The Implementation Manager will have ownership and accountability for assigned employers, strategic partnerships, and/or health plan/pharmacy benefit implementations. They will serve as the primary point of contact and project manager during the implementation and will be responsible for internal coordination with sales, account management, data operations, member engagement, product development, and executive management.
Successful Senior Implementation Managers ensure an exceptional initial experience for clients and partners during the onboarding process, particularly for strategic/complex clients. Ensures project deliverables are consistent with client service agreements. Ensures appropriate service levels are achieved, project timelines and deliverables meet client requirements, while resolving issues in timely to achieve client satisfaction. Builds client relationships by delivering a positive on-boarding experience, including clear rules of engagement, orientation to PBM processes & services, communication of client commitments & expectations to internal partners, and successful transition from implementation to maintenance of business. Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical & service specifications. Relies on experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goals. Senior Implementation Managers should be active leaders in the organization, promote best practices, and actively contribute to the betterment of the team and organization. A wide degree of creativity and latitude is expected. Minimal to independent supervision.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities. With a workforce of 1,000+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Our Company
Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with more than 1200 employees working from 42 states
Position Location
This is a remote-based position within the Continental US.
Responsibilities
Subject Matter Expertise:
Responsible for implementing MaxorPlus best practices across various clients, including direct-to-employer, health plans, and partners.
Project Management:
Develop, maintain, and manage the implementation project plan.
Proactively manage issues, risks, and deliverables.
Prioritize tasks to ensure timely and high-quality outcomes.
Focus on claims adjudication accuracy.
Leadership and Automation:
Act as a leader within the implementation team.
Continuously seek ways to automate and improve the implementation process.
Cross-Functional Collaboration:
Partner with cross-functional teams for successful implementation stages.
Stages include discovery, solution configuration, testing, documentation, training, and product launch.
Effective Communication:
Ensure well-documented and timely communication of requirements.
Facilitate successful completion of tasks by internal resources.
Customer Retention:
Provide accurate and thorough responses to customer inquiries.
Leverage knowledge of MaxorPlus solutions and internal resources.
External Partnerships:
Coordinate requirements with external partners (health plans, TPAs, brokers, consultants, and strategic partners).
Status Updates and Metrics:
Provide status updates and reporting metrics to the management team as needed.
Complex Issue Resolution:
Manage and resolve complex issues in a dynamic environment.
Client Education:
Effectively educate clients on PBM systems and processes to ensure full orientation.
Claims Adjudication Accuracy:
Partner with business units and teams to ensure accurate claims adjudication setups.
Analyze claims results, identify discrepancies, and resolve configuration issues.
Operational Goals and Support:
Maintain commitment to operational goals.
Actively support core client team members.
Collaborate with internal and external customers to meet expectations.
Continuous Improvement:
Promote adherence to quality principles.
Participate in business initiatives for service excellence.
Compliance and Training:
Comply with ethical and compliance policies.
Remain free from exclusion under Medicare/Medicaid lists.
Qualifications
Education:
BA/BS Degree or equivalent combination of work experience & education
Experience:
5+ years of experience in the PBM, health care, or pharmacy industry
5+ years of new client implementation or large healthcare project management experience
5+ years of experience in a client-facing, consultative role including, scheduling and presenting on video calls
Knowledge, Skills and Abilities:
Exceptional Communication, Presentation, and Negotiation Skills:
Able to effectively communicate with customers and clients at various levels.
Skilled in delivering persuasive presentations and negotiating successful outcomes.
Proven Experience in Implementing Pharmacy Benefits:
Successfully led multiple client implementations related to pharmacy benefits.
Familiar with health systems and large client environments.
Influencing Skills:
Demonstrated ability to influence both internal and external stakeholders.
Drives desired outcomes and finds winning solutions.
Effective Collaboration Across Teams:
Proficient in navigating and achieving results across multiple teams.
Analytical and Project Management Skills:
Strong analytical abilities.
Experienced in project management.
Proficient in Microsoft Office and other Windows-based applications.
Adaptability Under Time Constraints:
Able to work effectively under tight timeframes.
Problem-Solving Aptitude:
Capable of solving complex problems.
Positive Attitude and Innovation:
Self-starter with a positive mindset and innovative approach.
Excellent Organizational and Communication Skills:
Strong written and verbal communication abilities.
WHY MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients’ lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care .
WE OFFER : A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
Comprehensive mental health and wellbeing resources
Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
Company paid basic life/AD&D, Short-term and Long-term disability insurance
Rx, dental, vision, short-term disability, and FSA