Implementation Manager

The Rawlings Group; United States; Remote; USD 120,000 - 140,000; Full time

Benefits offered by this job

Work from anywhere in the US

Medical/Dental/Vision offerings

FSA/HSA

Tuition reimbursement

Competitive salary, 401(k) with match

Health and wellness benefits

Flexible, trusting environment

Job summary

Machinify, a leading healthcare intelligence company, is hiring an Implementation/PM to drive end-to-end deployments across healthcare payers and providers. You will manage data readiness, configuration, integration, and go-live while maintaining quality, security, and regulatory standards.

You’ll coordinate across distributed teams, create client-ready materials, and present complex concepts to both technical and nontechnical stakeholders.

Qualifications

• Bachelor's degree in Business, Healthcare, IT, Data, Project Management, or related field.
• 3-5+ years of implementation or project management experience in healthcare technology, payment integrity, insurance services, analytics, or related fields.
• Experience with healthcare data structures and exchange file types (claims, eligibility, provider, pharmacy) and integration workflows.
• Strong understanding of data mining concepts, analytics workflows, and how data supports audit or recovery outcomes.
• Experience implementing both SaaS products and services-based solutions.
• Proficiency with JIRA, Smartsheet, Excel, Word, PowerPoint, and Outlook.
• Experience with AI tools to support efficiency and accuracy.
• Excellent verbal and written communication and the ability to explain technical concepts to nontechnical audiences.
• Strong analytical, problemsolving, and criticalthinking skills with the ability to manage dataheavy implementations.
• Ability to manage multiple priorities and deadlines in a fastpaced environment.
• Strong relationshipbuilding skills and a customercentric mindset.
• Working knowledge of CMS requirements, healthcare regulations, and HIPAA.
• Ability to collaborate across distributed teams, lead through influence, and work independently with minimal oversight.
• PMP, PRINCE2, Agile, or similar certification preferred.

Responsibilities

• Lead end-to-end implementation cycles including discovery, data readiness, configuration, integration, UAT, go-live, and post-launch transition.
• Develop and maintain project plans, timelines, milestones, RAID logs, risk mitigation plans, and status reports.
• Facilitate internal and external project meetings, including kickoffs, milestone reviews, and working sessions.
• Oversee crossfunctional project teams to ensure timely completion of tasks and proactive issue resolution.
• Identify and mitigate risks; escalate blockers to leadership as needed.
• Ensure implementation activities meet quality standards, data security requirements, contractual obligations, and industry regulations (e.g., HIPAA, CMS).
• Serve as the primary point of contact during implementation, ensuring a responsive, solution-oriented client experience.
• Provide clear and timely updates, action items, and next steps.
• Prepare and deliver client-facing materials including status decks, project updates, training materials, and process documentation.
• Present complex or technical concepts to both technical and nontechnical stakeholders, including client leadership.
• Coordinate data mapping, validation, ingestion, and quality checks across healthcare file types (claims, eligibility, provider, pharmacy).
• Transcribe requirements into actionable JIRA or ADO tickets, supporting grooming and sprint planning with Engineers.
• Demonstrate strong understanding of analytics workflows, data mining concepts, audit/recovery processes, and payment integrity operations.
• Support integrations related to complex claims audits, COB, Subrogation, data mining services, payment integrity algorithms, and other related workflows.
• Design, refine, and optimize operational workflows based on client requirements and product capabilities.
• Diagnose operational or systemrelated issues and collaborate internally to resolve them.
• Develop user guides, SOPs, quickstart guides, implementation plans, and process maps for client and internal use.
• Maintain clear, auditable documentation for all implementation activities.
• Deliver training on platform features, workflows, AI-driven tools, and processes to clients and internal teams.
• Provide feedback to improve implementation methodologies, tools, templates, and overall process efficiency.
• Support onboarding, coaching, and knowledge transfer for new Implementation team members.
• Contribute to continuous improvement initiatives that enhance scalability, quality, and efficiency.

