Senior Medicaid (MMIS) Project Manager Job at NTT DATA (Springfield)

Business Consulting Senior Manager

We are currently seeking a Business Consulting Senior Manager to join our team i...

Location

United States , Nashville

Salary:

125062.00 - 208438.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor's Degree or equivalent combination of education and work experience
Minimum of 10 years of experience in a Medicaid, Eligibility, or other HHS environment
Minimum of 5 years of experience building leading, coaching, and managing MMIS and/or Eligibility project teams
Minimum of 5 years working on large, complex systems projects
Minimum of 3 years of experience creating detail test scripts and running tests that validate the business policy is met
Minimum 3 years of experience interacting with vendors and third parties effectively to meet commitments and milestones
Minimum of 3 years of experience conducting meetings and making presentations

Job Responsibility

Responsible for the health and quality of the projects/activities assigned including quality of client deliverables and status reports
Administratively manage a team of consultants ensuring current and future projects are appropriately staffed, and team members’ career development is supported
Provide authoritative advice to Contract Manager and influence long-term strategic plans for contract
Actively manage the team’s billability and accurate billing to the appropriate charge codes
Participate in Contract administration activities as requested
Manage relationship with the Member Services client
Primary Point of Contact for formal communication and correspondence with the Member Services client team
Collaborate with client and client partner team members to achieve the best outcomes for client
Develop alternative solutions to problems and, where appropriate, assist in implementing improved or new business processes or automated systems
Support business growth by expanding the scope of services or expanding the level of services provided

What we offer

Medical insurance
Dental insurance
Vision insurance with an employer contribution
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance program
Participation in a 401k program with company match
Additional voluntary or legally-required benefits

Fulltime

TPL Senior Business Analyst

We are seeking a Senior Business Analyst with deep expertise in Medicaid Third P...

Location

United States , Little Rock

Salary:

91260.00 - 152100.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Minimum 10 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations
Minimum 8 years of experience with TPL to include a combination of the following: Coordination of Benefits, Medicare Crossover Part (A&B) Claims processing, Medicare Advantage (Part C), claims workflows, including complex claim scenarios and regulatory compliance
Minimum 6 years of experience with elicitation and verification of business and technical requirements
Minimum 3 years of experience with system development methodology and project management principles
Minimum 3 years of experience conducting reviews of system development life cycle documentation, project and technical architecture and design deliverables/artifacts
Undergraduate degree or 4 years relevant experience

Job Responsibility

Analyze Medicaid claims, TPL workflows, Medicare Crossovers (Pt A&B), Medicare Advantage (Pt C), and recovery data to identify trends, root causes, and opportunities for cost avoidance and recovery optimization
Translate federal/state TPL policies into system requirements
Support MMIS enhancements, including adjudication rules and edits, reporting, letters, etc.
Work with vendors and state stakeholders to improve all faucets of insurance discovery and recovery processes
Lead requirements gathering, documentation, create and conduct UAT testing
Identify and report issues, risks, and dependencies
Support issue triage, backlog management, and operational reporting for day-to-day TPL activities

What we offer

medical insurance
dental insurance
vision insurance with an employer contribution
flexible spending or health savings account
life and AD&D insurance
short and long term disability coverage
paid time off
employee assistance
participation in a 401k program with company match
additional voluntary or legally-required benefits

Fulltime

Medicaid Enterprise Architect

The Senior Enterprise Architect is responsible for defining and governing the en...

Location

Springfield

Salary:

124975.00 - 190000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

6+ years of experience using enterprise architecture principles to address large scale transformation efforts, using web based N tier platforms to the extent possible and as appropriate
8+ years of experience in the Health and Human Services domain with participation on at least 2 Medicaid Eligibility, MMIS, Health Information Exchange (HIE) or Health Information Technology (HIT) projects with post ACA effort
Minimum 2 years demonstrated experience using one or more of the key federal architectures, industry standard techniques and methodologies such as The Open Group Architecture Framework (TOGAF), Zachman or Information Technology Infrastructure Library (ITIL)
Minimum 2 years demonstrated experience using Health and Human Services (HHS) domain reference modules: National Human Services Interoperability Architecture (NHSIA) or Medicaid Information Technology Architecture (MITA)

Job Responsibility

Provide senior-level enterprise architecture leadership to inform program decisions, priorities, and modernization tradeoffs
Define and maintain enterprise target-state architecture across business, application, data, integration, infrastructure, and security domains
Establish and govern architecture standards, processes, and patterns (including architecture runway principles) to enable consistent integration across platforms, operating systems, and applications
ensure compliance via reviews and decision documentation
Assess current-state capabilities and gaps, identifying risks, constraints, and modernization opportunities across systems and integrations
Develop and guide modernization roadmaps and sequencing recommendations, including assumptions, dependencies, and reuse opportunities
Define and oversee integration strategy, including API-enabled approaches, interoperability requirements, and cross-system dependency management
Oversee enterprise data and application architecture direction, including data flows and high-level data sensitivity considerations to support reporting/analytics needs
Translate business needs to technical solutions (and vice versa)
demonstrate understanding of business and technical requirements gathering and support functional workflow, business process, and information flow discussions

What we offer

medical insurance
dental insurance
vision insurance
flexible spending account
health savings account
life insurance
AD&D insurance
short term disability coverage
long term disability coverage
paid time off

Fulltime

Senior Business Analyst

The successful candidate will work as part of a team providing Business Operatio...

