The OccuNet Company logo
The OccuNet Company

The OccuNet Company is an innovative company striving to reduce the cost of healthcare. We are a passionate group of people that care about affordable access to healthcare without sacrificing experience. We strive to make healthcare more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach improving the health and well-being of those we serve. We pride ourselves on our tight knit culture based on the ‘outward mindset’ philosophy, emphasizing empathy, mutual respect, and seeing each other as “whole people.” We have an ambitious vision and are growing quickly. We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us.

Director, Client Implementations

DirectorDirectorFull TimeRemoteLeadTeam 201-500

Location

United States

Posted

1 day ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

Director, Client Implementations

The OccuNet Company

Role Description As the Implementation Manager, you will be responsible for leading and managing all aspects of pharmacy benefit management (PBM) implementations for new and existing clients, including client onboarding, TPA integrations, and program implementations, from initiation through successful deployment. At OccuNet, you will be responsible for directing all aspects of client implementations, partnering with all key stakeholders (i.e., sales, account management, third-party administrators (TPAs), brokers, consultants, plan sponsors, vendor partners, and other internal business units) to coordinate project deliverables, manage project timelines, and ensure key deliverables are executed successfully and within established deadlines. Through proactive communication, strong project management, and effective issue resolution, you will drive successful implementation outcomes ensuring customer expectations are consistently satisfied or exceeded. Duties & Responsibilities - Serve as the primary point of contact for all implementation-related activities throughout project lifecycles. - Lead end-to-end implementation activities for new client implementations, TPA integrations, client migrations, and program implementations. - Effectively transition the client relationship post-implementation to Account Management. - Develop and maintain detailed implementation plans, timelines, milestones, and deliverables. - Proactively identify risks, dependencies, and potential roadblocks. - Facilitate implementation meetings, status reviews, and project communications with internal and external stakeholders. - Anticipate project risks and dependencies, developing mitigation strategies to minimize disruptions. - Drive accountability among project participants to ensure timely completion of tasks and deliverables. - Ensure all implementation requirements, configurations, testing activities, and deliverables are completed accurately and on schedule. - Evaluate the impact of client-requested exceptions and develop reasonable alternatives. - Assess gaps and recommend enhancements related to new and/or existing products, services, and workflows. - Identify opportunities for cross sales of additional products and services throughout the implementation process. - Contribute to the development of new or updated implementation tools, resources, and materials. - Participate in the development and introduction of new products; identify the potential impact to workflows and the overall implementation process. - Solicit and assess internal and external customer feedback to enhance continuous quality improvement on the implementation process. Qualifications - Bachelor's degree or equivalent experience. - 3 years+ of PBM implementation, pharmacy benefit project management, or related healthcare implementation experience. - Project management certification (PMP, CAPM, PMI or similar) preferred. - Experience working with TPAs, health plans, self-funded employers, or healthcare technology vendors. - Strong understanding of PBM operations, pharmacy benefits, claims processing, eligibility management, and implementation workflows. - Knowledge of Electronic Data Interchange (EDI), eligibility file structures, claims testing, and system integration processes. - Proven ability to manage multiple complex projects simultaneously in a fast-paced environment. - Experience interacting with various levels of organizations to effectively influence others and achieve optimal results. - Expertise working within the Tredium claims adjudication system is strongly preferred. Requirements - Highly organized and able to quickly prioritize multiple assignments with high quality results. - Exceptional analytical and problem-solving capabilities. - Attention to detail and accuracy while focusing on overall project deliverables. - Strong interpersonal communication skills (both written and verbal). - Exercises creativity and innovation in achieving project results. - Proficient with Microsoft Office Suite or related software. - Full-time, Monday to Friday 8 am – 5 pm CST. - On-site, in-person or remote with periodic travel to Amarillo, TX and client sites, depending on expertise. Benefits - 401(k) with matching - Dental insurance - Health insurance - Vision insurance - Health savings account - Paid time off

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