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Jobs or company...

Product Implementation Specialist

Salary undisclosed

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Dice
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Role: Product Implementation Specialist

Location: New York New York 10004

Duration: Full-time Permanent Role

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 implementation processes as quickly as possible.

Job Description

  • Manage the full project cycle of implementations from beginning to end.
  • Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
  • Use data and insights 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, Business Operations, 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 5 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, system transformation and operational aspects of health care
  • Experience or in-depth knowledge of HealthRules Payor system is a plus.
  • Skills in Microsoft Excel, PowerPoint, and Word are required

Licensure and/or Certification Required

  • Medical Coding Certification preferred

Thanks & Regards,

Azam Mohammed

Contact: 551.. 264.. 7249

Email: Aazam (at) pullskill (dot) com

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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