Product Implementation Specialist
Job highlights
Identified by Google from the original job post
Qualifications
Bachelor’s Degree required
Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field
Working knowledge of Product department, implementations, system transformation and operational aspects of health care
Skills in Microsoft Excel, PowerPoint, and Word are required
Licensure and/or Certification Required
Integrity and Trust
Customer Focus
Excellent verbal, written, mathematical, and interpersonal skills
Able to work collaboratively and efficiently with multidisciplinary teams
Highly detail-oriented
Strong presentation skills
Benefits
You can come to work being proud of what you do every day
Responsibilities
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance
They ensure a smooth benefit implementation based on the request from start through completion
To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker
The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible
Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business
Manage the full project cycle of implementations from beginning to end
Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations
Use data and insights to inform conclusions and support decision making
Proactively gather information to understand business owner needs
Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments
Review and verify documentation for compliance and operational accuracy
Assist with CPT code verification for benefit implementations ensuring proper configuration
Special projects and other related duties as assigned
Job description
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
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
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible.
Job Description
• Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business.
• Manage the full project cycle of implementations from beginning to end.
• Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
• Use data and insights to inform conclusions and support decision making.
• Proactively gather information to understand business owner needs.
• Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments.
• Review and verify documentation for compliance and operational accuracy.
• Assist with CPT code verification for benefit implementations ensuring proper configuration.
• Special projects and other related duties as assigned.
Minimum Qualifications
• Bachelor’s Degree required.
• Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field.
• Medical coding experience preferred.
• Project Management skills preferred.
• Working knowledge of Product department, implementations, system transformation and operational aspects of health care
• Experience or in-depth knowledge of HealthRules Payor system is a plus.
• Skills in Microsoft Excel, PowerPoint, and Word are required
Licensure and/or Certification Required
• Medical Coding Certification preferred
Professional Competencies
• Integrity and Trust
• Customer Focus
• Excellent verbal, written, mathematical, and interpersonal skills
• Able to work collaboratively and efficiently with multidisciplinary teams
• Highly detail-oriented
• Strong presentation skills
#LI-Hybrid
Apply Now
Identified by Google from the original job post
Qualifications
Bachelor’s Degree required
Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field
Working knowledge of Product department, implementations, system transformation and operational aspects of health care
Skills in Microsoft Excel, PowerPoint, and Word are required
Licensure and/or Certification Required
Integrity and Trust
Customer Focus
Excellent verbal, written, mathematical, and interpersonal skills
Able to work collaboratively and efficiently with multidisciplinary teams
Highly detail-oriented
Strong presentation skills
Benefits
You can come to work being proud of what you do every day
Responsibilities
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance
They ensure a smooth benefit implementation based on the request from start through completion
To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker
The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible
Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business
Manage the full project cycle of implementations from beginning to end
Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations
Use data and insights to inform conclusions and support decision making
Proactively gather information to understand business owner needs
Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments
Review and verify documentation for compliance and operational accuracy
Assist with CPT code verification for benefit implementations ensuring proper configuration
Special projects and other related duties as assigned
Job description
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
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
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible.
Job Description
• Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business.
• Manage the full project cycle of implementations from beginning to end.
• Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
• Use data and insights to inform conclusions and support decision making.
• Proactively gather information to understand business owner needs.
• Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments.
• Review and verify documentation for compliance and operational accuracy.
• Assist with CPT code verification for benefit implementations ensuring proper configuration.
• Special projects and other related duties as assigned.
Minimum Qualifications
• Bachelor’s Degree required.
• Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field.
• Medical coding experience preferred.
• Project Management skills preferred.
• Working knowledge of Product department, implementations, system transformation and operational aspects of health care
• Experience or in-depth knowledge of HealthRules Payor system is a plus.
• Skills in Microsoft Excel, PowerPoint, and Word are required
Licensure and/or Certification Required
• Medical Coding Certification preferred
Professional Competencies
• Integrity and Trust
• Customer Focus
• Excellent verbal, written, mathematical, and interpersonal skills
• Able to work collaboratively and efficiently with multidisciplinary teams
• Highly detail-oriented
• Strong presentation skills
#LI-Hybrid