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MMIS
Medicare
Medicaid
Healthcare
Claim
Delivery Manager

Summary

Job: TDM MMIS

Location: Atlanta or Remote with 25% travel whenever required

Duration: 6+ months contract to Hire

Skills: MMIS, Medicaid, Claims

Job Duties:

Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts
Should be able to contribute in building and maintaining modern applications with cloud native architecture
Manage top-down oversight throughout the entire execution to ensure successful delivery in adherence stakeholder goals
Lead a team of Scrum Master/Managers and ensure progress and address any questions or challenges regarding projects
Should be able to own the delivery team as a supervisor and manage their performance
Assign and oversee the daily tasks of technical personnel while ensuring all subordinates are actively working toward established milestones
Ensure processes are adhere, and product vision is implemented in timely manner
Understanding risks, dependencies and increasing value delivered through the project / product life
Update and maintain all production technologies ensuring proper maintenance and installation
Develop comprehensive project/ product plans that merge customer requirements with company goals and coordinate various managers and technical, as required
Ensure the team maintains the required documentation for knowledge management
Determine and define clear deliverables, roles and responsibilities for staff members required for specific projects or initiatives
Ability to work well with diverse teams, including developers, engineers, architects, quality assurance, and operations.
Execute all aspects of large construction projects, refresh, retrofits, from planning to implementation to completion
Approves concept designs, deliver project schedule assign and allocate resources
Manages internal staff, hiring, mentoring, training and evaluating
Hire and manage contractors, architects, engineers and interface
Prepare and develop budget and manages the maintenance of the master budget and schedule
Documents all phases of the project prepares project status reports for Sr Management on a recurring basis throughout the project, checking milestones

Qualifications

Required:

10+ years of overall IT experience
5+ years of managerial experience
Deep functional knowledge of Healthcare processes specially Medicaid Business
Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs.
Candidate should have hands-on experience on claims processing and Adjudication processes.
Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.
Candidate should have hands-on experience and strong knowledge on processing payouts, Account receivables and Receipts creation.
Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
Aware of the Cloud native architecture along with understanding of associated technologies
Demonstrated understanding of Project Management processes, strategies and methods
Experience mentoring, coaching and developing rising talent in the technology department
Excellent time management and organizational skills and experience establishing guidelines in these areas for others
Strong sense of personal accountability regarding decision-making and supervising department teams
Experience working in a high-level collaborative environment and promoting a teamwork mentality
Managerial experience applying analytical thinking and problem-solving skills
Ability to predict challenges and seek to proactively head-off obstacles
Exposure to Enterprise architecture/development.
NoSQL, Microservices, Cloud knowledge

Good to Have:

Agile/Scrum Certification is a plus
Hands on Development experience in prior roles

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: 80127832
Position Id: 9035824
Posted 2 days ago

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Vikram Goswami

Recruiter @ Group Nine

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Medicare MMIS Delivery Manager

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Vikram Goswami

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