Company Overview:

Our company is a start-up that specializes in episodes of care benefit plans. We have a deep expertise in episode pricing and analytics and our goal is to bring transparency and efficiency to the healthcare market. Our company is committed to providing high-quality, affordable healthcare to our customers.

Role Description
The Implementation Manager is responsible for leading the successful onboarding of new employer groups onto Oxbridge Health’s Episode based benefit plans. This role serves as the primary project manager during the implementation phase, coordinating across internal teams, external partners, and employer clients to ensure a smooth transition from sale to active coverage.

The Implementation Manager ensures that benefit plans, eligibility data, enrollment processes, vendor integrations, and portals are accurately configured and operational prior to the group’s effective date.

This position requires travel to our office in South Norwalk, CT.

Responsibilities

Client Onboarding & Implementation

●      Lead the end-to-end implementation of new employer groups enrolling in the organization's benefit programs.

●      Serve as the primary point of contact for employer clients during the onboarding and open enrollment phases.

●      Conduct employer kickoff meetings and guide clients through implementation timelines and requirements.

●      Develop and manage implementation plans to ensure timely and accurate group setup.

 Project Management

●      Coordinate implementation activities across internal departments including eligibility, claims administration, customer service, compliance, and finance.

●      Track project milestones and proactively manage deadlines to ensure readiness for the group's effective date.

●      Identify and resolve implementation issues that could impact launch timelines.

Benefits & Plan Configuration

●      Review plan design documentation and ensure accurate setup within administrative systems.

●      Confirm eligibility structures, contribution structures, and benefit plan parameters are properly configured according to the plans purchased by the employer.

●      Ensure seamless registration on member portal.

Data & Enrollment Management

●      Oversee the intake and validation of employer census and eligibility data files.

●      Coordinate with employer HR teams or brokers on enrollment data submission and ongoing eligibility file connectivity.

●      Ensure accurate population of enrollment systems prior to go-live.

Vendor Oversight & Partner Coordination

●      Coordinate with network partners, pharmacy benefit managers, stop-loss carriers, and other vendors involved in the benefit offering.

●      Ensure all necessary connections and operational processes are established before coverage begins.

●      Manage and oversee daily program operations with vendors, ensuring successful outcomes and operational alignment.

Client Education & Transition

●      Educate employer clients on ongoing administrative processes including eligibility updates, claims funding, member support, and portal usage

Qualifications

Education

●      Bachelor’s degree in Business, Healthcare Administration, or related field preferred.

●      3–5+ years of experience in health insurance, third-party administration (TPA), employee benefits, healthcare operations or implementation

●      Experience onboarding employer groups or implementing benefit plans preferred.

Skills

●      Strong project management and organizational skills

●      Knowledge of health benefit plan structures (PPO, self-funded, level funded, etc.)

●      Experience coordinating eligibility files and enrollment data

●      Excellent client communication and relationship management skills

●      Ability to manage multiple implementations simultaneously

●      Strong problem-solving and cross-functional collaboration skills