Description

Bridge the gap between business stakeholders and technical teams to design and implement complex healthcare system solutions.

This role is on-site.

Responsibilities

• Document business requirements, solution designs, acceptance criteria, and functional/technical mapping.
• Coordinate with development and testing teams to manage implementation through QA and UAT.
• Manage 4-5 concurrent projects, ensuring priorities, timelines, and departmental impacts are addressed.
• Support system conversions, upgrades, and migrations by developing implementation and deployment documentation.
• Act as a Technical Product Owner or team lead within Agile environments as needed.

Required Skills

• 14+ years of professional experience with deep technical expertise.
• Direct experience with EDI, 834, and FHIR standards.
• Proven experience working in Agile (Scrum, Kanban) and Waterfall methodologies.
• Ability to create reports, dashboards, and data visualizations to communicate business needs.
• Strong problem-definition skills and the ability to identify automation opportunities.
• Experience managing complex project lifecycles and coordinating multiple departments.
• Expertise in developing test plans, QA procedures, and audit protocols.

Preferred Skills

• Healthcare Payer experience, specifically with Medicare, Medicaid, or CHIP.
• Bachelor’s Degree in Information Services or a related field.
• Experience in managed care or health insurance environments.

Key Skills

Education

Any graduate