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Program Implementation Advisor

Lead the implementation of disability and leave of absence programs for new clients
Santa Fe, New Mexico, United States
Senior
$65,000 – 75,000 USD / year
3 weeks ago
New Mexico Staffing

New Mexico Staffing

New Mexico Staffing appears to be a governmental entity providing employment-related services within the state of New Mexico.

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Program Implementation Advisor

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance.

Primary Purpose Of The Role:

To serve as the subject matter expert (SME) of a single line of business; disability, leave of absence or ADA, and responsible for the implementation of the line of business for new or existing clients ensuring product quality and regulatory standards compliance.

Essential Responsibilities May Include:

  • Acts as the SME of a business line; implements new programs ensuring the client's expectations are met.
  • Maintains a deep understanding of the business line's processes, functions, technology and regulatory compliance.
  • Serves as a project manager and process owner for all components of a new client implementation.
  • Understands new program designs, processes, client expectations and partner relationships recommending changes as needed.
  • Educates clients and colleagues on new programs on technical processes and requirements.
  • Plays a key role in maintaining client relationships; assists in new business productions.
  • Travel is required up to 25%.

Qualifications: Bachelor's degree or equivalent from an accredited college or university preferred. Six (6) years of related experience or equivalent combination of education and experience required to include two (2) years of claims management, managed care or other related experience.

Skills & Knowledge:

  • In depth knowledge of claims management, managed care and/or absence management processes and procedures
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Work Environment:

  • When applicable and appropriate, consideration will be given to reasonable accommodations.
  • Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
  • Physical: Computer keyboarding, travel as required
  • Auditory/Visual: Hearing, vision and talking

Note: Credit Security Clearance, confirmed via a background credit check, is required for this position.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the state noted in this job posting only, the range of starting pay for this role is $65,000 - $75,000. A comprehensive benefits package is offered.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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Program Implementation Advisor
Santa Fe, New Mexico, United States
$65,000 – 75,000 USD / year
Customer Success
About New Mexico Staffing
New Mexico Staffing appears to be a governmental entity providing employment-related services within the state of New Mexico.