Senior Manager Technology Consulting

This job has been removed
Location: Remote
Compensation: To Be Discussed
Reviewed: Thu, May 01, 2025
This job expires in: 3 days
Data Engineering Medicare Medicaid US Healthcare

Job Summary

A company is looking for a Senior Manager/ Associate Director in Technology Consulting specializing in Government Claims.

Key Responsibilities
  • Analyze Medicare and Medicaid processes, focusing on claims management, and provide insights on business procedures and industry regulations
  • Evaluate and recommend AI, analytics, and engineering solutions to address client challenges
  • Educate project teams on Medicare/Medicaid concepts and support the development of capability assets
Required Qualifications
  • 12-15 years of domain consulting experience with a strong Data Engineering background
  • Extensive understanding of US healthcare, specifically Medicare and Medicaid regulations
  • Good understanding of plan offerings, coverage, and eligibility for Medicare and Medicaid programs
  • Knowledge of CMS guidelines, ACA, and HIPAA regulations
  • Masters/Bachelor of Science/Engineering or MBA preferred; healthcare certifications are a plus
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