The Role
Executive leader responsible for overseeing enterprise client implementation portfolios from planning through go-live and adoption. Leads implementation teams, forecasts capacity, manages risks, dependencies, scope, data mapping, integrations, governance, reporting, and client relationships. Partners with technical, product, data, sales, and support teams to improve implementation processes, launch new products, resolve complex issues, and ensure quality, security, privacy, and client satisfaction.
Summary Generated by Built In
The VP of Implementation is an executive role responsible for overseeing the successful planning, execution, and delivery of all client implementation projects across the organization. Reporting directly to the Executive Vice President, this position provides strategic direction for the implementation team, manages a portfolio of concurrent client implementations, and ensures projects progress predictably from planning through go-live and adoption. The role combines people leadership, project and program management, technical and data implementation experience, and executive client engagement. The ideal candidate is able to build scalable processes and team capacity while remaining close enough to the work to resolve complex implementation issues, support new and evolving products, and coordinate effectively across technical, operational, and client-facing teams. This individual thrives in a collaborative, fast-paced environment and is committed to operational excellence, client satisfaction, continuous improvement, and the highest standards of quality, accountability, privacy, and data security.
Key Responsibilities
- Provide strategic leadership and direction for all client implementation projects across the organization.
- Lead, mentor, and develop implementation team members, establishing clear responsibilities, accountability, and a culture of collaboration and excellence.
- Forecast implementation demand and team capacity, balance workloads, plan for staffing needs, and maintain appropriate cross-training and backup coverage across key implementation functions.
- Oversee multiple concurrent implementations, ensuring integrated plans, milestones, dependencies, risks, scope changes, readiness activities, and go-live requirements are actively managed.
- Ensure projects are well-scoped, well-planned, and delivered with high quality; identify delivery risks early and lead corrective action when projects deviate from plan.
- Collaborate with the CTO, IT Manager, Software Development managers, Product, Data, Client Engagement, Sales, Support, technical leads, and other project stakeholders to drive successful implementation outcomes.
- Partner with Product and technical teams on new products and major product changes to define, pilot, and refine the implementation approach as product capabilities and client requirements evolve.
- Develop and continuously improve practical implementation processes, documentation, templates, handoffs, metrics, and escalation practices to improve consistency, efficiency, and quality.
- Work directly with customers on implementation planning, training, process workflows, system configuration, and data mapping.
- Build and maintain strong relationships with client leaders, setting clear expectations, facilitating decisions, resolving issues and trade-offs, and supporting successful adoption and long-term partnership success.
- Manage and maintain project information, including implementation scope and definitions, specifications, timelines, decisions, action items, risks, and other required project documentation.
- Review contract language to ensure alignment with implementation scope, timelines, deliverables, client responsibilities, and internal commitments.
- Schedule, lead, and document implementation planning and governance meetings; manage cross-team communication, dependencies, decisions, and escalations.
- Establish and maintain project tracking, reporting, and metrics for individual implementations and the overall implementation portfolio, including visibility into schedule, risks, capacity, and readiness.
- Ensure client data interface specifications are approved and coordinate data mapping, validation, issue remediation, and reconciliation throughout implementation.
- Support Client Engagement and SIU in understanding client data nuances and workflow impacts; research questions, coordinate resolution, and provide documentation as needed.
- Understand and comply with all company Privacy and Security standards.
- Employee may not use or disclose any protected health information, except as otherwise permitted or required by law.
- Perform other duties as needed.
Skills, Knowledge and Expertise
- Experience leading enterprise software implementation projects, including management or leadership role and proven experience managing and developing teams of project managers, implementation specialists, or similar professionals.
- PMP, PgMP, or a comparable recognized project/program management credential required.
- Healthcare or health-tech implementation experience required; experience with healthcare payers, claims, payment integrity, SIU, audit, or adjacent workflows strongly preferred.
- Demonstrated success implementing and supporting enterprise SaaS solutions for external clients from project initiation through go-live and post-implementation support, including management of multiple concurrent implementations.
