Implementation Lead - ASO Employer Health Benefits

The role

You will lead the full onboarding of new employer groups and TPA partners, from signed agreement through effective date and the first 60 days. You will run implementations yourself while building the standard process XO uses for them.

What you will do

• Lead the full implementation lifecycle for new employer groups and TPA partners, from kickoff through post-go-live stabilization.
• Build and maintain the implementation plan for each client, including benefit design, eligibility and enrollment setup, and compliance requirements.
• Own the accurate setup of each group across XO systems and partner platforms, including eligibility file testing and ID card production.
• Run the cross-functional implementation team, surface risks early, and escalate blockers with a recommendation.
• Serve as the primary contact for the client, broker, and TPA throughout implementation.
• Prepare client-facing implementation documentation, checklists, and readiness sign-offs.
• Hand off to the ongoing account owner at the end of stabilization with full documentation.
• Own XO's implementation playbook: timelines, checklists, templates, and data requirements.
• Identify manual steps and failure points and work with Operations and Product to automate or remove them.

Required qualifications

• 5+ years in implementation, client onboarding, or project management within self-funded health benefits, TPA operations, or a health plan.
• Working knowledge of self-funded medical and pharmacy plan design and the compliance landscape (ERISA, ACA, CAA, Mental Health Parity).
• Direct experience running complex, multi-party healthcare implementations on a fixed effective date.
• Fluency in the employer and TPA distribution channel, including how brokers, consultants, benefits administrators, and stop-loss carriers fit together.
• Comfort with eligibility files, enrollment data, and system configuration; precise and comfortable with details.
• Clear, concise communicator who can lead client discussions and give leadership well-informed answers.
• Strong organizational skills and the judgment to prioritize.

Nice to have

• Experience implementing on behalf of, or alongside, a TPA.
• Experience at an early-stage or high-growth company where you built the process.
• Familiarity with health plan technology platforms, member apps, or provider directory tools.
• PMP or similar project management credentials.

About the company

XO Health is a technology-driven health plan built for self-insured employers, serving employers, members, and providers through a value-based care network, a risk contracting engine, and a real-time data and analytics platform. The company describes itself as a small, fast-moving team where every person owns outcomes.