About The Role

Brighton Health Plan Solutions is looking for a Implementation Manager with experience managing a complex, program of strategic projects that span organizational boundaries, manages multiple high-risk projects, including projects involving external vendors and multiple business areas that have a significant legal and/or financial impact to Company’s Business.  This individual should have hands on experience in setting and managing large complex projects in Healthcare Insurance across business, operational, and IT teams, spanning one or more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal etc.

Primary Responsibilities

• Utilize a comprehensive understanding of corporate initiatives, the full Project Management Life Cycle and delivery process to ensure compliance with organization goals and timelines.

• Identifying, documenting and ongoing management of project requirements.

• Maintaining and delivering consistent communication on the status of project with appropriate stakeholders (internal and external).

• Performs technical tasks such as creating business requirements documents, user training manuals and guides, and requirements traceability matrices.  

• Facilitates project management related questions and refers technical/business questions to appropriate subject matter experts.  

• Manages and is responsible for all aspects of the project to include risk management, process improvement, and operational and technology implementation to meet the future goals and objectives prioritized by Senior Management.

• Communication skills are required to persuade, gain cooperation, provide formal presentations to various sized groups and to reach consensus and resolve conflict.

• Excellent written skills are required to prepare reports/documents for internal presentations as well as presentation to various Senior Leadership committees.

• Program Management:

• Assist in the management of the full project management life cycle for the implementation of highly complex, large scale, strategic business Initiatives and client implementations, ensuring all requirements are captured, and implemented accordingly.

• Provides support to the Implementation Leadership in performing all client implementations, including needs analysis of the relevant business areas and in matching user needs to system capabilities to ensure the new system is easily and quickly integrated into the client’s business environment.  Provides oversight to resources assigned to the program’s projects.  Works with Management to mitigate potential risks and project dependencies. Serves as a liaison between the internal or external partners to ensure cohesiveness between the teams.

• Works with the Business areas in the Operational Readiness activities to provide support and coordination to ensure adoption of new systems and business processes in the Company environment. 

• Provides regular updates to Leadership, project sponsor and stakeholders on the status of the projects and reasons for delay or missed milestones.

  Essential Qualifications

• Bachelors degree in Computer Science, Business, or Engineering or equivalent work experience required.

• 4+ years of project management experience (with 2+ years in Healthcare Insurance preferably) in planning, development, implementation, and maintenance of process and systems.  Previous project management experience in a dynamic high-technology environment is a key to success in this position. 

• Experience in Program Management and execution of multiple related development projects simultaneously, particularly as Project Manager on systems development, with working knowledge of  Systems Development Lifecycle and the Project Management Lifecycle.

• Project Management certificate (PMP) from the Project Management Institute (PMI) a plus.

• Solid teamwork and interpersonal skills, with the ability to communicate and persuade customers, employees, and management at all levels and thrive in a cross-functional environment. 

• Excellent oral and written communications; an ability to present and discuss technical information in a way that establishes rapport, persuades others, and gains understanding.

• Strong management, business planning, and development skills.

• Exceptional program management skills and project management skills, effectively arranging resources

• Ability to analyze project needs and determine resources needed to meet objectives.

• Strong analytical, problem-solving, and conceptual skills.

• Competent in the Microsoft Suite of tools such as MS project, PowerPoint, Excel, Word, etc. 

  About

  At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

  Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

  Come be a part of the Brightest Ideas in Healthcare™.

  Company Mission

  Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

  Company Vision

  Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

  DEI Purpose Statement  

  At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

  *We are an Equal Opportunity Employer

JOB ALERT FRAUD:  We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.  Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section.  If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com

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