Responsible for leading healthcare client implementations and managing ongoing program enhancements, ensuring client satisfaction and project success.
Porter is growing and hiring for an Implementation Specialist - Project Manager!
The Implementation Specialist – Project Manager is responsible for leading the end-to-end implementation of new payer clients and managing ongoing program enhancements for existing accounts. This role is essential to ensuring a smooth onboarding experience and long-term client satisfaction across government-sponsored health insurance programs—including Medicare Advantage, Medicaid, Risk Adjustment, and STARS/Quality initiatives. The ideal candidate brings deep healthcare domain expertise, strong technical acumen, and excels at cross-functional coordination in a fast-paced environment.
Key Responsibilities
Implementation Planning & Execution
· Develop and manage detailed project plans for new client implementations and expansions.
· Align deliverables with contractual requirements, internal capabilities, and client expectations.
· Proactively manage project timelines, risks, and dependencies to ensure on-time, high-quality delivery.
Cross-Functional Coordination
· Serve as the primary point of contact for all implementation activities, bridging internal teams (e.g., data, engineering, clinical ops) and external payer clients.
· Lead project meetings, document outcomes, and ensure timely execution of action items.
· Ensure stakeholders are aligned and well-informed throughout each phase of the project.
Client Support & Program Maintenance
· Respond to client requests for updates related to workflows, data files, and program configurations.
· Coordinate operational changes for Line of Business (LOB) expansions, benefit year transitions, or program logic updates.
· Ensure minimal disruption to ongoing programs during upgrades or changes in scope.
Data Management & System Readiness
· Oversee the intake, validation, and deployment of client data files related to eligibility, claims, encounters, and supplemental data.
· Work closely with technical and analytics teams to ensure file formats, schema changes, and ingestion processes meet requirements.
· Validate system readiness prior to go-live to ensure successful launch and long-term scalability.
Change Management
· Manage and document all change requests across assigned clients.
· Ensure modifications to system workflows, data logic, or configuration are communicated, approved, and properly implemented.
· Support ongoing improvements by applying lessons learned from previous implementations.
Required Qualifications
· 10+ years of experience in project management, implementation, or customer success roles within healthcare or health technology.
· Strong understanding of government-sponsored health plans (e.g., Medicare Advantage, Medicaid) with specific experience in Risk Adjustment and STARS/Quality programs.
· Exceptional organizational and communication skills with a track record of managing multiple priorities and timelines.
· Technically proficient; able to work closely with engineering and data teams on file exchanges, ingestion workflows, and validation processes.
· Proficient in project management tools such as Smartsheet, JIRA, or similar platforms.
Preferred Qualifications
· PMP certification or other formal project management training.
· Experience working with payer organizations on implementations involving eligibility, claims, encounter, or quality data.
· Familiarity with healthcare data standards and regulatory programs (e.g., CMS guidelines, NCQA, HEDIS, 837/834 file formats).
Benefits of Working with Porter:
· Remote work environment
· Medical, dental and vision benefits within 30 days of hire
· Paid vacation and holidays
· A fun team and special culture
Top Skills
Healthcare Data Standards
JIRA
Smartsheet
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