Subject Matter Expert (SME) - VFMP Modernization Domain SME
Location:Remote
Description:
Seeking highly motivated and self-directed Subject Matter Experts to provide specialized functional and/or technical expertise supporting VFMP modernization initiatives across intake, applications, claims, appeals, duty to assist, inquiry management, care coordination, benefits coordination, pharmacy, and nursing review. These SMEs ensure solutions align to operational realities, dependencies (including EDI-related) are identified early, and delivered capabilities are adoptable and complete.
These positions are contingent upon contract award.
Job Responsibilities:
Provide domain expertise to support requirements definition, validation, and prioritization.
Identify operational impacts, constraints, and dependencies; recommend mitigations and sequencing approaches.
Support elaboration workshops and stakeholder sessions; document outcomes and decisions.
Support testing readiness (UAT planning support, scenario development, validation of outcomes).
Support development of SOP/training inputs and adoption artifacts in coordination with KM/OCM resources.
Provide ongoing advisory support to ensure modernization aligns with business objectives and frontline execution.
Required Skills:
Deep expertise in one or more VFMP operational domains and ability to translate operations into requirements.
Strong communication, facilitation, and documentation skills.
Strong analytical skills and comfort working in cross-functional teams
Must be able to obtain and maintain a Public Trust Security clearance.
Desired Skills and Experience:
Experience with healthcare payer/benefits environments, eligibility, claims, appeals, and/or EDI-related impacts.
Experience supporting federal modernization initiatives preferred
Education and Experience:
Bachelor's degree (or equivalent experience).
8+ years relevant domain experience preferred
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About HigherEchelon, Inc.
HigherEchelon, Inc. (HE) is a service-disabled veteran-owned small business (SDVOSB) with offerings in Engineering, Gaming, Human Capital, Enterprise Technology, and Cyber Solutions. HigherEchelon aims to be the premier trusted partner in organizational excellence and achieves this through sustained investment in talent and the employee experience. HigherEchelon puts the employee first to better serve customer needs and sustain excellence.
HigherEchelon offers competitive full-time benefits including paid vacation and holidays, 401(k) matching, full health/dental/vision coverage, plus much more. For on-site and remote employees, flexible work schedules are offered when authorized.
By joining our team, you are choosing to embark on a journey towards excellence as a valued team member and trusted partner. We appreciate your inquiry and look forward to discussing the opportunity further.
EOE/Minorities/Females/Veterans/Disabled:
HigherEchelon, Inc. is an Equal Employment Opportunity employer and provides reasonable accommodation for qualified individuals with disabilities and disabled veterans in its job application procedures.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, citizenship, ancestry, marital status, protected veteran status, disability status or any other status protected by federal, state, or local law. HigherEchelon, Inc. participates in E-Verify.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
- Dice Id: 90832636
- Position Id: 006Qr00000g0P6HIAU
- Posted 1 hour ago
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