Senior Manager, Implementation

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Senior Manager, Implementation
Remote
About Medallion
At Medallion, we believe healthcare teams should focus on what truly matters - delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.
As one of the fastest-growing healthcare technology companies - ranked #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, #5 on LinkedIn's 2024 Top US Startups, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show - Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.
We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.
About The Role
We're looking for a Senior Manager, Implementation to lead a function at the forefront of the Medallion Customer Experience. Implementation is the foundation of every customer partnership: your team works with new clients to implement, train, and drive adoption of Medallion's product suite, setting the tone for the entire relationship.
You'll manage and develop a team of Implementation Project Managers who deliver both repeatable mid-market projects as well as customer enterprise engagements. Just as important, you'll evolve how we run implementation - building a rigorous, data-driven motion, rooted in best practices that you and your team will work to establish, and which enables faster, lower effort, and higher quality delivery.
Implementation sits within Customer Experience and partners closely with Sales, Solutions Consulting, Operations, and EPD. With Sales, you’ll establish a new SOW process to standardize pricing and project scoping across our client base. Within Customer Experience, you’ll work closely with our Engagement Management team for post-live handoffs, and our Technical Solutions team during projects. You will also own components of the services P&L trajectory - implementation and TSM are paid services, and you'll drive them to margin neutral or better.
This role reports to the Director of Technical Services and base compensation for this role may land between $165,000 - $210,000. In addition to base salary, Medallion offers equity, and benefits as part of the total compensation package. Many factors are considered when determining pay including: market data, geographic location, skills, qualifications, experience, and level.
Responsibilities
Team Leadership & Strategy
Lead, coach, and develop a team of Implementation Project Managers - setting clear goals and performance expectations, holding the team accountable to these goals and expectations, and creating room for growth.
Serve as the escalation point for complex, high-impact projects, providing technical and strategic guidance to the team.
Build a culture of accountability and continuous improvement across the team and partner functions.
Own the staffing model - define how many projects an IPM can carry by tier, when we hire, and what we hire for. Build the onboarding and training program for new implementers.
Implementation Delivery & Execution
Build detailed project plans with clear milestones, owners, and timelines, and drive projects to on-time, successful go-lives.
Lead a team performing technically complex implementations - coordinating data integrations, workflow configurations, and API-based setups across systems.
Act as the bridge between customers, Product, and Engineering, translating business requirements into clear technical specs and aligning on scope.
Spot risks early, clear blockers, and ensure clean handoffs from Sales and Solutions Consulting into implementation, and from implementation to Engagement Management and PE Ops.
Operational Excellence & Scale
Define the team's objectives, KPIs, and scalable processes - establishing the data-driven milestones that tell us implementation is working.
Develop a scoping and SOW pricing structure based on standardized project plans and work with sales to position and sell implementation services.
Own time-to-live, hours per implementation, and utilization by tier. Build the dashboards and operating cadence to manage them.
Gather, synthesize, and socialize customer insight to drive improvements to the product and the onboarding journey.
Get paid services to margin neutral or positive, with cost floors by tier.
Qualifications
7+ years of experience in SaaS implementation, technical project management, or professional services
3+ years of people management experience directly leading and developing an Implementation team
A track record of owning complex, enterprise B2B SaaS implementations end-to-end
Strong technical fluency across data integrations, API-based setups, and workflow configuration, with the ability to translate between business and engineering teams
Experience building implementation processes and operating models from the ground up in a scaling environment, not just running an established playbook
A demonstrated ability to shorten implementation timelines while maintaining quality, with measurable improvements in hours and weeks from before to after
Experience independently managing complex customer escalations with composure; executive-level recovery experience is a plus
Prior experience in a scaling B2B SaaS startup environment
Experience in a configuration-heavy, complex vertical; experience in regulated, compliance-driven, or healthcare environments is a plus
Strong proficiency with AI and project management tools, with a data-driven approach to managing delivery and performance
Medallion is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation during the application process, reach out to careers@medallion.co
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