Location

United States , Little Rock

Salary:

70000.00 - 130000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Minimum 8 years of experience supporting or developing Health Care systems
Minimum 6 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations in a multi-vendor environment
Minimum 3 years of experience supporting one or more state Medicaid Programs / MMIS, including benefit plan administration or claims or financial reporting, to include MAR or CMS64 or TMSIS
Minimum 3 years of experience working with Medicaid Enterprise Systems (MES) vendors, specifically MMIS solutioning vendor experience
and verification of business and technical requirements
Minimum 1 year of experience with system development methodology and project management principles
Undergraduate degree or 4 years relevant experience

Job Responsibility

Review project artifacts/deliverables throughout the system development life cycle for quality, compliance, and completeness, document observations and findings using project team processes and standards
Interface with state business users and vendors
Analyze technical, business and user needs, developing requirements documentation
Identify and report project issues and risks
Research and provide recommendations to the client on business problems/decisions
Collaborate with team members in a fluid environment to provide subject matter expertise and assistance
Ensure project identified processes and methodologies are executed and followed
Develop and execute test cases
Develop and present formal presentations to business leaders, vendors, and team members, making applicable recommendations
Participate and/or lead in the creation of presentations and other materials for end user training

What we offer

Medical, dental, and vision insurance with an employer contribution
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally-required benefits

Fulltime

Senior Technical Lead

The Senior Technical Lead at NTT DATA will support Medicaid Transformation initi...

Location

United States , NASHVILLE

Salary:

97632.00 - 155000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Master's degree or equivalent experience
A minimum of 12 years' experience supporting Medicaid projects in the health and human services arena
A minimum of 12 years' technical analysis experience working on large complex systems implementation and/or enhancement projects
A minimum of 10 years' experience supporting MMIS large scale application implementations
A minimum of 3 years in project/program management

Job Responsibility

Participate in all aspects of the Software Implementation Lifecycle (SILC)
Work collaboratively with the project team
Provide oversight of vendor technical estimates
Build and sustain collaborative relationships with business and vendor partners
Support the analysis of systems and their integration points
Support the conversion of data needed to implement new modules
Support the analysis of current business processes including recommendations for improvements
Direct project leadership at the client’s request
Other duties as assigned by their manager

What we offer

Medical insurance
Dental insurance
Vision insurance
Flexible spending account
Health savings account
Life and AD&D insurance
Short term disability coverage
Long term disability coverage
Paid time off
Employee assistance program

Fulltime

New

Ai Engineer

We are recruiting an AI Engineer for a direct contract with a company based in t...

Location

Portugal , Porto

Salary:

Not provided

Precise

Expiration Date

Until further notice

Requirements

2+ years experience working within a software development team as an engineer
Comfortable writing and debugging code in Python. You understand the importance of readable code and are eager to learn best practices.
Familiarity with frameworks like FastAPI, Flask, or Django, with experience developing and exposing/consuming APIs.
Understanding of containerization and exposure to Docker.
Comfortable using Git for team collaboration (Gitlab pipelines exposure is a plus).
Machine Learning Fundamentals: Foundational knowledge of ML concepts and practical experience (academic or personal projects) deploying a simple model using libraries like scikit-learn, PyTorch, or TensorFlow.
Experience manipulating and analyzing data using libraries such as Pandas and NumPy.
A strong desire to learn MLOps principles, cloud infrastructure, and deployment practices (Kubernetes exposure is a plus).
BSc in Computer Science or a related technical field.

Job Responsibility

Implementing solutions for building and deploying AI models in production, with a focus on fault tolerance, scalability, maintainability and automation.
Leveraging modern LLM’s to include/enhance parsing capabilities for CVs/job adverts for existing supported languages and new additional languages.
Collaborating with the team to design, implement and optimise data processing pipelines and evaluation tools.

Fulltime

New

Branch Manager

Come and join us as a results driven Branch Manager to deliver sales and exceed ...

Location

United Kingdom , Lymington

Salary:

Not provided

City Plumbing

Expiration Date

Until further notice

Requirements

A great positive attitude
Enjoy customer interaction
Management Experience
Safe Practices
Forward Thinking
Tenacity and resilience
A pro-active approach to sales, with a strong desire and ability to win and grow new business
Experience of customer relationship management and developing a true partnership approach
Excellent communication skills
Self confident and self motivated, with the ability to work on own initiative or as part of a wider team

Job Responsibility

Effective management of the team and resource
Setting the standard of a sales orientated culture
Delivering against sales and customer demands while maximising profitability
Maximising margin and net profit
Keeping everyone safe
Build and maintain relationships with new and existing trade and retail customers
Ability to interpret and analyse financial and statistical information

What we offer

Bonus
Discounts, savings and cash back at numerous retailers
Life assurance
Extended family policy including maternity, paternity, additional annual leave and more
Mental Health First Aiders and Employee Assistance Programme, we look out for each other
Complete induction and a company that lets you grow and encourages development
Financial education and loans
Flexible working options
A business striving to create an environment of inclusion so everyone can be their true self

Fulltime

New

Guest Environment Expert

Our jobs aren’t just about giving guests a clean room and a freshly made bed. In...

Location

United States , Poughkeepsie

Salary:

18.00 USD / Hour

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

Ensuring a safe work place
following company policies and procedures
maintaining confidentiality
upholding quality standards
ensuring professional uniform, personal appearance, and communications
ability to stand, sit, or walk for an extended time
ability to move, lift, carry, push, pull, and place objects weighing less than or equal to 50 pounds without assistance

Job Responsibility

Delivering guest requests
stocking carts
cleaning rooms and public spaces
maintaining the appearance and cleanliness of the whole hotel

Parttime

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Senior Medicaid (MMIS) Project Manager

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

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