Manager, Expansion Implementations

Ophelia

. Lead payor and partner implementations from kickoff through go-live with internal and external stakeholders .

Posted 11/4/2026full-timeRemote • United StatesMid-LevelSenior💰 $120,000 - $130,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in project management and implementation, particularly in managed care contracts and provider relationships. Capable of leading complex implementations, managing stakeholder communications, and resolving revenue cycle issues effectively.

Highest-signal resume keywords

Project ManagementManaged Care ContractsProvider CredentialingRevenue Cycle ManagementClaims Submission

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Implementation PlanningProject TrackingSMART Goals SettingRisk ManagementStakeholder Engagement

Soft Skills

Clear CommunicationInfluencing Without AuthorityProblem-SolvingCollaborationQuick Learning

Industry Keywords

MedicaidClaims ProcessingRevenue Cycle IssuesClient RelationshipsImplementation Metrics

About the role

Key responsibilities & impact

Lead payor and partner implementations from kickoff through go-live with internal and external stakeholders
Determine implementation needs based on contracts and client types, including stakeholders, questions, and implementation plans
Maintain accurate project plans, trackers, minute logs, dependencies, and status updates
Own implementation open questions and action items, collaborating with colleagues and external parties to resolve them
Present updates and raise risks and decisions to the leadership team
Set process metrics and SMART goals; coordinate with external partners on timelines, targets, and operations
Quarterback resolution of revenue cycle issues, including claims processing and credentialing, during implementation

Requirements

What you’ll need

4-6 years of experience in project management or implementation roles, with growing responsibility over time
Deep knowledge of managed care contracts and / or provider relationships, ideally related to Medicaid
Understanding of provider credentialing, revenue cycle management, and / or claims submission
Experience spearheading new and ambitious implementations without existing playbooks
Track record of running projects on time, on budget, and within scope
Ability to spot blockers early and raise them before they slow the project down
Ability to influence internal and external parties without direct authority through trust, candid communication, and consistent follow-through
Clear written and verbal communication, adjusted to the audience
Quick learner and ability to implement a variety of client relationships
Experience helping launch a new type of program or partnership

Benefits

Comp & perks

Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
10 company holidays
Work From Home Stipend
401k Contribution Platform
Life insurance
Short and long term disability
Financial wellness
Virtual primary care