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 QUALIFICATION: - 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: 105,000.00/Annually
Benefits Offered
- Competitive compensation and annual bonus program
- 401(k) retirement program with company match
- Company-paid life insurance
- Company-paid short term disability coverage (location restrictions may apply)
- Medical, Vision, and Dental benefits
- Paid Time Off (PTO)
- Paid Parental Leave
- Sick Time
- Paid company holidays and floating holidays
- Quarterly company-sponsored events
- Health and wellness programs
- Career development opportunities
Remote Opportunities
We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.
Our Story
Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits.
With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.
