Claims Database Product Manager - Crescens Inc.
Atlanta, GA
About the Job
Job Title: Claims Database Product Manager
Location: Atlanta, GA
Duration: 10+months
Type: Contract
Job Description:
Qualifications:
Required:
Location: Atlanta, GA
Duration: 10+months
Type: Contract
Job Description:
- Under broad supervision, proficient in the design, development, integration, testing, and support of large/complex database systems necessary to support the information systems needs of the agency.
- The client require support from a consultant with expertise in the management and analysis of databases that collect health insurance claims information from all health care payers into a statewide information repository.
- Client seeks a consultant who will leverage available funding sources, incorporate best practices from previous APCD implementations, and provide a sustainable plan for ongoing operations.
- 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 client primary point of contact for the APCD.
- The APCD includes two modules – Data Collection and Data Analytics.
- On point 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.
- Local candidates are strongly preferred; however, out-of-state candidates that would work 100% remote are welcome to apply.
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:
- Proven experience analyzing databases that collect health insurance claims information from health care payers
- Experience with Healthcare Claims data and Center for Medicare and Medicaid Services (CMS) Funding
- Project Management
- Data Warehouse
- Healthcare Claims Processing
- Medicaid System Design
Source : Crescens Inc.