Director of Implementation

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

As Director of Implementation, you will manage a team of Implementation Specialists embedded in departments such as Operations, Medical Management, Finance and IT to ensure regulatory requirements are properly implemented. This team will shift current compliance requests from daily operating departments and assist Compliance and Regulatory division to meet mandated deadlines. You will partner with cross-functional teams to ensure the requirements are understood and new enhanced processes are developed. You will be responsible for the oversight of the implementations from start to completion, while communicating status updates and working closely with Regulatory and Compliance division who are the subject matter experts.

• Manage, oversee and ensure accuracy and timeliness of the full project cycle of regulatory implementations from beginning through completion
• Oversee a team of Implementation Specialists for State and Federal products offered by MetroPlusHealth.
• Responsible for understanding implementation requirements and ensuring team is actively tracking the project to completion through QuickBase.
• Liaise with Regulatory and Compliance department as it relates to product readiness reviews, implementation, and ongoing oversight of activities.
• Collaborate with departments across the MetroPlusHealth organization to continually understand and optimize performance.
• Serve as subject matter expert in all functional areas in Regulatory implementations
• Responsible for analyzing complex Product benefits and system configurations
• Provide oversight on benefit implementations ensuring proper configuration.
• Monitor and evaluate project progress at each stage of the process.
• Manage deliverables and escalate gaps and barriers to Vice President of Product.
• Other duties as assigned

• Bachelor's degree required
• Minimum seven (7) years of experience working in Health Care and experience with NY State sponsored programs and CMS regulations in managed care.
• Project Management skills preferred
• Working knowledge of Product Department, implementations, system transformation and operational aspects of health care.
• Skills in Microsoft Excel, PowerPoint, and Word are required.

Professional Competencies

*Integrity and Trust
*Customer Focus
*Functional/Technical skills
*Written/Oral Communication

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