NYC Health + Hospitals
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Product Implementation Specialist
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NYC Health + Hospitals 2 days ago Be among the first 25 applicants Join to apply for the
Product Implementation Specialist
role at
NYC Health + Hospitals NYC Health + Hospitals provided pay range
This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$75,000.00/yr - $85,000.00/yr Marketing Statement
MetroPlus Health
provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health
has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible.
Job Description
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.
Minimum Qualifications
Bachelors 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
Licensure And/or Certification Required
Medical Coding Certification preferred
Professional Competencies
Integrity and Trust Customer Focus Excellent verbal, written, mathematical, and interpersonal skills Able to work collaboratively and efficiently with multidisciplinary teams Highly detail-oriented Strong presentation skills
#MPH50
Department Preferences
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Information Technology Industries
Hospitals and Health Care Referrals increase your chances of interviewing at NYC Health + Hospitals by 2x Sign in to set job alerts for Implementation Specialist roles.
New York, NY $55,000.00-$105,000.00 1 week ago New York, NY $85,000.00-$110,000.00 1 week ago Implementations and Customer Success Specialist
New York, NY $75,000.00-$105,000.00 2 months ago Implementation and Onboarding Specialist
New York, NY $100,000.00-$130,000.00 2 weeks ago New York, NY $90,000.00-$110,000.00 3 weeks ago Customer Education & Implementation Specialist (New York City)
New York City Metropolitan Area 4 weeks ago New York, NY $130,000.00-$188,820.00 2 weeks ago New York, NY $120,000.00-$130,000.00 3 weeks ago Client Service Implementation Specialist
New York, NY $85,000.00-$112,000.00 1 month ago New York, NY $100,000.00-$130,000.00 3 weeks ago New York, NY $135,000.00-$160,000.00 4 months ago New York, NY $120,000.00-$160,000.00 8 months ago Jersey City, NJ $120,000.00-$150,000.00 2 days ago New York, NY $120,000.00-$165,000.00 5 months ago New York, NY $115,000.00-$130,000.00 2 months ago New York, NY $130,000.00-$190,000.00 2 weeks ago New York, NY $120,000.00-$150,000.00 3 months ago Edison, NJ $64,000.00-$80,000.00 3 weeks ago New York, NY $91,800.00-$171,000.00 1 week ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Product Implementation Specialist
role at
NYC Health + Hospitals 2 days ago Be among the first 25 applicants Join to apply for the
Product Implementation Specialist
role at
NYC Health + Hospitals NYC Health + Hospitals provided pay range
This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$75,000.00/yr - $85,000.00/yr Marketing Statement
MetroPlus Health
provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health
has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Product Implementation Specialist will use their benefit and Product knowledge to prepare, monitor, and customize benefit changes or payment reimbursement requirements per regulatory guidance. They ensure a smooth benefit implementation based on the request from start through completion. To ensure this happens, they talk with internal business owners, collect data, customize required configuration forms, define objectives, and maintain corporate tracker. The Product Implementation Specialist will act as the point of contact for the company and initiate implementation processes as quickly as possible.
Job Description
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.
Minimum Qualifications
Bachelors 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
Licensure And/or Certification Required
Medical Coding Certification preferred
Professional Competencies
Integrity and Trust Customer Focus Excellent verbal, written, mathematical, and interpersonal skills Able to work collaboratively and efficiently with multidisciplinary teams Highly detail-oriented Strong presentation skills
#MPH50
Department Preferences
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Information Technology Industries
Hospitals and Health Care Referrals increase your chances of interviewing at NYC Health + Hospitals by 2x Sign in to set job alerts for Implementation Specialist roles.
New York, NY $55,000.00-$105,000.00 1 week ago New York, NY $85,000.00-$110,000.00 1 week ago Implementations and Customer Success Specialist
New York, NY $75,000.00-$105,000.00 2 months ago Implementation and Onboarding Specialist
New York, NY $100,000.00-$130,000.00 2 weeks ago New York, NY $90,000.00-$110,000.00 3 weeks ago Customer Education & Implementation Specialist (New York City)
New York City Metropolitan Area 4 weeks ago New York, NY $130,000.00-$188,820.00 2 weeks ago New York, NY $120,000.00-$130,000.00 3 weeks ago Client Service Implementation Specialist
New York, NY $85,000.00-$112,000.00 1 month ago New York, NY $100,000.00-$130,000.00 3 weeks ago New York, NY $135,000.00-$160,000.00 4 months ago New York, NY $120,000.00-$160,000.00 8 months ago Jersey City, NJ $120,000.00-$150,000.00 2 days ago New York, NY $120,000.00-$165,000.00 5 months ago New York, NY $115,000.00-$130,000.00 2 months ago New York, NY $130,000.00-$190,000.00 2 weeks ago New York, NY $120,000.00-$150,000.00 3 months ago Edison, NJ $64,000.00-$80,000.00 3 weeks ago New York, NY $91,800.00-$171,000.00 1 week ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr