Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
- A competitive compensation package.
- Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
- Growth and training opportunities.
- A team atmosphere with fun events and prizes scheduled throughout the year.
POSITION OVERVIEW
The Implementation Leader is pivotal in guiding implementations for all internal and external stakeholders and involves direct interaction throughout all implementation phases. With a strong focus on customer service, the Implementation Leader is the primary contact for new client onboarding and existing clients adding new lines of business or expansions.
Roles:
The Implementation Leader will partner with the SVP and Director of Customer Success to obtain all information regarding clients coming up for implementation prior to the signed contract. Provide information to all internal stakeholders along with a path forward. During the implementation process, internal prep and client meetings will be conducted along with all expectations, and ramp is communicated to ensure a smooth and successful transition. May be responsible for supporting and participating in other activities as assigned by the Implementation Manager
- Lead and coordinate all aspects of client readiness for MRIoA (Medical Review Institute of
- America) business, ensuring operational & clinical preparedness by the anticipated start date.
- Drive the implementation process, preparing the business to support incoming cases from day one of planned go-live.
- Manage the process of obtaining test cases to inform the operations & clinical teams of client needs and process adjustments.
- Use test cases in collaboration with operations & clinical team to determine ramp plan when applicable.
- Develop agendas for client meetings, document discussions, and ensure timely and accurate completion of all implementation tasks by all parties, including the client.
- Set the agenda for the calls by soliciting input from participants and send out notes the day of the call with a summary of list of deliverables and owners.
- Act as a liaison with clients, implementing/expanding new lines of business through go live.
Major Responsibilities or Assigned Duties:
- Communicate implementation status updates to MRIoA stakeholders.
- Identify and implement improvements to support smooth client implementations.
- Undertake special projects and other tasks assigned by the Implementation Manager.
- Resolve implementation issues impacting the team for clients before going live.
- Complete and support all Compliance Program activities promptly.
- Participate in company meetings and committees as requested.
- Complete other duties as requested
Skills and Experience:
- Proven ability to work in a fast-paced, high-functioning environment, managing multiple priorities to meet deadlines.
- Personal computer literacy and high competency in use, including Word, Excel, PowerBI, and PowerPoint.
- Exceptional organizational skills with meticulous attention to detail
- Excellent communication and interpersonal skills
- Excellent critical thinking skills and a strong focus on detail
- Experience with speaking with client stakeholders
- Experience/knowledge of IRO processes, UM, or Managed Care, along with knowledge of medical insurance terminology and processes
- PMP Certified preferred
Education:
- Bachelor's degree
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].
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What We Do
Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and actionable insights. MRIoA supports health plans, pharmacy benefit managers (PBMs), third-party administrators, and other healthcare organizations to deliver timely, appropriate care, reduce unnecessary costs, navigate complex regulatory and compliance requirements, and improve provider and member satisfaction. Leveraging the largest panel of actively practicing, same-specialty physicians and clinical experts with licenses in all 50 states, MRIoA offers configurable solutions that leverage innovative ways to boost efficiency and improve outcomes. MRIoA has the clinical and regulatory expertise to ensure clients stay compliant and has certifications from HITRUST, NCQA, URAC, and UR licensing in all states where required.









