Manager, Health Plan Integrations

Caraa; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

A healthcare technology company based in the United States is seeking an Implementation & Health Plan Integration Manager. You will support customer onboarding, manage complex health plan relationships, and lead integration workflows. The ideal candidate has over 5 years of experience in healthcare implementation and strong project management skills. This role offers flexible work options and comprehensive benefits.

Benefits

Comprehensive health, dental, and vision insurance

Flexible work schedule and remote work options

Opportunities for professional development and career growth

Qualifications

• 5+ years of experience in healthcare implementation, payer operations, or health tech project management.
• Deep understanding of health plan structures, claims billing, and utilization management workflows.
• Strong project management skills with ability to manage multiple workstreams simultaneously.

Responsibilities

• Support the Customer Success Manager in onboarding efforts across multiple implementation workstreams.
• Manage project plans, timelines, and milestones to ensure timely and accurate delivery.
• Serve as the primary point of contact and subject matter expert for health plan operational setup.

Skills

Healthcare implementation

Project management

Communication skills

Job description

Overview

We are seeking a detail-oriented, proactive, and highly organized Implementation & Health Plan Integration Manager to support the successful onboarding and integration of new customers and ecosystem partners, including health plans, third-party administrators (TPAs), and utilization management vendors. This role is critical to ensuring a seamless go-live experience for customers by navigating complex health plan relationships, managing data and operational workflows, and coordinating with both internal and external stakeholders. You will serve as a subject matter expert on health plan requirements and integration best practices to the Implementation Manager and lead.

Responsibilities

• Support the Customer Success Manager in onboarding efforts across multiple implementation workstreams (benefit setup, data integration, reporting, billing, etc.)
• Manage project plans, timelines, and milestones to ensure timely and accurate delivery
• Participate in kickoff meetings and act as a liaison between internal teams and customer stakeholders
• Serve as the primary point of contact and subject matter expert for health plan operational setup, including claims workflows, eligibility/PA file exchange, accumulator data, and claims billing
• Coordinate with third-party partners such as UM vendors, TPAs, and PBMs to establish technical and operational connectivity
• Translate payer-specific requirements into actionable implementation steps for internal teams
• Obtain and clarify documentation needed to integrate with complex payer systems
• Work closely with Sales, Product, Engineering, and Customer Success to ensure alignment throughout the customer journey
• Support internal teams by documenting and communicating evolving payer workflows and best practices
• Monitor and report on project progress and outcomes to stakeholders
• Contribute to continuous improvement of implementation processes and tools

Qualifications

• 5+ years of experience in healthcare implementation, payer operations, or health tech project management
• Deep understanding of health plan structures, payers, claims billing, and utilization management workflows
• Experience with RTE (270/271), eligibility files (834), PA workflows, claims (837), accumulators, or similar healthcare integrations
• Strong project management skills with ability to manage multiple workstreams simultaneously
• Exceptional communication skills and comfort working cross-functionally with technical and non-technical teams
• Comfortable navigating ambiguity and proactively driving resolution

Benefits

• Comprehensive health, dental, and vision insurance
• Flexible work schedule and remote work options
• Opportunities for professional development and career growth

OneImaging is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.