Remote Healthcare Implementation Manager

Rawlings Company; United States; A distancia; USD 120.000 - 140.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

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

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Strong communication

Analytical thinking

Prioritization

Customer-focused

Independent work

Educación

Bachelor's degree in Business or related field

Herramientas

JIRA

Smartsheet

Excel

Word

PowerPoint

Outlook

AI tools

Descripción del empleo

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.