Senior Manager, Payer Implementation

Chamber

. Own day-to-day payer implementation delivery from late-stage contract conversations through go-live .

Posted 11/3/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading payer implementation projects, managing cross-functional teams, and navigating complex compliance and data exchange requirements. Proven ability to develop project plans, facilitate stakeholder alignment, and drive successful go-live outcomes in a dynamic environment.

Highest-signal resume keywords

Payer Implementation LeadershipCross-Functional Team ManagementProject Planning and CoordinationStrong Written CommunicationValue-Based Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer ImplementationProject ManagementData Exchange RequirementsCompliance ManagementClinical Design SessionsEnrollment TrackingRisk AssessmentDecision Log ManagementVendor OnboardingImplementation Playbook Development

Soft Skills

Influential LeadershipProblem-SolvingAdaptabilityCollaborationEffective Communication

Industry Keywords

Health PlansMedicare AdvantageVendor OversightDelegation RequirementsMarketing Approvals

About the role

Key responsibilities & impact

Own day-to-day payer implementation delivery from late-stage contract conversations through go-live
Build and maintain project plans, coordinate supporting workstreams, and drive open items to resolution
Assess implementations already underway, identify unresolved issues, and drive decisions needed to move forward
Establish and lead payer implementation workstreams
Own data exchange requirements, file layouts, test files, acceptance criteria, and pre-go-live validation
Track enrollment, eligibility, in-program, and exclusion rules and ensure written definitions are aligned
Run clinical design sessions, pre-reads, follow-ups, and decision logs
Coordinate outreach and marketing approvals, consent and opt-out handling, and outreach timing
Coordinate BAAs, data use agreements, and other payer contracts with Legal
Coordinate payer vendor onboarding and compliance activities, including security questionnaires, delegation assessments, training attestations, exclusion screening, and oversight audits
Run launch readiness reviews and go/no-go decisions, lead post-launch stabilization, and deliver handoff to account management
Serve as Chamber’s implementation point of contact with payer partners, guiding meetings and ensuring follow-through
Surface risks and decisions, escalate blockers, and protect launch timelines
Prepare project plans, presentation decks, meeting notes, decision logs, progress reports, and implementation updates
Partner with Clinical, Operations, Finance, Provider Operations, Legal, and other cross-functional teams
Own and expand Chamber’s payer implementation playbook and toolkit
Run lessons-learned reviews after launches and incorporate improvements into the playbook

Requirements

What you’ll need

5+ years of experience leading payer implementations, as a vendor to health plans or inside a plan onboarding vendors, including getting data, compliance, legal, marketing, and clinical teams at the payer aligned and moving on the same timeline
Experience building and leading a payer implementation plan when scope and requirements were not fully defined
Comfort with ambiguity and operating where standard structure and processes might not exist yet
Experience managing several workstreams at once, including data, outreach, and clinical operations
Strong written communication and documentation skills, including creating clear, accurate payer-facing presentations, meeting summaries, and implementation materials
Experience managing cross-functional partnerships through influence rather than direct authority
Candidates must be authorized to work in the United States without sponsorship
Value-based care experience, health plan vendor oversight or delegation requirements, ideally for Medicare Advantage, is a plus

Benefits

Comp & perks

Remote opportunity, based in the United States
Occasional travel to client sites