Product and Regulatory Implementation Manager

Number of Positions In Requisition
1


Job Details
The Product & Regulatory Implementation Manager leads the end-to-end implementation of health plan products, strategic initiatives, and regulatory requirements across all lines of business and the Jefferson enterprise. This role ensures initiatives are delivered on time, within budget, and in compliance with regulatory standards while coordinating activities across operational, technology, product, and compliance functions. By translating strategic and regulatory requirements into operational execution, the position supports organizational goals, regulatory readiness, and high-quality member and business outcomes.
Job Description
Summary
The Product & Regulatory Implementation Manager leads the end-to-end implementation of health plan products, strategic initiatives, and regulatory requirements across all lines of business and the Jefferson enterprise. This role ensures initiatives are delivered on time, within budget, and in compliance with regulatory standards while coordinating activities across operational, technology, product, and compliance functions. By translating strategic and regulatory requirements into operational execution, the position supports organizational goals, regulatory readiness, and high-quality member and business outcomes.
Job Duties
Lead end-to-end implementation of products, regulatory requirements, and initiatives across internal systems and external platforms.
Act as the primary point of contact for internal teams, clients, and external partners, providing regular updates and addressing any challenges during the implementation process. Develop and maintain strong relationships with key stakeholders.
Develop and maintain implementation documentation, process workflows, training materials, and client-facing resources.
Serve as the subject matter expert (SME) for initiatives and applicable requirements.
Translate product and regulatory requirements into actionable workplans, timelines, and deliverables.
Collaborate with product and regulatory teams to define scope and ensure alignment of implementation activities with business objectives.
Coordinate with operations and IS&T teams to define system requirements, support configuration, oversee integration efforts, and validate data flows across platforms.
Manage cross-functional teams, facilitating status meetings, documenting progress, and addressing risks and dependencies.
Provide post-implementation support, including issue resolution, performance monitoring, and continuous process improvement.
Serve as primary liaison between business, operations, and IS&T, ensuring clear communication of requirements, timelines, and impacts.
Identify potential risks or barriers to successful implementation, including operational and technical risks, and proactively develop strategies to address them. Implement contingency plans to minimize impact on implementation timelines and outcomes.
Education - Required
· Bachelor’s Degree Business Administration, Healthcare Management, or a related field OR High School Diploma/GED with 7 years of experience in Product Development, Regulatory Implementation and/or Project Management
Education - Preferred
· Master’s Degree
Experience - Required
· 5 years Product Development, Regulatory Implementation and/or Project Management, preferably within the healthcare industry
Knowledge, Skills and Abilities - Required
· Project Management: Demonstrated expertise in managing complex projects from inception to completion, including planning, execution, monitoring, and closing phases. Proficiency in project management tools such as Microsoft Project, Jira, or similar software.
· Cross-Functional Work Groups: Proven ability to work effectively with cross-functional teams, including product development, operations, compliance, marketing, and IT. Strong collaboration skills to ensure alignment and successful implementation of products.
· IS&T / Systems Knowledge: Experience with system integration, data migration, and end-to-end testing (SIT/UAT). Ability to partner effectively with IT teams to translate business requirements into technical specifications.
· Demonstrated understanding of health plan operations and supporting systems, including enrollment, claims, billing, and customer service platforms.
Knowledge, Skills and Abilities - Preferred
· Knowledge of Product Timelines and Regulations: Understanding of CMS (Centers for Medicare & Medicaid Services) bid submission, Pennsylvania Insurance Department (PID) and Pennie filing timelines, and Medicaid HealthChoices and CHIP program agreement processes and regulations.
· Innovative Benefits and Services: Experience with innovative benefits and services such as OTC/Flex Card, Transportation, etc.
Licenses and Certifications - Preferred
· PMP - Project Management Professional - Project Management Institute
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Health Partners Plans, Inc.
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout t