Product and Regulatory Implementation Manager
On-sitePhiladelphia, Pennsylvania, United States
Job Summary
Lead end-to-end implementation of health plan products, strategic initiatives, and regulatory requirements across all lines of business. Act as the primary point of contact for internal teams, clients, and external partners, translating strategic and regulatory requirements into actionable workplans, timelines, and deliverables. Develop and maintain implementation documentation, process workflows, training materials, and client-facing resources while serving as the subject matter expert for initiatives. Collaborate with product, regulatory, operations, and IS&T teams to define scope, support configuration, oversee integration efforts, and validate data flows. Manage cross-functional teams by facilitating status meetings, documenting progress, and proactively identifying risks to develop contingency plans. Provide post-implementation support including issue resolution, performance monitoring, and continuous process improvement.
Required Qualifications
- Bachelor's Degree Business Administration, Healthcare Management, or a related field
- 5 years Product Development, Regulatory Implementation and/or Project Management, preferably within the healthcare industry
- Demonstrated expertise in managing complex projects from inception to completion, including planning, execution, monitoring, and closing phases
- Proficiency in project management tools such as Microsoft Project, Jira, or similar software
- Proven ability to work effectively with cross-functional teams, including product development, operations, compliance, marketing, and IT
- Strong collaboration skills to ensure alignment and successful implementation of products
- Experience with system integration, data migration, and end-to-end testing (SIT/UAT)
- Ability to partner effectively with IT teams to translate business requirements into technical specifications
- Demonstrated understanding of health plan operations and supporting systems, including enrollment, claims, billing, and customer service platforms
- Lift and carry 25 lbs
- frequent sitting/standing
- frequent keyboard use
- patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR
Desired Qualifications
- Master's Degree
- Knowledge of Product Timelines and Regulations: Understanding of CMS (Centers for Medicare & Medicaid Services) bid submission, Pennsylvania Insurance Department (PID) and Pennie filing timelines, and Medicaid HealthChoices and CHIP program agreement processes and regulations
- Innovative Benefits and Services: Experience with innovative benefits and services such as OTC/Flex Card, Transportation, etc
- PMP - Project Management Professional - Project Management Institute
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