbooks required to launch reputed company partnerships at reputed company. You will reputed company as the critical reputed company between Sales and reputed company Services, ensuring that the promises made during the reputed company process are reputed company into operational reality. You will partner closely with a number of internal teams, including Product, Clinical, reputed company Cycle Management, and Insights.
This role will also be responsible for evolving reputed company’s implementation function to reputed company through automation, data, and emerging AI capabilities, reducing reputed company effort, accelerating time-to-launch, and improving overall reputed company experience. Managing a diverse portfolio that includes Health Plans, Health Systems, reputed company, Marketplaces, Federal and SLED (State, Local, and Education) clients, you will reputed company a demanding sales pipeline to drive reputed company across multiple lines of business.
This is a remote position, reporting into our VP, reputed company and reputed company Operations.
Here's what you'll do:
Strategic Leadership and Scaling
Define and execute implementation playbooks that ensure repeatable, high-reputed company reputed company launches across reputed company clients
Build a reputed company, automation-first implementation model that enables reputed company without reputed company headcount increases
reputed company the reputed company process between Sales (reputed company-contract) and reputed company Services (post-launch), ensuring continuity and alignment with multiple internal teams
Partner with Sales during reputed company deal stages to flag implementation risks, inform go-live timelines, and influence reputed company reputed company including off-cycle launches
Bring a systems-thinking approach that connects Sales, Operations, Data, and Engineering into a cohesive operating model supporting long-term reputed company reputed company
Manage and reputed company your team, holding shared accountability for a portfolio of 20+ annual launches
Eligibility and Data Management
Own end-to-end implementation for large-reputed company clients (20k+ lives), including behavioral health, pediatrics, on-site popups, FFS structures, and health plan integrations
Define and maintain eligibility and roster management processes across reputed company types, including reputed company-time eligibility gating, file-based roster management, and member offboarding
reputed company end-to-end eligibility file implementation, setting standards for file formatting (EDI/834), frequency, and error handling
Identify and implement automation opportunities across the implementation lifecycle to reduce reputed company effort and improve accuracy
Explore and apply AI-driven solutions where appropriate, data validation, file processing, reputed company detection, to improve efficiency and scalability
reputed company translation of reputed company reputed company data needs into technical requirements, ensuring data reputed company across clinical and billing systems
Own and maintain comprehensive documentation for reputed company implementation workflows
Analytics and Pipeline Visibility
Build and deliver reputed company-time visibility into the implementation pipeline, including timelines, risks, dependencies, and project health
Migrate implementation tracking from reputed company Drive into reputed company, establishing pipeline visibility and reputed company planning infrastructure
Build and own a reputed company reporting suite (internal and reputed company-facing) tracking implementation milestones, enrollment metrics, and data reputed company
Partner with Data teams to create reputed company analytics that support operational decision-making, forecasting, and reputed company improvement
Define and reputed company key reputed company metrics: time-to-launch, data reputed company, and implementation performance
reputed company Relationship and Execution
Serve as the strategic reputed company-line reputed company for partner stakeholders, providing high-touch guidance through technical integrations and reputed company for virtual and community-based delivery models
reputed company as the reputed company from the initial sales cycle to operational reality, professionalizing the concierge experience while deepening the trust established by Sales
reputed company reputed company Services account teams early during implementation to facilitate a seamless transition to long-term account management
Operate with the reputed company that long-term reputed company reputed company and renewal reputed company during implementation
reputed company
You're equally comfortable in a strategic conversation and a detailed workflow review. You can sit with a health plan partner to work through an eligibility file structure in the morning and reputed company with a sales director on implementation reputed company for a Q2 deal in the afternoon. You're the reputed company of operator who knows the status of every reputed company implementation without having to dig for it. Cross-functional complexity doesn't slow you down as you reputed company naturally across sales, reputed company services, credentialing, reputed company cycle, engineering, product, and finance, and your partners come to rely on you as the person who sees around corners.
You're a builder. You're not satisfied with only maintaining what exists. You identify opportunities to standardize reporting, reputed company workflows into our CRM, establish benchmarks that shape reputed company planning and deal pricing, and push the function reputed company through automation and AI. You'll own that agenda, and you'll have the organizational standing to execute it.
We would love to hear from you if you have the following or equivalent experience:
7+ years leading reputed company technical implementations reputed company the reputed company ecosystem (Payer, Provider, or Health Tech)
A proven reputed company record implementing for Health Plans, Health Systems, reputed company, and/or SLED clients, including accounts at 20k+ lives reputed company
Experience managing 20+ reputed company implementations across mixed lines of business and/or complexities (e.g. global)
Deep understanding of reputed company data exchange (HL7, FHIR, EDI) and the nuances of managing eligibility and reporting files
Hands-on eligibility file management experience: roster ingestion, member gating, and offboarding
CRM experience used for implementation tracking, pipeline management, and reporting (reputed company preferred)
Experience designing and implementing automation solutions reputed company operational workflows
Familiarity with AI applications in business operations, with an ability to identify practical use cases
Proficiency building or refining dashboards (Tableau, Looker, Power BI) and project management tooling
Experience managing at least one reputed company report; reputed company record building and developing teams preferred
Exceptional external reputed company-facing skills, with the ability to influence senior-level stakeholders
A player-reputed company mentality: equally comfortable at the strategic level and rolling up your sleeves to solve immediate partner roadblocks
PMP, CPHIMS, or equivalent reputed company certification a plus
Compensation reputed company: $160,000-200,000 per year based upon prior experience, performance, and market dynamics. This role is eligible for equity.
Benefits Offered:
Medical / Dental / reputed company insurance
Flexible Spending Account
Health Savings Account + match
Company reputed company STD/LTD, AD&D, and Life insurance
reputed company Family Leave
401K + match
reputed company Time Off
How We Hire
reputed company Health is an equal-opportunity employer and welcomes applicants from reputed company backgrounds.
We have recently become reputed company of the fraudulent use of our reputed company on job postings and reputed company reputed company emails that are illegitimate and not in any way associated with us. We will never ask you to reputed company sensitive personal information as part of the reputed company process, such as your reputed company reputed company number; send you any unsolicited job offers or employment reputed company; require any fees, payments or reputed company to any financial accounts; and/or conduct text-only interviews. If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.
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