Responsible for the successful implementation of new business products and services onto Kroger Prescription Plans platform. Ensure consistent customer satisfaction during implementation by collaborating with client services, product development, sales, IT, Clinical Services, and Operations as well as external stakeholders including consultants, employers, and TPA representatives. Ensure implementation project deliverables are consistent with client contracts, appropriate service levels are achieved, project timelines and deliverables meet client requirements, issues are identified and resolved timely, and client satisfaction is achieved throughout the implementation process. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety. Minimum
- Bachelor's Degree
- Any experience in project management or process improvement role
- Any product, platform, or service implementation experience
- Strong familiarity with ERISA plan benefit design and management
- Proficient in Microsoft Office
- Demonstrated excellence in listening, speaking, and writing skills, with proven ability to communicate clearly and effectively at all levels of the organization
- Strong knowledge of benefit adjudication systems, file and data management practices
Desired
5+ years product, platform, or service implementation experience in an employee benefits, PBM environment or managed healthcare services organizations, insurance companies, and other health related entitiesAny data / business / process analyst experience2+ years of healthcare-related experienceLean Six Sigma Certification, Certification in process improvement or project management, Certified Pharmacy Technician or other relevant healthcare certification- Develop and build client relationships by delivering a positive on-boarding experience, clear rules of engagement, orientation to KPP processes and services, communication of client commitments and expectations, and successful transitionAdhere to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical and service specificationsUtilize project management skills to track milestones and deliverables, timely recognition / notification of risk indicators and provide regular status updates to internal / external LeadersManage implementation process of documentation / sign-off of the IQ and related documents, communication of client commitments and expectations to internal partners, leading site visits and callsEducate clients on KPP systems and processes to ensure the client is fully oriented to KPPLeverage Salesforce to document all client contacts and deliverables, including appropriate & accurate documentation of client information, issues, projects, work requests, oversight of assigned cases, and adherence to due datesPartner with multiple business units and teams to ensure the accuracy of claims adjudication set ups and promptly responds to service failures, resolves issues, and escalates concerns as appropriateTravel a minimum of 35% of the time to support business needsPerform or assist with operations as required to maintain workflow and meet schedules and quality requirementsParticipate in meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policiesMust be able to perform the essential job functions of this position with or without reasonable accommodation