Implementation Director

Overview

The Implementation Director will guide the delivery of services and technology to one or more clients by planning, supporting and / or managing implementation activities from pre-sales support through production verification.

Project Management - Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan:

• Identify and initiate joint company and client teams to complete pre-sales and/ or implementation opportunity analysis, establish medical policy, integrate applications, establishing invoicing, test configuration and interface, train end users and to communicate to internal and external audiences.
• Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings.
• Establish project plan based on scope of services.
• Ensure company and client buy-in to project plan and milestones.
• Ensure work of each company and client committees progress as scheduled against the plan
• Coordinate, facilitate and document client-facing meetings for medical policy, technology, communication training, Finance and testing committees.
• Ensure follow-through against commitments made by company and client resources.
• Identify, track and ensure closure of all implementations related issues across all aspects of delivery.
• Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis.
• Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality.
• Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix.

• Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period such as: executive leadership, medical policy, claims operations and grievance / appeals, provider relations, corporate communications, information technology, and Finance/actuarial.
• Serve as key day-to-day client contact to present a consistent primary point of contact with company.
• Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services AVP for pursuit.
• Leverage ISAVP to solidify relationships with client executives not involved with the implementation daily.

• Ensure client operational cycles are understood and supported by company.
• Integrate and effectively transition to Client Service Manager to provide a seamless transfer for on-going business support.
• Integrate and effectively transition to Network Operations to ensure seamless transfer for on-going technology support.

• Undertake process and departmental improvement projects identified individually, as a team or as assigned by the Implementation Services AVP.
• Coordinate process improvement initiatives with other team members and organizational components.
• Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
• Complete all responsibilities as outlined in the annual performance review and/or goal setting.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

• Bachelor’s Degree.
• PMP Certification preferred.
• Health Claims system knowledge on any of the following:
  Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare.
• 5+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery.
• Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project).
• Professional with ability to properly handle confidential information.
• Ability to work well independently and in a team environment.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Ability to work within a matrix organization.

• Communicating with others to exchange information.
• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Making timely decisions in the context of a workflow.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Learning new tasks and completing tasks in situations that have a speed or productivity quota.
• Remembering and…