The Implementation Specialist is responsible for managing the successful
implementation of Medicare reporting solutions for clients across a range of
business and technical environments. This role serves as a key liaison between
business and technical clients and internal teams to understand client
requirements, configure solutions, support data integrations, and guide
implementations from initial planning through production.
The ideal candidate combines strong client-facing and project management skills
with technical knowledge of APIs, data integration, and system-to-system
connectivity. The Implementation Specialist must be comfortable working with
both business stakeholders and technical stakeholders responsible for
integrating their systems with the reporting solution.
RESPONSIBILITIES
Client Implementation & Relationship Management
Lead client implementations from kickoff to production, managing
requirements, timelines, dependencies, and deliverables.
Serve as the primary implementation contact, building relationships with
business and technical stakeholders.
Understand client processes, reporting requirements, data sources, and
integration needs.
Maintain implementation plans, schedules, action items, and status updates.
Coordinate client activities with Product, Technology, Support, Operations,
and other internal teams.
Identify and resolve implementation risks, issues, and dependencies.
Guide clients on Medicare reporting requirements, product capabilities, and
implementation best practices.
Technical Integration
Partner with client technical teams on system integrations, including
configuration, data mapping, and testing.
Troubleshoot integration issues and engage internal technical teams as
needed.
Validate integrated data against business, technical, and reporting
requirements.
Help clients interpret errors and identify whether issues stem from source
data, integration logic, or the reporting solution.
Document requirements, technical decisions, test results, and production
readiness.
Medicare Reporting & Data
Build expertise in MSP, Section 111, and other Medicare reporting
requirements.
Help clients align business processes and claim data with Medicare reporting
requirements.
Review client data for quality or reporting issues that may affect
implementation.
Support configuration and testing of reporting rules, claim eligibility, RRE
requirements, and related processes.
Documentation & Continuous Improvement
Maintain implementation, technical, process, and client documentation.
Improve implementation processes, documentation, standards, and client
experience.
Develop implementation best practices, templates, checklists, and resources.
Share client needs, recurring integration issues, and product enhancement
opportunities with Product and Technology.
QUALIFICATIONS
Required Qualifications
Bachelor's degree or equivalent education and experience.
3+ years in software implementation, systems integration, business analysis,
technical consulting, or a related field.
Client-facing experience in a technology or SaaS environment.
Working knowledge of REST APIs and system integrations.
Experience with JSON and/or XML data structures.
Ability to interpret API documentation and technical specifications.
Strong analytical and problem-solving skills.
Strong written and verbal communication with technical and non-technical
audiences.
Strong organizational and project management skills to balance multiple
implementations and priorities.
Preferred Qualifications
Experience with Medicare Secondary Payer (MSP), Section 111, NGHP reporting,
or other Medicare reporting requirements.
Experience working with claims, insurance, workers' compensation, or other
insurance-related data.
Project management or business analysis experience.
Success in This Role
Success in this position means clients can confidently move from implementation
to production with a well-understood, thoroughly tested, and sustainable
Medicare reporting integration. The Implementation Specialist is expected to be
able to independently manage the business and implementation aspects of a
project while having sufficient technical depth to understand API integrations,
investigate issues, and effectively partner with client developers and internal
technical teams.
#LI-BH1
For over 50 years, Verisk has been the leading data analytics and technology
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At Verisk, you'll have the chance to use your voice and build a rewarding career
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Join us and create an exceptional experience for yourself and a better tomorrow
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