Implementation Specialist

Implementation SpecialistChange Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities. Overview of Position After a client (Payer, TPA or insurance company) has signed a contract with Change Healthcare, this individual will guide the client through a 1-6 month implementation schedule to begin processing the clients live data through our system. Larger revenue projects will include the assignment of a certified project manager. Smaller projects will require the implementation specialist to perform multiple responsibilities focused around three key skills, project management, client communications and business analysis.What will be my duties and responsibilities in this job?Manage the implementation of new clients or existing clients adding new business or modifying current businessInitial contact with client to kick off the implementation process; this includes discussing products to be implemented per their signed contract and setting expectations with the client to complete the implementation as a teamCollect and analyze clients data and requirementsComplete mapping and scope document for use by the development (AFF) team where applicable. Open, read and understand data filesDevelop statement of work in collaboration with internal IT and the client when required by client/project.Develop and manage internal and external project plans with aggressive timelinesInteract with IT to develop code for interpreting client dataSet up new client in Change Healthcares Client Access System, customizing business settings to meet the clients business requirements.Design forms using both Quadient and proprietary software. Work with client to determine what testing and test cases need to be covered during the testing and QA phase of the implementationTest clients data applying form and group settings to accomplish clients desired output, such as checks, explanations of benefits, member letters, etc.Manage all communication with the client including conducting meetings and conference callsConsult with managerial and IT business analyst personnel to create user stories where new system solutions are needed to accommodate clients specific requirements.Generate process documentation for each implementation to be used for the turnover of the client to the Client Services department and for future business growthEnsure successful processing of clients live data prior to concluding implementation and turning the client over to the Client Services department.Understand medical claims, insurance related documents, print and electronic processing solutionsUnderstand Payer Services technical systems and software.Understand Payer Services products including EOBs, checks, ID cards, invoices, letters, eEOBs, web portals, data WebAPI, commission statements, capitation statements, member booklets, SPDs, Medicare part D, Medicare documents, CFA, UBs, ADA forms, EFT, 835s and virtual credit cardsPeriodically visit client locationsAdhere to security policies and proceduresCarry out responsibilities with highly ethical behavior, especially as it relates to HIPAA regulationsWhat are the requirements needed for this position?College degree required or 5 years of Healthcare implementation experienceProficient in Microsoft Office Access to high-speed internet for remote locations What other skills/experience would be helpful to have?Working knowledge in software databases such as Oracle, SQL Server, FoxPro and basic programming and query knowledge preferredQuadient software experience highly preferredData normalizationKnowledge of data file types such as XML, delimited, fixed data, PDF, print files and vendor files preferredStrong technical problem-solving skillsTechnical agility to adapt to new computer applications quicklyCustomer Service SkillsAble to communicate with various organizational levels and departmentsAble to work on multiple projects/priorities in a deadline-driven environmentExcellent communication and interpersonal skillsKnowledge of 028 file creation, form design and basic system knowledge preferredKnowledge of the proprietary Client Access System and Multi-Channel Distribution System preferredCollege Degree preferred or equivalent work experienceMedical Billing Experience preferredHealthcare and Insurance Industry Experience preferredWhat are the working conditions and physical requirements of this job? General office demands How much should I expect to travel?None to minimal travelEmployees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement. li-remoteDiversity and Inclusion: At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at /diversity Feeling Inspired? Ready to MakeAChange? Apply today! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when j ob-related and consistent with business necessity , we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [Click Here to Email Your Resumé] with ''Applicant requesting reasonable accommodation'' as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (. Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Created: 2025-11-15