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Manager, Health Plan Integrations

Remote

Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierge approach and a premium-quality radiology network of over 4,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.

We are seeking a detail-oriented, proactive, and highly organized Implementation & Health Plan Integration Manager to support the successful onboarding and integration of new customers and ecosystem partners, including health plans, third-party administrators (TPAs), and utilization management vendors.

This role is critical to ensuring a seamless go-live experience for customers by navigating complex health plan relationships, managing data and operational workflows, and coordinating with both internal and external stakeholders. You will serve as a subject matter expert on health plan requirements and integration best practices to the Implementation Manager and lead.

What you'll do:

  • Support the Customer Success Manager in onboarding efforts across multiple implementation workstreams (benefit setup, data integration, reporting, billing, etc.)
  • Manage project plans, timelines, and milestones to ensure timely and accurate delivery
  • Participate in kickoff meetings and act as a liaison between internal teams and customer stakeholders
  • Serve as the primary point of contact and subject matter expert for health plan operational setup, including claims workflows, eligibility/PA file exchange, accumulator data, and claims billing 
  • Coordinate with third-party partners such as UM vendors, TPAs, and PBMs to establish technical and operational connectivity
  • Translate payer-specific requirements into actionable implementation steps for internal teams
  • Obtain and clarify documentation needed to integrate with complex payer systems
  • Work closely with Sales, Product, Engineering, and Customer Success to ensure alignment throughout the customer journey
  • Support internal teams by documenting and communicating evolving payer workflows and best practices
  • Monitor and report on project progress and outcomes to stakeholders
  • Contribute to continuous improvement of implementation processes and tools

About you:

  • 5+ years of experience in healthcare implementation, payer operations, or health tech project management
  • Deep understanding of health plan structures, payers, claims billing, and utilization management workflows
  • Experience with RTE (270/271), eligibility files (834), PA workflows, claims (837), accumulators, or similar healthcare integrations
  • Strong project management skills with ability to manage multiple workstreams simultaneously
  • Exceptional communication skills and comfort working cross-functionally with technical and non-technical teams
  • Comfortable navigating ambiguity and proactively driving resolution
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