Product Implementation Specialist

Company: Innova Solutions
Location: Albany
Posted on: October 27, 2024

Job Description:

Innova Solutions is immediately hiring for a Benefits Product Implementation SpecialistPosition type: Fulltime Duration: PermanentLocation: New York, NYAs a Benefits Product Implementation Specialist you will:

• Lead the regulatory implementations for NY State-Sponsored Programs and CMS Medicare lines of business.
• Manage the full project cycle of implementations from beginning to end.
• Analyze complex Product benefit configuration and rate implementation projects and build a range of meaningful recommendations.
• Use data and insights to inform conclusions and support decision making.
• Proactively gather information to understand business owner needs.
• Effectively communicate with all business partners including Core Systems, Medical Management, Business Operations, Regulatory and Compliance ensuring appropriate and timely updates to any potentially impacted departments.
• Review and verify documentation for compliance and operational accuracy.
• Assist with CPT code verification for benefit implementations ensuring proper configuration.
• Special projects and other related duties as assigned.The ideal candidate will have:
  • Bachelor's Degree required.
  • Minimum 5 years of experience in health care, medical coding, product, regulatory, or other relevant field.
  • Medical coding experience preferred.
  • Project Management skills preferred.
  • Working knowledge of Product department, implementations, system transformation and operational aspects of health care
  • Experience or in-depth knowledge of HealthRules Payor system is a plus.
  • Skills in Microsoft Excel, PowerPoint, and Word are required Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.Thank you!Henry L Draper IIRecruiting Team Lead770-255-7916
    PAY RANGE AND BENEFITS:Pay Range*: 80k*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields. Recent Recognitions:
    • One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022)
    • ClearlyRated - Client Diamond Award Winner (2020)
    • One of the Largest Certified MBE Companies in the NMSDC Network (2022)
    • Advanced Tier Services partner with AWS and Gold with MS Website: Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. - 1324b.The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.American Cybersystems, Inc is acting as an Employment Agency in relation to this vacancy.

Keywords: Innova Solutions, Westfield , Product Implementation Specialist, Other , Albany, Massachusetts