Senior Manager Technology Consulting

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

May 1, 2025 - 17:19
 0
Senior Manager Technology Consulting
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