Implementation Lead at HAYS in Atlanta, Georgia

Job Description:

The final salary or hourly wage, as applicable, paid to each candidate/applicant for this position is ultimately dependent on a variety of factors, including, but not limited to, the candidate's/applicant's qualifications, skills, and level of experience as well as the geographical location of the position.


Applicants must be legally authorized to work in the United States. Sponsorship not available.


Our client is seeking an Implementation Lead for a remote opportunity.


Skills & Requirements


• Strategic Program Delivery & Leadership:
o Lead large-scale implementations spanning multiple business areas (program level).
o Develop and execute comprehensive business and technology roadmaps aligned with client strategic objectives for major transformation initiatives.
o Proactively identify and mitigate risks and roadblocks, ensuring timely and on-budget project delivery.
o Manage multiple teams simultaneously.
o Provide thought leadership to clients to achieve their strategic goals.


• Executive Communication & Reporting:
o Provide clear, concise, and fact-based reporting to executive leadership.
o Deliver senior-level communication to stakeholders, ensuring alignment and transparency.
o Present clear and concise messaging to executives.


• Forecasting & Planning:
o Forecast costs, issues, resource needs, and roadblocks.


• Healthcare Solutions & Operations:
o Apply a strong understanding of healthcare claims processing, care management, and utilization management to drive effective solutions.
o Understand claims processing (non-technical).
o Understand health plan processes, including care management and utilization management.
o Facets experience is a plus.
o Leverage knowledge of healthcare data and data integration initiatives to enhance solution development.
o Understand data and data integration initiatives (non-technical).


• Strategic Technology Leadership:
o Identify and evaluate emerging technologies and trends in the healthcare industry, including healthcare interoperability, digital health, and advanced analytics.
o Lead the definition and implementation of new data and analytics products, focusing on health equity and social determinants of health.


• Healthcare Data Management and Analytics:
o Oversee the design, development, and implementation of data warehouses, data marts, and analytics platforms for claims, encounters, and clinical data.
o Lead the development of advanced analytics solutions for value-based reimbursement, total cost of care, and provider reporting.
o Ensure data integrity, security, and compliance with relevant regulations (e.g., HIPAA).


• Healthcare Technology Solutions and Interoperability:
o Drive the development and implementation of digital healthcare solutions and platforms.
o Lead initiatives related to health information exchange and interoperability, ensuring seamless data sharing and integration.
o Manage the definition and implementation of encounters management platforms and payment integrity programs.


• Product Strategy and Development:
o Lead product ideation efforts to define new data and analytics products.
o Develop and execute product strategies, including UX design, data modeling, and technology platform development.
o Oversee the transformation of PMB providers.


• Business Partnerships and Vendor Management:
o Develop and manage strategic partnerships with technology vendors, outsourcing providers, and other key stakeholders.
o Build and maintain strong relationships with clients and industry partners.


• Leadership and Team Management:
o Provide exceptional leadership and mentorship to the business and technology team, fostering a culture of collaboration, innovation, and achievement.
o Build and maintain strong relationships with executive leaders across the enterprise.


Qualifications:
• Bachelor's degree in computer science, Information Technology, or a related field.
• Minimum of 15+ years of experience in healthcare strategy leadership roles, with a proven track record of success.
• Extensive experience in healthcare payer data management, Pharmacy Benefit Manager (PMB) advanced analytics, digital healthcare, and interoperability.
• Strong understanding of healthcare payer business operations and regulatory requirements.
• Proven ability to develop and execute strategic business and technology plans and product strategies.
• Exceptional leadership, communication, and relationship-building skills.
• Strong team building and management skills.
• Proven ability to manage external partnerships and vendor relationships.


Benefits/Other Compensation


This position is a contract/temporary role where Hays offers you the opportunity to enroll in full medical benefits, dental benefits, vision benefits, 401K and Life Insurance ($20,000 benefit).


Why Hays?


You will be working with a professional recruiter who has intimate knowledge of the industry and market trends. Your Hays recruiter will lead you through a thorough screening process in order to understand your skills, experience, needs, and drivers. You will also get support on resume writing, interview tips, and career planning, so when there's a position you really want, you're fully prepared to get it.


Nervous about an upcoming interview? Unsure how to write a new resume?


Visit the Hays Career Advice section to learn top tips to help you stand out from the crowd when job hunting.


Hays is committed to building a thriving culture of diversity that embraces people with different backgrounds, perspectives, and experiences. We believe that the more inclusive we are, the better we serve our candidates, clients, and employees. We are an equal employment opportunity employer, and we comply with all applicable laws prohibiting discrimination based on race, color, creed, sex (including pregnancy, sexual orientation, or gender identity), age, national origin or ancestry, physical or mental disability, veteran status, marital status, genetic information, HIV-positive status, as well as any other characteristic protected by federal, state, or local law. One of Hays' guiding principles is 'do the right thing'.
We also believe that actions speak louder than words.
In that regard, we train our staff on ensuring inclusivity throughout the entire recruitment process and counsel our clients on these principles. If you have any questions about Hays or any of our processes, please contact us.


In accordance with applicable federal, state, and local law protecting qualified individuals with known disabilities, Hays will attempt to reasonably accommodate those individuals unless doing so would create an undue hardship on the company. Any qualified applicant or consultant with a disability who requires an accommodation in order to perform the essential functions of the job should call or text 813.336.5570.


Drug testing may be required; please contact a recruiter for more information.


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#1170180 - Michal Mercier