Implementation Specialist jobs in Newport, RI

A
PBM Implementation Specialist
  • Amwins Group Benefits, LLC
  • North, RI FULL_TIME
  • PURPOSE:The Implementation Specialist is responsible for leading and managing the implementation of new client healthcare plans based on client benefits and regulatory specifications. The Implementation Specialist will also help facilitate enterprise-wide projects, program renewals, analysis, and continuous process improvement initiatives. The Implementation Specialistposition may also be called upon to implement new regulatory changes that impact our business.
    RESPONSIBILITIES:
    • Lead new employer, Union, and TPA implementation processes, including driving client, consultant/broker, and data partner meetings to gather and document requirements for internal and external teams.
    • Manage downstream entities, new group setup, and changes to meet expected deadlines and client expectations for multiple products, including Medicare and Commercial.
    • Provide clear direction and oversight to internal and external stakeholders through Implementation and projects despite potentially challenging or complex requirements.
    • Gather client benefit setup terms and effectively communicate to applicable stakeholders for new group setup.
    • Ensure operational and system readiness for client launch through collaboration and consultation with applicable stakeholders.
    • Identify project risks and mitigation strategies, ensuring communication with the appropriate stakeholders.
    • Monitor go-live claim activity to identify potential issues and facilitate response plans to implement concise solutions.
    • Help maintain benefit rework occurrences below 5% (as measured by both client event and situational event).
    • Demonstrate flexibility in adjusting requirements to minimize risk or based on client requirements.
    • Log all new/change requests to manage deliverable dates
    • Manage all signoffs by filing all documents to evidence the requirements and signoffs
    • Manage Implementation for accuracy and timeliness:
      • Document and maintain process that ensures timely, authorized updates
      • Provide documents for review by all key stakeholders
      • Maintain Client signoff document
      • Common document agreeable for Amwins and Envision with agreed-upon definitions of all items
      • Define and maintain implementation timeline to provide Sales and Account Management with expected timeframes for common scenarios
    Requirements:
    Education/Experience:
    • 3-5 years of experience in a similar role or project management; Bachelor's degree or combination of education and offsetting experience. Client-facing experience a plus
    Skills & Qualifications:
    • Broad understanding of health benefits plan setups (deductibles, copays, drug coverage, accumulators, eligibility).
    • Demonstrated Project Management and/or business analyst knowledge and applied experience, preferably in the healthcare industry.
    • Strong interpersonal communication skills, including team leadership, conflict resolution, and meeting leadership/facilitation with various internal and external leaders
    • Experience with project management software and data reporting tools a strong plus.
    • Experience or knowledge of pharmacy benefit manager and Medicare Part D a strong plus.
    • Must be a self-starter and can solve issues independently and collaboratively.
    • Goal-oriented.
    • Significant ingenuity and flexibility are expected.
    • Demonstrates initiative to learn more and take on challenges.
    • Strong written and verbal communication skills required.
    • Must be able to motivate people to accomplish goals with allotted resources.
    • Excellent leadership, organization, and prioritization skills.
    • Ability to effectively multi-task, independently prioritize work, and meet deadlines.
    • Strong attention to detail and accuracy.
    • Excellent teamwork abilities, flexibility, diligence, and organization skills.
  • 18 Days Ago

R
Kitchen Designer/Sales Consultant
  • RIHI The Kitchen and Bath Specialist
  • Warwick, RI FULL_TIME
  • In-Home sales: Kitchen DesignerRIHI is a full-service Kitchen and Bath Remodeling company specializing in residential remodeling. We have been family-owned and operated for 75 years. Our mantra is to ...
  • 17 Days Ago

C
Implementation Engineer
  • CoachEm
  • Putnam, CT FULL_TIME
  • About Us: CoachEm™ is on a mission to empower leaders with intelligent technology that develops the fullest potential of every employee and fuels company performance. We believe that a company’s scala...
  • 1 Day Ago

