The OccuNet Company
FairosRx Director, Client Implementations (On-Site or Remote)
Amarillo, Texas · Director · Full-time
Sponsorship not specifiedDetected 30 days ago
Project ManagementAccount ManagementCustomer SupportCommunicationProblem SolvingOrganizational SkillsMicrosoft OfficeClaims Management
About the role
- What it's Like to Work Here: At OccuNet, you matter like we matter!
Responsibilities
- Lead end-to-end implementation activities for new client implementations, TPA integrations, client migrations, and program implementations. Effectively transitions the client relationship post-implementation to Account Management.
- Develop and maintain detailed implementation plans, timelines, milestones, and deliverables.
- Anticipate project risks and dependencies, developing mitigation strategies to minimize disruptions, and drive accountability among project participants to ensure timely completion of tasks and deliverables.
- Evaluate the impact of client-requested exceptions and develop reasonable alternatives to satisfy client's needs while minimizing impact on the organization's systems and operations.
- Participate in the development and introduction of new products, identify the potential impact to workflows and the overall implementation process; May be responsible for defining, developing and implementing new or redesigned process workflows in support of new products.
- We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us.
Requirements
- Required Skills and Abilities:
Nice to have
- At OccuNet, you matter like we matter!
- Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations.
- Don't miss out on this rare opening with us!
Skills
- Bachelor's degree or equivalent experience.
- 3 years+ of PBM implementation, pharmacy benefit project management, or related healthcare implementation experience.
- Project management certification (PMP, CAPM, PMI or similar) preferred.
- Experience working with TPAs, health plans, self-funded employers, or healthcare technology vendors.
- Strong understanding of PBM operations, pharmacy benefits, claims processing, eligibility management, and implementation workflows.
- Knowledge of Electronic Data Interchange (EDI), eligibility file structures, claims testing, and system integration processes.
- Experience interacting with various levels of organizations to effectively influence others and achieve optimal results.
- Expertise working within the Tredium claims adjudication system is strongly preferred.
- Highly organized and able to quickly prioritize multiple assignments with high quality results.
- Exceptional analytical and problem-solving capabilities.
- Attention to detail and accuracy while focusing on overall project deliverables.
- Exercises creativity and innovation in achieving project results.
Benefits
- Dental insurance
- Health insurance
- Vision insurance
- Health savings account
- The OccuNet Company is an innovative company striving to reduce the cost of healthcare.
- We are a passionate group of people that care about affordable access to healthcare without sacrificing experience.
- We strive to make healthcare more intelligent, streamlined, and cost-effective.
- We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach improving the health and well-being of those we serve.
- We pride ourselves on our tight knit culture based on the 'outward mindset' philosophy, emphasizing empathy, mutual respect, and seeing each other as "whole people." We have an ambitious vision and are growing quickly.
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