Sr. Director of Health Plan Implementations

Senior Director, Health Plan Implementation

The Senior Director of Health Plan Implementation at

EDH is a pivotal role responsible for

defining EDH’s go-forward health plan implementation process

and managing the successful and seamless implementation

of new

health plan

clients into our product ecosystem. This position involves strategic planning, coordinating with various departments, and ensuring a smooth transition for clients from

initial

contact through full implementation of our services.

Location : Remote | USA | Travel Required

Responsibilities :

Health Plan Implementation Process Development:

as EDH

changes the way that we work with health plans there is a need to evolve and update the way we implement them.

This person will quickly work to understand our existing processes and

will work with the

health plan and channel leadership to define how we will do so moving forward to support our next wave of growth.

Health Plan Implementation and Project Management

:

This person will

lead the implementation process for new

health plan

clients, ensuring a smooth and efficient transition

and activation

. Collaborate with the sales team, client success, legal, IT, member services, and all other applicable business units to gather client requirements and ensure a seamless onboarding process for internal and external stakeholders. Advocate for organizational best practices and minimize burdensome customizations/exceptions where possible.

Upsells and Cross-Sells

: Team will lead the implementation process of upsells, cross-sells, and strategic partnerships for existing

health plan

clients (in collaboration with Partnership Implementation). Work collaboratively with client success and other internal business units to ensure flawless execution for clients, advocating for the organization's best practices.

Existing Client Changes

: Manage the process of transitioning clients to new eligibility vendors or making changes to existing vendor relationships. Ensure minimal disruption to client operations during these transitions.

Team

will serve as the internal operational point-of-contact for TPAs and clients' vendors.

Client Relationship Management

: Build and

maintain

strong relationships with clients, serving as the primary point of contact for operational and strategic discussions during onboarding to the company, new products, changes in products, and vendors.

Performance Metrics

:

Establish

and track key performance indicators (KPIs) related to client operations, regularly reporting on progress, and making data-driven improvements.

Requirements :

Minimum of 10 years of experience in client operations or a related role

(ideally working with health plans)

, with a proven

track record

of successfully managing client relationships and driving revenue growth within the healthcare and/or benefits space

Prior experience managing teams,

demonstrating

strong leadership and team-building skills.

Strong understanding of the

health plan,

third party administrators and employer

benefit landscape.

Excellent communication and negotiation skills.

Exceptional problem-solving abilities and a proactive approach to addressing client needs.

Experience with client relationship management software and tools.

Ability to work collaboratively with cross-functional teams

Strong Candidates will :

Move Fast: Acting with urgency to respond to client and business needs

Be Comfortable in a Fast-Paced Environment: that can be challenging but highly rewarding

Be Good with Numbers: both in how they articulate value propositions but also in how they measure and report success

Be Strategic Thinkers/Problem Solvers: both in how they work cross functionally,

and also

in how they build their function and supporting systems/processes

Be Customer Focused: always looking to understand, advocate for and improve how we engage with our prospects

Have High Energy and a Positive Outlook: infusing their engagement with prospects and internal teams with positive energy to help achieve our joint goals

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Short & Long Term Disability

Life Insurance

401k with company match

Paid Time Off

Paid Parental Leave

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