Implementation Manager
$100k/yr+ Annual bonus + 401(k) match
Senior
Bachelor's
Remote in USA
RemoteRemote work is limited to the listed states; travel up to 35% may be required.
Project & Program ManagementProject Management
About the job
Requirements
- At least 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 health plan implementation work involving requirements, cross-functional readiness, client governance, testing, launch, and post-launch stabilization.
- Claims experience, with working knowledge of healthcare claims workflows, configuration, testing, adjudication outcomes, exception handling, reconciliation, and issue resolution.
- Experience managing multiple workstreams, dependencies, and risks, and communicating with executives in a client-facing environment.
- Ability to understand complex healthcare, operational, and technical concepts and translate them into clear business language and executable plans.
- Facilitation, organization, documentation, analytical problem-solving, and written and verbal communication skills.
- Proficiency with standard project management and productivity tools, and ability to quickly learn company systems and processes.
- Ability to exercise sound judgment, manage competing priorities, and drive accountability without direct authority.
- Bachelor's degree or equivalent combination of education and relevant experience is preferred.
- Willingness and ability to travel up to 35%, based on business and client needs.
Responsibilities
- Lead 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 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 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 continuous improvement 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.
- Develop an understanding of the role, departmental policies, implementation tools, and assigned client programs during the first six months.
- 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 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.
Desired Qualifications
- Experience with Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, 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.
About the company
Integra Partners connects durable medical equipment, prosthetics, orthotics, and supplies providers with health plans to improve access to care. It acts as an intermediary using a network and platform that allows providers, insurers, and members to interact more efficiently, enabling smarter access to DMEPOS services. Revenue comes from service fees charged to providers and health plans for using Integra's network and platform. The company emphasizes compliance with healthcare privacy and security regulations to protect PHI. Unlike general healthcare intermediaries, Integra Partners focuses on the DMEPOS sector and on delivering local quality care through a compliant network, aiming to streamline interactions and improve care delivery.
Company Size
201-500
Company Stage
N/A
Total Funding
N/A
Headquarters
New York City, New York
Founded
2005
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Simplify's Take
What believers are saying
- Healthfirst expanded Integra's prior-authorization role across all plans starting June 1, 2026.
- Independent Health hired Integra for DME network administration across Commercial, Medicare, State Programs.
- HelixVM partnership launched December 2025, creating faster documentation capture for DMEPOS providers.
What critics are saying
- Healthfirst shifted all DMEPOS prior authorizations to Integra on June 1, 2026, creating contract dependence.
- Independent Health noted some DMEPOS suppliers will not join Integra's network on April 1, 2026.
- Any payer insourcing or vendor switch in 2027 would erase Integra's utilization-management revenue.
What makes Integra Partners unique
- Integra Partners controls DMEPOS network management across 60 payer lines, per January 2026.
- Its portal turns prior authorizations into a centralized workflow for plans and suppliers.
- HelixVM integration links telehealth documentation directly to DMEPOS orders, accelerating reimbursement.
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Benefits
- Health Insurance
- Vision Insurance
- Dental Insurance
- Life Insurance
- Disability Insurance
- Remote Work Options
- Paid Time Off
- Paid Parental Leave
- Sick Time
- Paid Holidays
- 401(k) Retirement Plan
- 401(k) Company Match