Healthcare Technology Consultant

Há 23 horas

Aracaju, Sergipe, Brasil beBeeMedicaid Tempo inteiro US$117.600 - US$161.700
Job Opportunity

The role of the State Medicaid Technology Lead is a vital partnership to the Market CIO and other IT leaders, fostering collaborations between IT, state markets, implementation teams, and horizontal partners. This position requires minimal direction and receives guidance where needed.

This individual will oversee testing for 1-2 states and their associated product lines in parallel. The person must understand priorities of all delivery for assigned state and support business goals of Medicaid IT program.

Key Responsibilities:

  • Oversee testing for multiple state implementations.
  • Understand priorities of all delivery for assigned state and support business goals of Medicaid IT program.
  • Identify and implement best practice changes within organization and across Medicaid IT to drive faster and more streamlined delivery cycles.
  • Coordinate resolution of major initiatives deliverables requiring urgent attention/escalation.
  • Guide state and market implementations, ensuring IT technical requirements are delivered effectively.
  • Maintain end-to-end accountability for ongoing quality control, development, and delivery of IT products and services for assigned state.
  • Partner with strategy advancement to drive initiatives such as vendor RFPs, innovation pilots, and test/learn efforts.
  • Develop, share, and leverage best practices across IT.
  • Influence key stakeholders, team members, and peers outside of direct control to deliver optimal solutions aligned with business partner expectations.
  • Conduct executive-level briefings and present solution recommendations in support of state-level initiatives.

Required Skills and Qualifications

  • Bachelor's degree in healthcare administration, public health, information systems, business, policy administration, or related field; work experience may meet this need.
  • 5+ years managed care experience.
  • 5+ years in Medicaid program implementation or healthcare operations, with demonstrated leadership of complex, multi-disciplinary projects.
  • Solid understanding of payor operations, technology, communications, and processes.
  • Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management, and clinical operations; Medicaid preferred.
  • Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities, and processes utilized to deliver on core competences.
  • Delivery focused - time, scope, quality.
  • In-depth knowledge of Medicaid regulations, policies, and compliance requirements.
  • Proven experience in managing cross-functional teams and vendor/partner relationships.
  • Strong understanding of healthcare information systems and technology implementation.
  • Excellent organizational, analytical, and problem-solving abilities.
  • Effective verbal and written communication skills with ability to engage stakeholders at all organizational levels.
  • Understanding of software development lifecycle.
  • SAFe/Agile certified.
  • May require work outside of regular office hours in order to meet critical timelines.
  • Demonstrated ability to work independently with high level of motivation and initiative, and respond promptly and effectively to changing priorities with minimal supervision or direction.

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