The exact process of the project is confidential and could not be disclosed, however, I will try to layout the process where I was involved.
After the association announces an implementation deadline over a group call of over 200 attendees from all blue plans, the health plans develop its strategy as to how they want to take it - manual or automation.
After a few internal decisions and approvals on the executive level (exact process obscured), my role begins. I start with understanding the mandate and how it will affect the actual end-user of the change. I digest the association documents and translate them into the simple business language to consult with different health plans who are using out enterprise health care platform. I gauge their understanding of the solution and suggest possible ways to implement the mandate and be compliant with the government mandate with the deadline. Sometimes a manual approach makes more sense considering the volume of work the change will affect.
Understanding their requirements and consulting the changes with an internal technical team, I prepare a business requirements document which also contains the estimated cost that the implementation will incur with a detailed breakdown of work efforts. This involves understanding the business language and putting it in precise words in a document while empathizing with the customer to learn their actual usage and pain point. I continuously suggest better and efficient ways to implement the mandate so that the change remains open to further enhancements considering the fact that US healthcare is a patchwork of continuous changes and updates. Upon approval of the business requirement document that I prepare, it is then passed over to the technical team to help them build the technical requirements after which technical team starts their development. Parallelly, I track the progress, risk and dependencies and keep communicating that to all business stakeholders. Th project managers and solutioning leads perform their roles but I have not vetted it here to maintain confidentiality about the whole process.
To conclude, my role starts with understanding the implementation from the customer's perspective, asking the right questions, documenting the implementation, tracking the development and ends with assisting the technical teams as well as business teams with the understanding of the solution and the mandate.