The Role
Lead the implementation of payer clients, manage project plans, coordinate teams, and ensure client satisfaction in healthcare programs.
Summary Generated by Built In
Porter is growing and hiring for an Implementation Specialist - Project Manager!
The Implementation Specialist – Project Manager is responsible for leading the end-to-end implementation of new payer clients and managing ongoing program enhancements for existing accounts. This role is essential to ensuring a smooth onboarding experience and long-term client satisfaction across government-sponsored health insurance programs—including Medicare Advantage, Medicaid, Risk Adjustment, and STARS/Quality initiatives. The ideal candidate brings deep healthcare domain expertise, strong technical acumen, and excels at cross-functional coordination in a fast-paced environment.
Key Responsibilities
Implementation Planning & Execution
· Develop and manage detailed project plans for new client implementations and expansions.
· Align deliverables with contractual requirements, internal capabilities, and client expectations.
· Proactively manage project timelines, risks, and dependencies to ensure on-time, high-quality delivery.
Cross-Functional Coordination
· Serve as the primary point of contact for all implementation activities, bridging internal teams (e.g., data, engineering, clinical ops) and external payer clients.
· Lead project meetings, document outcomes, and ensure timely execution of action items.
· Ensure stakeholders are aligned and well-informed throughout each phase of the project.
Client Support & Program Maintenance
· Respond to client requests for updates related to workflows, data files, and program configurations.
· Coordinate operational changes for Line of Business (LOB) expansions, benefit year transitions, or program logic updates.
· Ensure minimal disruption to ongoing programs during upgrades or changes in scope.
Data Management & System Readiness
· Oversee the intake, validation, and deployment of client data files related to eligibility, claims, encounters, and supplemental data.
· Work closely with technical and analytics teams to ensure file formats, schema changes, and ingestion processes meet requirements.
· Validate system readiness prior to go-live to ensure successful launch and long-term scalability.
Change Management
· Manage and document all change requests across assigned clients.
· Ensure modifications to system workflows, data logic, or configuration are communicated, approved, and properly implemented.
· Support ongoing improvements by applying lessons learned from previous implementations.
Required Qualifications
· 10+ years of experience in project management, implementation, or customer success roles within healthcare or health technology.
· Strong understanding of government-sponsored health plans (e.g., Medicare Advantage, Medicaid) with specific experience in Risk Adjustment and STARS/Quality programs.
· Exceptional organizational and communication skills with a track record of managing multiple priorities and timelines.
· Technically proficient; able to work closely with engineering and data teams on file exchanges, ingestion workflows, and validation processes.
· Proficient in project management tools such as Smartsheet, JIRA, or similar platforms.
Preferred Qualifications
· PMP certification or other formal project management training.
· Experience working with payer organizations on implementations involving eligibility, claims, encounter, or quality data.
· Familiarity with healthcare data standards and regulatory programs (e.g., CMS guidelines, NCQA, HEDIS, 837/834 file formats).
Benefits of Working with Porter:
· Remote work environment
· Medical, dental and vision benefits within 30 days of hire
· Paid vacation and holidays
· A fun team and special culture
Top Skills
JIRA
Smartsheet
Am I A Good Fit?
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.
Success! Refresh the page to see how your skills align with this role.
The Company
What We Do
We combine the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.
