Job Summary

　　The Product Delivery team is focused on the technical and operational implementation of new health insurance products. From network builds to vendor and program implementations and beyond. In collaboration with Product Innovation and Product Management the specialist will seek to understand the market needs and develop a solution for meeting those market needs (product concepts). Responsible for partnering with multiple Priority Health departments to define features, user stories (requirements), working with our technical teams to prioritize the work, and supporting all implementation practices. Product Delivery serves as the bridge between business, technical and operational teams to establish effective processes across all areas of the organization.

　　Workplace Category: Hybrid (travel required to Grand Rapids quarterly)

　　Remote work for this position may be approved based on policy and business considerations.

　　The Senior Implementation Spec functions:

　　Writes own epics, features, and user stories with minimal oversight.

　　Can fully articulate all work within their workstream and begins to understand the impact of their workstream on other workstreams.

　　Manages the RAID log and proactively works to define mitigation and remediation plans.

　　Writes test cases / acceptance criteria with minimal oversight.

　　Executes test cases / validates acceptance criteria and reports results to project leadership, articulating impacts of results.

　　Demonstrates a solid understanding of "what comes next" and is able to keep the project moving along.

　　Able to fully operate within SaFE Agile practices and philosophy.

　　Essential Functions

　　Provide leadership and mentorship to junior level members, emphasizing the end-to-end product delivery lifecycle and guide them towards continuous improvement.

　　Support the product development and testing phases of the product development life cycle, including development of supporting documentation, test plans, and process documentation.

　　Support the product managers in the documentation and assessment of new product design requirements.

　　Publish, distribute, ensure sign-off on business requirements and other required documentation in support of Compliance.

　　Documents product designs and catalogues in a reference library (e.g., SharePoint).

　　Support the development and execution of unit, integration and acceptance test plans, including the assessment and resolution of Change Controls related to testing and post user sign off.

　　Supports product implementation across all departments or external partners.

　　Responsible for the problem and issue resolution, working with functional business areas to assess and solve product-related technology and operational performance issues affecting product performance, and/or customer / partner / member satisfaction.

　　Support product workgroups to address product system issues. Supports the development of performance improvement strategies.

　　Facilitates development of organization training in support of new products or product enhancements including training in various system platforms.

　　Support resolution of product-related questions from internal and external stakeholders including sales, Customer Service, Providers, internal operations teams.

　　Actively participates in safety in risk mitigating measures where appropriate and completes all position requirements on a timely basis.

　　Preferred Skillset

　　Demonstrated experience developing and executing unit, integration and acceptance test plans

　　Strong knowledge and understanding of Priority Health’s products, benefit structures, and product development processes.

　　Ability to quickly grasp and describe Priority Health products and benefit designs.

　　Strong understanding of Priority Health systems and operational processes, including but not limited to, Group and Member installation and maintenance, Billing, and Fulfillment.

　　Basic understanding of Priority Health’s technical infrastructure, integration of systems, batch processes and configurations and technical design of application and interfaces.

　　Qualifications

　　Required Bachelor's Degree or equivalent in health care or business

　　5 years of relevant experience in managed care, business or healthcare operations Required

　　Solid understanding of the senior market and Medicare regulations Required

　　Familiarity with state and federal regulatory and legislative processes required; must be able to read and interpret complex statutes and regulations. Required

　　Primary Location

　　SITE - Priority Health - 1239 E Beltline - Grand Rapids

　　Department Name

　　PH - Product Delivery

　　Employment Type

　　Full time

　　Shift

　　Day (United States of America)

　　Weekly Scheduled Hours

　　40

　　Hours of Work

　　8 a.m. to 5 p.m.

　　Days Worked

　　Monday to Friday

　　Weekend Frequency

　　N/A

　　CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

　　Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

　　Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

　　An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

　　You may request assistance in completing the application process by calling 616.486.7447.

　　People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.