I
Emerging Products Implementation Project Manager - HYBRID
  • Inclusively
  • Smithfield, RI FULL_TIME
  • Inclusively is partnering with a multinational financial services company to hire a Emerging Products Implementation Project Manager - HYBRID.ABOUT INCLUSIVELY:Inclusively is a digital tech platform t...
  • 1 Month Ago

A
Specialist
  • Adore Me Retail Inc
  • Providence, RI FULL_TIME
  • About the Bra Specialist position We are looking for a Bra Specialist to provide excellent customer service and meet sales quotas for our business. A positive attitude and a desire to promptly resolve...
  • Just Posted

R
Specialist
  • Rhode Island Housing
  • Providence, RI FULL_TIME
  • RIHousing HCVP Program Specialist Salary Range - $46,221.30 - $66,884.94 RIHousing is committed to creating a diverse environment and is proud to be an equal-opportunity employer. All qualified applic...
  • 2 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Implementation Specialist jobs found in Newport, RI area

P
Training Specialist
  • Pinnacle Group, Inc.
  • Providence, RI
  • Job Title: Training Specialist Location: Providence, RI (onsite) Pay Rate: $ 32-$35/hour on W2. Job Description: Reporti...
  • 4/27/2024 12:00:00 AM

A
Cashier (Part-Time, Full-Time)
  • Ace Hardware
  • Newport, RI
  • Ace Hardware offers not just a job, but a meaningful and rewarding career As a Cashier you will: Follow all cash registe...
  • 4/27/2024 12:00:00 AM

R
Cyber Security Analyst
  • Rite-solutions Inc.
  • Middletown, RI
  • Rite-Solutions, Inc is seeking a skilled and motivated mid-level Cybersecurity Analyst with a passion to take on new cha...
  • 4/27/2024 12:00:00 AM

P
Logistician II
  • Predicate Logic Inc.
  • Newport, RI
  • Predicate Logic is looking for a motivated Logistician II to join our team in Newport, RI. Founded in 1992, Predicate Lo...
  • 4/25/2024 12:00:00 AM

R
Cyber Security Analyst
  • Rite-Solutions, Inc.
  • Middletown, RI
  • Rite-Solutions, Inc is seeking a skilled and motivated mid-level Cybersecurity Analyst with a passion to take on new cha...
  • 4/25/2024 12:00:00 AM

M
Education Coordinator for School Age Programs
  • Martin Luther King Community Center, Inc.
  • Newport, RI
  • Job Description Job Description Position Summary The Education Coordinator for School Age Programs, is responsible for s...
  • 4/24/2024 12:00:00 AM

N
Controller
  • Newport Mental Health
  • Middletown, RI
  • Job Description Job Description WHO WE ARE… Newport Mental Health (NMH) is a progressive high-energy organization that u...
  • 4/24/2024 12:00:00 AM

F
Senior Program Consultant
  • FM Global
  • North Kingstown, RI
  • FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000...
  • 4/23/2024 12:00:00 AM

Newport is a seaside city on Aquidneck Island in Newport County, Rhode Island, located approximately 33 miles (53 km) southeast of Providence, Rhode Island, 20 miles (32 km) south of Fall River, Massachusetts, 73 miles (117 km) south of Boston, and 180 miles (290 km) northeast of New York City. It is known as a New England summer resort and is famous for its historic mansions and its rich sailing history. It was the location of the first U.S. Open tournaments in both tennis and golf, as well as every challenge to the America's Cup between 1930 and 1983. It is also the home of Salve Regina Univ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Implementation Specialist jobs
$56,674 to $72,654
Newport, Rhode Island area prices
were up 1.6% from a year ago

Implementation Specialist in Carrollton, TX
Adheres to all regulatory, operational policies and procedures, and department specific requirements.
April 10, 2023
Implementation Specialist in Fridley, MN
Document all relevant information and requirements related to the solution and all functional areas of the solution in a Statement of Work.
March 14, 2023
Implementation Specialist in Frisco, TX
Sets expectation of project goals and timeline utilizing standard tools & methodology.
March 05, 2023
Facilitates and/or participates in project meetings involving customers, partners, and cross-functional teams to gather/define requirements & expectations and drive the project forward.
May 04, 2023