Program Implementation Lead

TEKsystems
$37.00 - $43.27 / hr
life insurance, sick time, 401(k), retirement plan
United States, Michigan, Lansing
Mar 11, 2025
Description: Monday - Friday 8am-4:30 with flexible availability based on customer needs (40 hours weekly) Hybrid role: 3 days in office- 2 days remote from home Minimum Qualifications/Primary Job Responsibilities: Bachelors Degree plus 7 Year OR Associates Degree plus 9 years of experience Position requires a bachelor's degree in business administration, healthcare administration, or a related field and seven years of experience in operational administration, servicing group health contracts, or project management. Previous experience servicing Medicaid, Medicare Advantage, or dual programs is preferred. Will accept any suitable combination of education, training, or experience. Leads internal and external implementations and projects associated with government program business. Serves as a liaison and subject matter expert between compliance, business, and information technology feature teams to implement system changes related to government program compliance and business needs. 1. Partners with key business, information technology, and compliance stakeholders to identify and implement system and process changes related to government program requirements. 2. Participates in activities related to bids, proposals, and opportunities for government program business. 3. Plans projects, implementations, quality control, and workflows within the government programs services team. 4. Partners with other departments regarding workflow, processes, and trends for all areas of government programs to ensure regulatory compliance. 5. Evaluates, recommends, and oversees the implementation of new Medicare Advantage, Medicaid, and Dual program clients on behalf of Delta Dental of Michigan, including third party administrator business, as well as relevant changes to existing clients. 6. Oversees and tracks the use and delivery of government program data and reporting, including eligibility, encounter data, and client reports to maintain internal and external government program compliance oversight requirements Skills Project management, Portfolio management, Decision-making, liaison, healthcare industry, Operational administration, Medicaid programs, Medicare Advantage Additional Skills & Qualifications Position requires knowledge of the health insurance industry; advanced knowledge of word processing and spreadsheet applications; strong verbal and written communication skills; strong analytical skills; strong interpersonal skills; the ability to work independently and as part of a team; the ability to manage multiple projects with competing deadlines; and the ability to solve complex problems using independent judgment. Experience Level Intermediate Level Pay and Benefits The pay range for this position is $37.00 - $43.27/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Lansing,MI. Application Deadline This position is anticipated to close on Mar 14, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.