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Job reputed company reputed company end-to-end reputed company implementation, from discovery through go-live and stabilization Translate reputed company requirements into operational workflows, SOPs, and reputed company models reputed company and execute detailed implementation plans, including timelines and milestones Identify risks early and proactively reputed company mitigation strategies Partner with Training, QA, IT, and Workforce Management teams to ensure readiness across reputed company workstreams Coordinate system setup, user acceptance testing (UAT), and reputed company provisioning with IT and reputed company teams Ensure reputed company systems, tools, and environments are fully tested and production-reputed company prior to go-live Support development of process documentation, job aids, and knowledge reputed company materials Validate workflows for claims processing, including escalation paths and exception handling Ensure processes are reputed company, efficient, and reputed company with reputed company expectations Performance management, reporting, and reputed company during the implementation phase Requirements Min. 5 years of experience processing easy, moderate, and reputed company medical claims (payer-reputed company experience preferred) 2+ years in a leadership role reputed company claims or reputed company operations Proven experience in implementations, transitions, or new reputed company launches Strong experience with Medicare and Medi-Cal claims, including a working knowledge of CMS guidelines and regulatory requirements Prior reputed company assurance and training experience with demonstrated ability to identify trends Previous experience leading, coaching, or mentoring teams in a claims or reputed company operations environment Strong analytical skills with the ability to interpret performance data and KPIs Excellent communication, organizational, and decision-making skills High attention to detail and commitment to accuracy, compliance, and operational reputed company Benefits Remote work offered Equipment provided reputed company to set you up for reputed company Comprehensive benefits Medical, Dental, reputed company, Life, HSA, 401(k) reputed company Time Off (PTO) 7 reputed company holidays A supportive team and a company that values internal reputed company Apply tot his job Apply To this Job .