Companies in this catalog do not charge applicants. Never send money to apply.
NantIQ is adding a Senior Principal Implementation Program Manager to our Eviti product team. In this role, you'll lead the end-to-end implementation of Eviti’s oncology utilization management solutions for health plan clients across commercial, Medicare, and Medicaid lines of business. Reporting to the VP, Eviti, you own the portfolio of client implementations from contract execution through go-live and stabilization, orchestrating cross-functional teams across clinical, product, engineering, operations, and account management. As the senior point of accountability for implementation delivery, you're responsible to manage executive-level client relationships and continuously strengthens Eviti’s implementation methodology to improve speed, quality, and scalability.
Responsibilities include, but are not limited to:
Lead the planning and execution of complex, multi-workstream health plan implementations, including scope definition, project charters, integrated work plans, timelines, resource plans, and go-live readiness criteria. Manage a portfolio of concurrent implementations, balancing priorities, dependencies, and resources to deliver on time, within scope, and in line with contractual commitments. Serve as the primary implementation lead and escalation point for client executives and project sponsors; facilitate kickoffs, steering committees, and status reviews. Coordinate technical integration workstreams with client and internal IT teams, including eligibility and member files, prior authorization data exchange, provider data, reporting feeds, single sign-on, and portal configuration. Partner with Eviti’s clinical team to configure client-specific clinical policies, benefit rules, and authorization workflows, and to align on medical policy and turnaround-time requirements. Ensure implementations meet regulatory, accreditation (NCQA, HITRUST), and contractual requirements, including state and federal utilization management timeframes and CMS interoperability and prior authorization requirements (CMS-0057-F). Identify, track, and mitigate project risks, issues, and dependencies; drive timely decisions and escalate appropriately. Lead user acceptance testing, operational readiness, client and provider training, and post-go-live hypercare, ensuring a smooth transition to account management and operations. Define, track, and report implementation KPIs (e.g., on-time go-live, budget adherence, defect rates, client satisfaction) to Eviti leadership. Own and continuously improve Eviti’s implementation methodology, templates, and tools, incorporating lessons learned to shorten time to value. Support sales and account management with implementation scoping, timeline estimates, and responses to RFPs and client due-diligence requests. Mentor implementation team members and cross-functional partners on program management best practices.
Education & Experience Requirements:
Bachelor’s degree in business, healthcare administration, information systems, or a related field, plus 12+ years of relevant experience; an equivalent combination of education and experience will be considered. 12+ years of progressive program or project management experience, including substantial experience leading client implementations in a healthcare payer, utilization management, or health IT environment. Demonstrated success delivering enterprise-scale implementations for health plans, including complex technical data integrations. Recognized expert and go-to resource in implementation program management, with mastery across multiple job areas.
Preferred Qualifications:
Project Management Professional (PMP) certification preferred. Experience implementing oncology, specialty pharmacy, or prior authorization programs. Familiarity with healthcare data standards and exchange (e.g., X12 834/278, HL7 FHIR) and CMS interoperability rules. Experience supporting Medicare Advantage and Managed Medicaid implementations. Proficiency with project and portfolio management tools (e.g., Monday, Smartsheet, Jira).
Required Knowledge, Skills, and Abilities:
Problem Solving
Applies advanced conceptual thinking, reasoning, and interpretation to drive process improvement. Solves complex problems that require broad consideration of clinical, technical, operational, and contractual variables. Analyzes issues thoroughly to identify root causes and implement lasting solutions.
Organizational Impact
Works independently with limited oversight. Establishes operational plans for the implementation function. Drives mid- to long-term results for the functional area and the broader business. Executes, and contributes to the development of, strategic goals set by departmental leadership.
Communication
Communicates effectively with executive leadership on matters of significant importance to the organization. Engages confidently with clients, vendors, and partners, as well as stakeholders within and outside the functional area. Influences senior leaders, internally and externally, to adopt new ideas, practices, and recommendations. Navigates challenging interactions with internal and external stakeholders; frequently briefs senior leaders within and beyond the functional area.
Leadership Guides, coaches, and trains employees across the company within area of expertise. Leads strategically important initiatives involving large, cross-divisional teams Originally posted on Himalayas