About the role
Integra Partners is seeking an experienced Implementation Manager to lead complex, post-sale health plan implementations from initiation through operational handoff. This role owns the implementation plan, client relationship, cross-functional coordination, risks, decisions, and readiness activities required to deliver on time, within scope, and with a high-quality client experience. The successful candidate brings direct health plan implementation experience and practical knowledge of claims operations, testing, and issue resolution.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Independently leads complex implementations for health plan clients and healthcare partners, from kickoff and requirements validation through testing, launch, stabilization, and transition to operations. * Build and maintain the integrated implementation project plan, work breakdown structure, milestones, dependencies, decision log, risk and issue log, and executive status reporting. * Serve as the primary implementation point of contact for external clients and coordinate internal teams across operations, claims, technology, network, clinical, finance, compliance, and other functional areas. * Translate contractual commitments, requirements, operational workflows, and technical specifications into clear implementation requirements, owners, due dates, acceptance criteria, and signoffs. * Lead claims-related implementation activities, including workflow design, configuration validation, test scenario development, end-to-end claims testing, defect triage, reconciliation, and production readiness. * Monitor timeline, scope, quality, budget, and resource needs; identify risks early and drive mitigation, escalation, and resolution with accountable owners. * Facilitate internal and client-facing meetings, document outcomes, and communicate concise status summaries, recommendations, decisions, and next steps to project teams and senior leadership. * Ensure implementation documentation is complete and audit-ready, including project plans, requirements, meeting materials, test evidence, approvals, lessons learned, and transition documentation. * Apply a continuous-improvement mindset to simplify processes, strengthen controls, and improve implementation quality and repeatability. * Mentor junior team members and contribute to implementation standards, templates, playbooks, and best practices.
REQUIRED QUALIFICATIONS: * 5+ years of implementation, project management, client delivery, or related experience in healthcare, including direct responsibility for health plan or payer implementations. * Demonstrated experience leading implementation work with health plans, including requirements, cross-functional readiness, client governance, testing, launch, and post-launch stabilization. * Claims experience is required, with working knowledge of healthcare claims workflows, configuration, testing, adjudication outcomes, exception handling, reconciliation, and issue resolution. * Experience managing multiple work-streams, dependencies, risks, and executive-level communications in a client-facing environment. * Ability to understand complex healthcare, operational, and technical concepts and translate them into clear business language and executable plans. * Strong facilitation, organization, documentation, analytical problem-solving, and written and verbal communication skills. * Proficiency with standard project management and productivity tools; ability to quickly learn company systems and processes. * Ability to exercise sound judgment, manage competing priorities, and drive accountability without direct authority.
PREFERRED QUALIFICATIONS: * Experience with Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including related benefits, provider or supplier workflows, claims, and operational considerations. * Experience implementing network management, utilization management, provider network, or delegated services programs. * Project management certification or formal project management methodology experience. * Experience working in a highly regulated healthcare environment and handling confidential or sensitive information.
EDUCATION AND ADDITIONAL REQUIREMENTS: * Bachelor's degree preferred, or equivalent combination of education and relevant experience. * Willingness and ability to travel up to 35%, based on business and client needs.
SUCCESS IN THE ROLE:
First 6 months * Develop a strong understanding of the role, departmental policies, implementation tools, and assigned client programs. * Establish effective working relationships with client and internal stakeholders and independently manage core implementation routines. * Set measurable professional development and delivery goals.
By 12 months * Consistently lead complex health plan implementations with clear ownership, disciplined governance, and executive-ready communication. * Demonstrate strong command of claims implementation dependencies and drive issues through resolution and stabilization. * Contribute knowledge, templates, lessons learned, and process improvements that strengthen the implementation function.
Salary: $100,000.00/annually