Назад
Company hidden
11 дней назад

Senior Manager, Payer Implementation (Healthcare)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
Для мэтча и отклика нужен Plus

Мэтч & Сопровод

Для мэтча с этой вакансией нужен Plus

Описание вакансии

Текст:
/
TL;DR
Senior Manager, Payer Implementation (Healthcare): Leading payer implementations from late-stage contract discussions through go-live, coordinating data exchange, enrollment, eligibility, outreach, clinical operations, compliance, and launch readiness with an accent on cross-functional alignment and payer-facing execution. Focus on building tailored implementation plans amid ambiguity, resolving open decisions, validating data and workflows, and driving successful launches without direct people-management responsibility.

Location: Remote, based in the United States; occasional travel to client sites. Candidates must be authorized to work in the United States without sponsorship.

Company

hirify.global is rebuilding cardiology around outcomes by partnering with independent cardiologists and providing technology, data, operational tools, and AI-enabled solutions for population health.

What you will do

  • Own day-to-day payer implementation delivery from late-stage contract discussions through go-live, maintaining project plans and driving open items to resolution.
  • Coordinate data exchange, enrollment and eligibility, clinical design, outreach and marketing, agreements, vendor onboarding and compliance, and launch readiness workstreams.
  • Lead payer-facing implementation meetings, agendas, progress reports, readiness reviews, go/no-go decisions, stabilization, and handoff to account management.
  • Align Clinical, Operations, Finance, Provider Operations, Legal, data, and payer stakeholders through influence rather than direct authority.
  • Maintain the implementation playbook and toolkit, including plans, status templates, trackers, risk and decision logs, questionnaires, readiness checklists, and handoff packages.
  • Run lessons-learned reviews and use findings to improve future implementations.

Requirements

  • 5+ years of experience leading payer implementations as a vendor to health plans or within a health plan onboarding vendors, including aligning payer data, compliance, legal, marketing, and clinical teams.
  • Experience building and leading payer implementation plans when scope and requirements were not fully defined, sequencing work while terms remained open.
  • Comfort operating amid ambiguity where standard structures and processes may not yet exist.
  • Experience managing multiple workstreams simultaneously, including data, outreach, and clinical operations.
  • Strong written communication and documentation skills, including payer-facing presentations, meeting summaries, implementation materials, decision logs, owners, and next steps.
  • Experience managing cross-functional partnerships through influence rather than direct authority.
  • Must be authorized to work in the United States without sponsorship.

Nice to have

  • Value-based care experience.
  • Health plan vendor oversight or delegation experience, ideally for Medicare Advantage.

Culture & Benefits

  • Remote opportunity based in the United States.
  • Occasional travel to client sites is required.
  • Values include low ego, empathy, courage, ownership, and grit.
  • Individual contributor role with responsibility for implementation leadership but no direct people-management duties.

Будьте осторожны

Если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого. Это мошенники. Обязательно жмите «Пожаловаться» или пишите в поддержку. Подробнее в гайде →