Implementation Lead - ACA Market Product

| Philadelphia, PA
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This position offers a sign-on bonus of $2,500 for external candidates


The Implementation Lead reports to the Dir, New Business Implementation and is responsible for leading cross-functional business requirements, readiness activities, risks and issues to support new business implementations as AmeriHealth Caritas enters new ACA exchange markets. The Implementation Lead supports the insurance application process for new states, including managing licensing submission and coordinating responses to the state DOI feedback and objections. The Implementation Lead coordinates QHP applications for new states through the Product Submission Lead, facilitating resolutions to any objections from the state or CMS. The Implementation Lead works across the enterprise to gather, document, prioritize and socialize upcoming timeline and requirements and coordinates with AmeriHealth Caritas' IT organization to implement necessary system and configuration changes to implement new exchange business. The Implementation Lead supports the Dir, New Business Implementation on the Exchange Segment growth plan and manages communication and readiness activities as incremental staff are hired. The Implementation Lead also supports the Medicaid RFP bid submission process for states that encourage or require potential Medicaid managed care insurers to offer exchange products.

The Implementation Lead works on topics of moderately complex scope, requiring the exercise of independent judgement and the application of an intermediate level of subject matter expertise with limited oversight, often requiring evaluation of multiple competing factors across functional areas. The Implementation Lead's contributions will have an impact on the growth and cost management of the Exchange segment. The Implementation Lead manages the work efforts of small to medium teams, capable of delivering on several tasks simultaneously within tight time frames.

Coordinates internal project delivery:
  • Medium/complex scope in multiple geographies

Tracks Implementation Budgets
  • Provides accurate performance reporting and forecasting to management

Maintains stakeholder relationships:
  • Manages first to mid-level stakeholder relationships

  • Bachelor's Degree.
  • Detail oriented, ability to work in "gray areas" towards a solution.
  • Strong organizational and communication skills along with the ability to communicate with all levels in the organization.
  • Demonstrated ability to conduct research, learn, and apply the learning in a business environment. Ability to communicate business and financial analytics and reports across disciplines.
  • Proven ability to work across organizations and rapidly gain / build trust with stakeholders.
  • Advanced proficiency in Microsoft Office Word, Excel, Outlook, PowerPoint, SharePoint and Visio.
  • 3 years in project management role or similar position.
  • Demonstrates a strong working knowledge of key health plan business functions and capabilities, CMS and state healthcare regulations, operational policies, processes, and methodologies applicable to health plan business readiness activities.
  • This position is teleworker eligible
More Information on AmeriHealth Caritas
AmeriHealth Caritas operates in the Healthtech industry. The company is located in Philadelphia, PA, Newark, DE, Harrisburg, PA, Washington, DC and Southfield, MI. AmeriHealth Caritas was founded in 1983. It has 4500 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 37 open jobs at AmeriHealth Caritas, click here.
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