At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
NTT DATA's Client is seeking n experienced Technical Project Manager with strong Healthcare Payer domain expertise and experience leading AI/GenAI/Agentic AI programs. The ideal candidate will drive the successful delivery of intelligent automation and AI-powered solutions that transform member experience, provider operations, claims processing, utilization management, care management, and contact center functions.
The role requires expertise in healthcare payer business processes, AI solution delivery, cloud technologies, data platforms, and cross-functional stakeholder management. The successful candidate will collaborate with business leaders, AI architects, data scientists, engineering teams, compliance stakeholders, and vendor partners to implement scalable, secure, and compliant AI solutions.
Key Responsibilities
Program & Project Leadership - Lead end-to-end delivery of AI and Agentic AI initiatives across healthcare payer operations.
- Define project scope, roadmap, milestones, risks, dependencies, and success metrics.
- Manage multiple concurrent projects using Agile, Scrum, SAFe, or hybrid methodologies.
- Develop project plans, resource forecasts, budget tracking, and executive dashboards.
- Ensure projects are delivered on time, within budget, and meet business objectives.
- AI & Agentic Solution Delivery
- Lead implementation of AI Agents, GenAI solutions, Intelligent Virtual Assistants, and workflow automation platforms.
- Coordinate development and deployment of autonomous and semi-autonomous AI agents supporting:
- Claims Operations
- Prior Authorization
- Utilization Management
- Care Management
- Provider Services
- Member Services
- Appeals & Grievances
- Fraud, Waste & Abuse Detection
- Drive integration of LLM-powered solutions with enterprise applications and healthcare platforms.
- Define AI governance, monitoring, model evaluation, and operationalization processes.
- Technical Leadership
- Collaborate with Solution Architects, Data Scientists, AI Engineers, and Product Owners.
- Oversee system architecture reviews, AI platform integrations, and deployment planning.
- Ensure scalability, reliability, observability, and security of AI solutions.
- Facilitate technical decision-making and architecture governance discussions.
- Support cloud-native AI deployments across Azure, AWS, or Google Cloud Platform.
- Healthcare Payer Domain Responsibilities
- Partner with business stakeholders to identify AI use cases across payer operations.
- Translate healthcare business requirements into technical delivery plans.
- Manage projects involving:
- Claims Processing
- Enrollment & Membership
- Benefits Administration
- Provider Network Management
- Utilization Management
- Prior Authorization
- Care Management
- Risk Adjustment
- HEDIS Quality Programs
- Value-Based Care Initiatives
- Ensure solutions align with CMS, HIPAA, NCQA, and healthcare regulatory requirements.
- Data, Compliance & Governance
- Ensure compliance with healthcare privacy, security, and AI governance policies.
- Work with data governance teams to support responsible AI initiatives.
- Mitigate risks related to PHI, PII, AI bias, explainability, and model drift.
- Implement monitoring frameworks for AI effectiveness and regulatory compliance.
- Stakeholder Management
- Engage executive leadership, business sponsors, technology teams, and external vendors.
- Facilitate steering committee meetings and leadership reviews.
- Communicate project status, risks, and mitigation strategies.
- Drive organizational change management and user adoption initiatives.
Basic Qualifications: (what are the skills required to this job with minimum years of experience on each) - Bachelor's degree in Computer Science, Information Systems, Engineering, Healthcare Informatics, or related discipline.
- 8+ years of IT Project Management experience.
- 5+ years of Healthcare Payer experience.
- 3+ years managing AI, Machine Learning, GenAI, Conversational AI, or Intelligent Automation programs.
- Strong understanding of SDLC, Agile delivery, and enterprise architecture principles.
- 5+ years experience managing distributed and cross-functional teams.
Nice to Have - Healthcare domain exposure
- FHIR / HL7 familiarity
- AWS, Azure,Google Cloud Platform experience
- Knowledge of model governance and explainability
About NTT DATA Services:NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $70-$80/hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
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