Medicaid Functional Mananger

  • CNSI,
  • Salt Lake City, UT
8 years of Medicaid experience, Claims processing experience,4 years of management experience, Good communication skills
Full Time, long term
Telecommuting not available Travel not required

Job Description

CNSI a CMMI Maturity Level 3 company has established strong domain expertise in prominent industries, including Health, Defense and National Security, Government IT, Homeland Security and Transportation. We employ a world-class team of professionals all of whom have experience with large scale mission-critical IT implementations. CNSI is headquartered in Rockville, Maryland and we are on site in over 10 cities worldwide.


* Serve as the on-site Medicaid subject matter expert for CNSI with responsibility to participate as a senior member of the project team in all appropriate scheduled and ad hoc meetings
* Manage solution analysis and modeling processes and activities, including facilitating sessions and developing and maintaining team processes to support the sessions
* Lead and manage review and analysis of complex State Medicaid business problems and work with technology team to develop resolutions
* Lead and manage analysis of as-is and to-be business process flows and prepare documentation of system and business process gaps and work with cross functional team to develop resolutions for these gaps
* Review and modify project documentation to comply with applicable documentation standards; Documentation includes:
o Demonstration and gap solution presentations
o Gap traceability reports and matrices
o Solution analysis and modeling session calendars
o Solution design specification leveraging use cases, workflow diagrams, and gap analysis
o Test case
* Coordinate with testing manager to support testing efforts of all approved gaps during system testing and UAT
* Serve as the on-site point of contact to support customer during UAT
* Track functional team deliverables and activities and provide weekly status reports and metrics
* Identify and support mitigation planning for project risks
* Identify and support issue resolution
* Prepare and provide training content to end users
* Participate, as needed, in change management meetings and present functional changes on behalf of CNSI


* Bachelor*s Degree from four-year accredited college or university
* At least eight years of healthcare experience with Medicaid and claims management experience preferred
* At least three years experience as Lead Business Analyst or Subject Matter Expert in Medicare or Medicaid or Health care industry
* Two to four years management experience directly managing a minimum team of four to eight team members
* Demonstrated experience in developing and maintaining customer relationships
* Strong attention to detail
* Excellent problem-solving skills with desire to take on responsibility

CNSI is focused on hiring and retaining the best and the brightest. For that, we offer employees a rewarding career path and benefits that exceed the industry norm. In addition to a solid compensation package, CNSI provides employees a range of benefit programs designed to support you and your family. Below are just a few of our programs.

* Annual and Other Paid Leave
* Medical/Dental Insurance
* Flexible Spending Account (FSA) Plan
* Disability Insurance (Short & Long Term)
* Life Insurance
* 401(k) Retirement Savings Plan
* Employee Assistance Program
* College Savings Plan
* Tuition & Training Assistance
* Paid Holidays
* Employee Referral Program & More!

CNSI maintains a policy supporting equal employment opportunity. Employment decisions at CNSI are made without regard for race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.

Posted By

2277 Research Blvd Rockville, MD, 20850

Dice Id : 10108884
Position Id : fb-functionmgr
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