Implementation Specialist

Healthcare Fraud Shield; Chesterfield (MO); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental & Vision

401(k) with employer match

Paid time off

Holidays (7+2)

Parental leave

Disability & Life insurance

Flexible Spending Account

Employee Assistance Program

Professional development

Remote work eligible

Job summary

Healthcare Fraud Shield seeks an Implementation Specialist to lead planning and execution of new client installations, managing timelines, data analysis, and documentation to meet organizational standards.

You will coordinate client communications, monitor deliverable deadlines, and collaborate with internal teams to resolve data obstacles, while maintaining privacy and security compliance.

Qualifications

• Bachelor’s degree required; focus Health Insurance or Administration preferred.
• 3+ years experience with Health Insurance claim data or related industry preferred.
• 1-2 years project management or related experience, preferably supporting system/configuration efforts.

Responsibilities

• Manage assigned implementation tasks to the highest standards.
• Apply strong project management and organizational skills to implementation processes.
• Utilize analytical and problem-solving skills to identify obstacles in client onboarding.
• Perform client data file analysis, assist in documentation related to client data feeds, mapping, and testing.
• Collaborate with internal teams to overcome data obstacles and milestones.
• Communicate with clients professionally; provide status updates and guide installation.
• Provide regular status updates to internal staff and client resources.
• Manage project schedules in project management software and templates.
• Deliver a high level of customer service.
• Ensure compliance with Privacy and Security standards.
• Adhere to confidentiality of protected health information.
• Other duties including data entry and related tasks.

Skills

Project management

Health Insurance data

Healthcare IT

Communication skills

Problem solving

Time management

Microsoft Office

Teamwork

Attention to detail

Education

Bachelor’s degree in Health Insurance or Administration

Tools

Microsoft Project

Outlook

Job description

Implementation Specialist

Department: Implementation

Employment Type: Full Time

Location: Headquarters

Description

As an Implementation Specialist, you will play a key role in the planning and implementation of new client installations including project timeline management, data analysis, ensuring documentation meet organizational standards, handling client outreach and communication, and monitoring and communicating project deliverable deadlines.

Key Responsibilities

• Manage assigned implementation tasks to the highest standards.
• Apply strong project management and organizational skills to implementation processes.
• Utilize analytical and problem-solving skills to identify obstacles and impediments in the client onboarding process.
• Perform client data file analysis at various stages throughout the implementation process, assist in documentation related to client data feeds including mapping and special data manipulation needed, and assist in testing for new client implementations.
• Ability to work effectively with internal team to discuss and identify resources to efficiently overcome client data obstacles as well as milestone implementation tasks and any special client needs.
• Ability to communicate to clients in a professional and timely manner to discuss data needs and concerns, provide status updates, and guide the installation process as needed.
• Provide regular status updates to both internal staff and client resources.
• Manage project schedules and timelines in project management software and other company project templates.
• Always deliver a high level of customer service.
• Understands and complies with all company Privacy and Security standards.
• Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
• Other duties as needed which may include data entry and/or other research tasks.

Skills, Knowledge and Expertise

Qualifications:

• Bachelor’s degree required, focus Health Insurance or Administration preferred.
• 3+ years’ experience working with Health Insurance claim data or in a related industry preferred.
• 1-2 years project management or related experience, preferably supporting efforts to configure and customize a system or product.
• Advanced knowledge of Microsoft Office Suite to include Word, Excel, Project, and Outlook.

Skills:

• A good working knowledge of web applications is essential to this role. Experience in healthcare IT, clinical informatics, or Healthcare Fraud, Waste and Abuse (FWA) is strongly desired.
• Proven knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-9, ICD-10 preferred.
• Applicant must be proficient in the use of computers and computer applications.
• Proven ability to prioritize and organize large volumes of projects.
• Adept at solving problems and making decisions.
• Excellent communication skills both verbal and written.
• Attentive to detail.
• Ability to work in a team environment.
• Outstanding organizational and time management skills.
• Self-motivated.

Benefits

• Medical, Dental & Vision insurance
• 401(k) retirement savings with employer match
• Vacation and sick paid time off
• 7 paid holidays & 2 floating holidays
• Paid maternity/paternity leave
• Disability & Life insurance
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Professional and career development initiatives
• Remote work eligible

REMOTE WORK REQUIREMENTS:

• Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.