Lead Implementation Manager – Medical Cost at Bright Health

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ABOUT THE ROLE

The Lead Implementation Manager – Medical Cost is a critical part of the Bright HealthCare Medical Cost Management team and is responsible for leading successful execution of high priority initiatives. The Manager will partner closely with the Medical Cost Consultants and key business area leaders to transform new ideas into executable opportunities across multiple markets, lines of business (Individual and Family Plans, Medicare Advantage, and Employer) and functional areas (Clinical, Network, Operations, Member and Provider Services, etc).
 
The successful candidate will be a self-starter and will have a proven track record of succeeding in fast-paced and complex health plan settings. You have a demonstrated ability to create comprehensive project plans to support timely and high quality execution. You excel at seeing both the “big picture” and also the detail necessary to ensure initiatives are being managed with high quality. You lead with accountability; are an excellent verbal and written communicator; operate with strong attention to detail. Your colleagues and clients recognize you for leading through influence, having empathy towards others, being highly collaborative and strongly exhibit the ability to drive towards measurable outcomes.

YOUR RESPONSIBILITIES

  • Partner with the Medical Cost Consultant Team to review new MCM programs and complete enterprise impact assessments
  • Create current state and future state process flows
  • Develop requirements with detailed project and resource plans
  • Drive execution of programs to ensure timelines are met and deliverables are signed off and complete
  • Perform ad hoc data analysis to answer operational questions and/or to execute operational processes
  • Manage and coordinate multiple projects across a matrixed environment including facilitation of meetings and follow up with key stakeholders
  • Resolve high priority risks and issues
  • Maintain program documents, reports, and supporting material
  • Provide program status to partner teams and leadership

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor’s degree (Required)
  • Seven (7) or more years of experience in a health care or related field required
  • Experience facilitating meetings and aligning resources to ensure projects and programs stay on-scope, on-schedule, and on-budget required
  • Strong documentation skills required
  • Experience in estimating, planning, and executing large scale, time sensitive initiatives in a matrixed environment required
  • Familiarity with analytics and reporting tools such as SQL, Tableau and/or PowerBI required
  • Advanced proficiency with Microsoft Excel, Power Point and Visio required
  • Experience with actuarial and healthcare financial concepts, clinical cost, medical loss, and utilization metrics required
  • Experience in and/or certification in a project management and/or performance improvement methodology (6 Sigma Black or Green Belt, Lean, PDSA, Scrum, etc.) is preferred

PROFESSIONAL COMPETENCIES

  • Previous health plan experience, preferably in one of more of the following areas: finance, analytics, medical cost management
  • Strong collaboration skills to work with internal teams to effectively identify and manage implementation of new solutions that achieve the targeted medical cost goals
  • Excellent written and verbal communication skills
  • Ability to perform multiple tasks and prioritize simultaneously
  • Ability to perform critical analysis of complex problems and propose appropriate solutions
  • Advanced time management, project management, and analytical skills
  • High attention to detail
  • Demonstrated flexibility, organization, and self-motivation
  • Adaptable to change

ABOUT US
 
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
 
We’re Making Healthcare Right. Together. 

We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!

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Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • .NETLanguages
    • C#Languages
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • ScalaLanguages
    • SqlLanguages
    • PowerShellLanguages
    • D3JSLibraries
    • ReactLibraries
    • ReduxLibraries
    • FlutterLibraries
    • ExpressFrameworks
    • Node.jsFrameworks
    • MongoDBDatabases
    • MySQLDatabases
    • PostgreSQLDatabases
    • InVisionDesign
    • SketchDesign
    • Lucid ChartDesign
    • Aha!Management
    • ConfluenceManagement
    • JIRAManagement
    • Microsoft ProjectManagement
    • Microsoft DynamicsCRM

Location

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.
Making Healthcare Better For All At Bright Health
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An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

My day is so varied, given how quickly we're growing, which is fulfilling for me. I have a good balance of strategic and tactical work in my day as well as time to focus and time to collaborate.

Jen

VP, Digital

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Software Engineer 3

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 3 different health insurance plans, all through Cigna (HDP, Premium HDP and PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We have a Lifestyle Spending Account and options for HSA/FSA. We put 3% of your total earnings into your 401K plan and you are immediately vested. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks.

Culture
Partners with Nonprofits
Friends outside of work
Eat lunch together
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Someone's primary function is managing the company’s diversity and inclusion initiatives
Mean gender pay gap below 10%
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Bright Health employees can contribute up to $3500 annually to their FSA.
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Bright Health is proud to offer a wellness stipend of $200/month to all employees!
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
We will put 3% of your total earnings into your 401K plan, even if you don't put anything in. It's a safe harbor contribution.
401(K) Matching
Bright Health provides employees with a 401(k) plan managed by Vanguard. We provide a ‘safe harbor’ non-elective contribution equal to 3% of your compensation, regardless of participation in the p
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. We also provide 2 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Bright Health provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Remote Work Program
Family Medical Leave
Company sponsored family events
Bright Health sponsors family oriented events Annually.
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Relocation Assistance
Fitness Subsidies
Bright Health employees are eligible for discounts on several gym memberships.
Home Office Stipend for Remote Employees
Professional Development Benefits
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Online course subscriptions available
Customized development tracks

Additional Perks + Benefits

Bright's primary goal is to offer employee benefits and perks that are as flexible as possible to meet each employee's unique needs!

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