Skills

Strong communication

Analytical thinking

Prioritization

Customer-focused

Independent work

Education

Bachelor's degree in Business or related field

Tools

JIRA

Smartsheet

Excel

Word

PowerPoint

Outlook

AI tools

Job description

About the opportunity

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

What you’ll do

• Lead endtoend implementation cycles including discovery, data readiness, configuration, integration, UAT, golive, and postlaunch transition.
• Develop and maintain project plans, timelines, milestones, RAID logs, risk mitigation plans, and status reports.
• Facilitate internal and external project meetings, including kickoffs, milestone reviews, and working sessions.
• Oversee crossfunctional project teams to ensure timely completion of tasks and proactive issue resolution.
• Identify and mitigate risks; escalat blockers to leadership as needed.
• Ensure implementation activities meet quality standards, data security requirements, contractual obligations, and industry regulations (e.g., HIPAA, CMS).
• Serve as the primary point of contact during implementation, ensuring a responsive, solutionoriented client experience.
• Provide clear and timely updates, action items, and next steps.
• Prepare and deliver clientfacing materials including status decks, project updates, training materials, and process documentation.
• Present complex or technical concepts to both technical and nontechnical stakeholders, including client leadership.
• Coordinate data mapping, validation, ingestion, and quality checks across healthcare file types (claims, eligibility, provider, pharmacy, etc).
• Transcribe requirements into actionable JIRA or ADO tickets, supporting grooming and sprint planning with Engineers.
• Demonstrate strong understanding of analytics workflows, data mining concepts, audit/recovery processes, and payment integrity operations.
• Support integrations related to complex claims audits, COB, Subrogation, data mining services, payment integrity algorithms, and other related workflows.
• Design, refine, and optimize operational workflows based on client requirements and product capabilities.
• Diagnose operational or systemrelated issues and collaborate internally to resolve them.
• Develop user guides, SOPs, quickstart guides, implementation plans, and process maps for client and internal use.
• Maintain clear, auditable documentation for all implementation activities.
• Deliver training on platform features, workflows, AIdriven tools, and processes to clients and internal teams.
• Provide feedback to improve implementation methodologies, tools, templates, and overall process efficiency.
• Support onboarding, coaching, and knowledge transfer for new Implementation team members.
• Contribute to continuous improvement initiatives that enhance scalability, quality, and efficiency.

What experience you bring (Role Requirements)

• Bachelor's degree in Business, Healthcare, IT, Data, Project Management, or related field (or equivalent experience).
• 3-5+ years of implementation or project management experience in healthcare technology, payment integrity, insurance services, analytics, or related fields.
• Experience with healthcare data structures and exchange file types (claims, eligibility, provider, pharmacy) and associated integration workflows.
• Strong understanding of data mining concepts, analytics workflows, and how data supports audit or recovery outcomes.
• Experience implementing both SaaS products and servicesbased solutions.
• Proficiency with JIRA, Smartsheet, Excel, Word, PowerPoint, and Outlook.
• Experience with AI tools to support efficiency and accuracy
• Excellent verbal and written communication and the ability to explain technical concepts to nontechnical audiences.
• Strong analytical, problemsolving, and criticalthinking skills with the ability to manage dataheavy implementations.
• Ability to manage multiple priorities and deadlines in a fastpaced environment.
• Strong relationshipbuilding skills and a customercentric mindset.
• High degree of professionalism, reliability, and consistency in a client facing role.
• Working knowledge of CMS requirements, healthcare regulations, and HIPAA.
• Ability to collaborate across distributed teams, lead through influence, and work independently with minimal oversight.
• PMP, PRINCE2, Agile, or similar certification preferred.

Pay range: $120,000 - $140,000 (base)

This is an exempt position. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee's geographic location.

What we offer

• WorkfromanywhereintheUS!Machinifyisdigital-first.
• TopMedical/Dental/Visionofferings
• FSA/HSA
• Tuitionreimbursement
• Competitivesalary,401(k)withcompanymatch
• Additionalhealthandwellnessbenefitsandperks
• Flexibleandtrustingenvironmentwhereyou'llfeelempoweredtodoyourbestwork

Equal Employment Opportunity at Machinify

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/