Product Implementation Specialist
New York, New York
Employer: NYC Health Hospitals
Industry: MHP PRODUCT
Salary: Competitive
Job type: Full-Time
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate these implementation processes as quickly as possible..
Job Description
Minimum Qualifications
Professional Competencies
#LI-HYBRID
Position Overview
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate these implementation processes as quickly as possible..
Job Description
- Take lead for all Product lines of business for regulatory implementations from NYS Department of Health, NYS Department of Financial Services, and NY State of Health.
- Project manage these regulatory implementations from end-to-end.
- Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
- Use data, insights, and product specific knowledge to inform conclusions and support decision making.
- Proactively gather information to understand business owner needs.
- Effectively communicate with all business partners including Core Systems, Medical Management, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments.
- Review and verify documentation for compliance and operational accuracy.
- Assist with CPT code verification for benefit implementations ensuring proper configuration.
- special projects and other related duties as assigned.
Minimum Qualifications
- Bachelor's Degree required
- Minimum 1-3 years of experience in health care, medical coding, Product, Regulatory, or other relevant field
- Medical coding experience preferred
- Project Management skills preferred
- Working knowledge of Product department, implementations, and operational aspects of health care
- Skills in Microsoft Excel, PowerPoint, and Word are required
Professional Competencies
- Integrity and Trust
- Customer Focus
- Excellent verbal, written, mathematical, and interpersonal skills
- Able to work collaboratively and efficiently with multidisciplinary teams
- Highly detail-oriented
- Strong presentation skills
#LI-HYBRID
Created: 2024-06-22
Reference: 103924
Country: United States
State: New York
City: New York
ZIP: 10036
Similar jobs:
-
Research Implementation Specialist, Department of Medicine
University at Buffalo in Buffalo, New York💸 $45000 - $50000 per year -
Store Implementation Specialist
7-ELEVEN in Long Island, New York -
Implementation Specialist - R&D Advisory
Syneos Health Careers in New York City, New York💸 $77534 per year -
Implementation Specialist (NYC Hybrid)
National Financial Partners in New York, New York💸 $50000 per year -
Implementation Specialist (Administrator Funded Project Lvl 1) Humanitarian Emergency Response and Relief Center (HERCC)*Temporary/Grant Funded*
NYC Health Hospitals in New York, New York -
Service Specialist - Implementation Client Consultant - Time & Attendance
Paychex Inc. in West Henrietta, New York💸 $17.85 - $28.04 per hour -
AIM Implementation Specialist, Enterprise Services, Bloomberg Financial Solutions
Bloomberg LP in New York, New York