Market Implementation Manager

Job Summary:The Market Implementation Manager partners with Business Development, Market and Product leaders, EPMO, IT, vendors, business owners, and other key stakeholders across the company to support the preparation and launch of new lines of business, new markets, market expansions, plan renewals, and mergers and acquisitions. The role focuses on readiness preparation and assessments, implementations, and a smooth transition of new product lines into the business.Essential Functions:Influence the development and implementation of overarching plans designed to achieve the business objectives defined by executive leaders for readiness activities and market implementationsCollaborate with EPMO, IT, external vendors, and cross-functional resources to cascade those overarching plans into cohesive sets of actionable and trackable tasksBring a holistic view to implementations and readiness activities including, but not limited to, State/Federal reviews and both pre and post go-live activities, considering the impact on the enterprise and market, and on members, providers, and regulatorsConsider upstream and downstream impacts of decisions and assumptions being made, including financial implicationsWork to enhance communication and visibility with key stakeholders as neededActively participate in preparation sessions, mock audits, and other readiness initiativesCoordinate and facilitate meetings as needed to address roadblocks, make decisions, and gain key stakeholder buy-inStrive for consistency and scalability of solutions across the enterprise when able, with flexibility to tailor tactics to a market or plan’s unique needs, when neededEnsure market requirements will be met as completely, effectively, and efficiently as possible upon go-live, minimizing member, provider, and regulator abrasionIdentify and assist with the rapid resolution or escalation of issues, blockers, and hindrancesDevelop knowledge of plan requirements to review and approve documentation for implementation and readiness submissionsPerform any other job duties as requestedEducation and Experience:Bachelor’s degree in business, healthcare, a related field or equivalent years of relevant work experience is requiredFive (5) years of experience in healthcare or managed care industry with experience implementing new health insurance products or markets is requiredCompetencies, Knowledge and Skills:Broad working knowledge of government-regulated health insurance products including Medicaid, Medicare, and MarketplaceKnowledge of full range of product requirements from regulatory, operations, clinical, reporting and complianceAble to work independently and in a matrixed team environment, across all levels of the organizationExtensive knowledge of project management processes and terminologyStrong collaboration, relationship building and influencing skillsetProficient with Microsoft Office, including Word, Excel, PowerPoint, and Project, as well as virtual meeting platforms such as Microsoft TeamsCritical listening and systematic thinking skillsStrong oral, written, and interpersonal communication skillsLeadership knowledge and skillsFlexible and responsive to a changing environmentPlanning, problem identification and resolution skillsAbility to maintain confidentiality and act in the company’s best interestConflict resolution skillsAttention to detail as appropriateAbility to identify and communicate opportunities to synthesize and integrate work efforts across teamsLicensure and Certification:NoneWorking Conditions:General office environment; may be required to sit or stand for extended periods of timeOccasional short-term travel as requiredCompensation Range:$81,400.00 - $130,200.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.Compensation Type (hourly/salary):SalaryOrganization Level CompetenciesCreate an Inclusive EnvironmentCultivate PartnershipsDevelop Self and OthersDrive ExecutionInfluence OthersPursue Personal ExcellenceUnderstand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.Originally posted on Himalayas

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