OneImaging is hiring a Manager, Health Plan Integrations to onboard and integrate new customers and ecosystem partners, including health plans, TPAs, and UM vendors. This role is responsible for navigating complex payer relationships and managing data and operational workflows to deliver a seamless implementation experience.
What You'll Do
- Support the Customer Success Manager in onboarding efforts across multiple implementation workstreams such as benefit setup, data integration, reporting, and billing.
- 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.
What We're Looking For
- 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.
Team & Environment
You will work closely with Sales, Product, Engineering, and Customer Success teams.
Benefits & Compensation
- Competitive salary and bonus structure.
- Comprehensive health, dental, and vision insurance.
- Flexible work schedule and remote work options.
- Opportunities for professional development and career growth.
Work Mode
This role operates on a hybrid work model.
OneImaging is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
