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Job Details

Job Title
: Payer Claims Database Product Manager
Required Skills
: Budget Management, CMS Funding, Data warehouse, healthcare claims processing, Medicaid System Design, Project Management, Technical Project Management
Location
Duration
: 12 months contract with possible extension

Job Description

Pay Range: $100 to $125/hr. The pay rate may differ depending on your skills, education, experience, and other qualifications.

Featured Benefits:

  • Medical insurance in compliance with the ACA.
  • 401(k).
  • Sick leave in compliance with applicable state, federal, and local laws.

Local candidates are strongly preferred, however, out-of-state candidates that would work 100% remote are welcome to apply.

Job Description:

  • Activities provided by the consultant include stakeholder engagement, identifying regulatory, legal, and legislative considerations and developing proposed solutions, defining ongoing program needs, developing a sustainability plan, developing and revising CMS Advanced Planning Documents, planning and leading APCD Advisory Committee meetings, management of program budget, and managing APCD implementation. The Product Manager will serve as OHSC’s primary point of contact for the APCD.
  • The APCD includes two modules – Data Collection and Data Analytics. Onpoint Health Data was selected to provide the Data Collection module. This module is currently in use, with a limited scope of remaining effort. The Data Analytics module is also currently in use, with additional certification efforts remaining.

Qualifications:

  • Project Management: 7 years (required)
  • Data Warehouse: 5 years (desired)
  • Healthcare Claims Processing: 5 years (desired)
  • Medicaid System Design: 5 years (desired)
  • Technical Project Management experience
  • Experience with Healthcare Claims data and CMS Funding
  • Strong Project and Budget Management Expertise
  • Experience and Comfort Presenting to Senior Leadership

Required Details

Experience
: 5 Years
Travel Required
: No
Clearance Required
: No

Contact Details

Contact person
: Anil Kumar
Phone
: 678-203-2570
Website
: https://suntechnologies.com

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