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Implementation Specialist - Project Manager

Company:
Porter Cares
Location:
Columbia, SC, 29223
Posted:
July 15, 2025
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Description:

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).

Full-Time 40+ hrs per week

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

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