- Experience building and developing implementation teams, forecasting resource needs, balancing workloads, coaching performance, and creating sufficient cross-training and coverage to support reliable delivery.
- Experience establishing repeatable implementation processes and adapting those processes for new products, significant product changes, or evolving client and technical requirements.
- Strong technical and data implementation background, with the ability to understand complex product functionality, data mapping and validation, integrations, testing, security considerations, and technical issues in order to drive appropriate priorities, trade-offs, and resolutions.
- Must be highly organized and able to maintain disciplined control of project scope, specifications, schedules, dependencies, risks, decisions, reporting, and quality across multiple projects and teams.
- Strong verbal and written communication skills, including the ability to work effectively with client executives and multiple internal stakeholders, handle difficult situations professionally, resolve ambiguity, and create alignment across business and technical teams.
- Experience working with remote teams and standard business and project management tools, including Microsoft Office applications; this role requires ongoing discretion and secure handling of confidential and sensitive information.
Benefits
- Medical, Dental & Vision insurance
- 401(k) retirement savings with employer match
- Vacation and sick paid time off
- 7 paid holidays & 2 floating holidays
- Paid maternity/paternity leave
- Disability & Life insurance
- Flexible Spending Account (FSA)
- Employee Assistance Program (EAP)
- Professional and career development initiatives
- Remote work eligible
REMOTE WORK REQUIREMENTS:
- Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
About
Healthcare Fraud Shield, headquartered in Chesterfield, MO, is a leading provider of innovative fraud, waste, and abuse (FWA) solutions for healthcare insurance payers. Since its establishment in 2011, the company has focused solely on healthcare fraud prevention and payment integrity, delivering unique advantages to its broad client base. At the heart of Healthcare Fraud Shield's offerings is FWAShield™, an integrated platform designed by industry-leading healthcare experts. This comprehensive solution includes PreShield™ (pre-payment), PostShield™ (post-payment), RxShield™ (pharmacy analytics), CaseShield™ (case management), and QueryShield™ (ad-hoc querying tool). Leveraging the latest technology available, Healthcare Fraud Shield provides the most affordable, flexible, transparent, efficient, and effective solution in the marketplace. With over 20 years of experience, the founders of Healthcare Fraud Shield are pioneers in successful fraud detection software development in the financial services industry. They have designed their suite of software to identify superior FWA rates, utilizing advanced analytics, AI, and the best exterior data. Additionally, Healthcare Fraud Shield offers expert services in detecting and verifying suspected FWA billed services, including the development of claim edit rules. Their experienced SIU team, which includes Accredited Health Care Fraud Investigators and Certified Professional Coders, delivers top-notch training throughout the country. Trust Healthcare Fraud Shield to safeguard your healthcare insurance payments and ensure payment integrity.
Skills Required
- Experience leading enterprise software implementation projects and managing or developing teams of project managers, implementation specialists, or similar professionals
- PMP, PgMP, or comparable recognized project or program management credential
- Healthcare or health-tech implementation experience
- Experience with healthcare payers, claims, payment integrity, SIU, audit, or adjacent workflows
- Experience implementing and supporting enterprise SaaS solutions for external clients through go-live and post-implementation support
- Experience managing multiple concurrent implementations
- Experience building implementation teams, forecasting resource needs, balancing workloads, coaching performance, and creating cross-training and coverage
- Experience establishing repeatable implementation processes and adapting them for new products or changing requirements
- Strong technical and data implementation background, including data mapping, validation, integrations, testing, security considerations, and technical issue resolution
- Ability to manage project scope, specifications, schedules, dependencies, risks, decisions, reporting, and quality across multiple projects
- Strong verbal and written communication skills with client executives and internal stakeholders
- Experience working with remote teams and standard business and project management tools, including Microsoft Office
- Ability to handle confidential and sensitive information securely
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The Company
What We Do
Healthcare Fraud Shield provides AI-powered SaaS solutions and dynamic software to detect and prevent healthcare fraud, waste, abuse, and error (FWAE) across the claims lifecycle.
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