TEMP Strategic Consulting Senior Manager

Company: Nexient LLC
Location: New York
Posted on: March 29, 2025

Job Description:

Job Title: Medicare/DSNP ITS - Technical Program Manager (TPM) ConsultantDepartment: Information Technology Services (ITS)Reports To: Program Director: ITS DSNP Implementation (Consultant)FLSA Status: ConsultantJob Summary: The Medicare/DSNP ITS - Technical Program Manager (TPM) Consultant will oversee integration and change management for multiple new Medicare/DSNP solutions that will support the 1/1/2026 launch of new CCAH Medicare/DSNP line of business. The new solutions support 2026 Medicare and DSNP requirements for managing prospects, enrollment, claims, provider management, member experience, DSNP model of care and benefit coordination, risk adjustment, and reporting and data analytics. These products will integrate with CCAH's mature Medi-Cal solutions and business processes with an end-to-end deployment strategy that involves both agile and stage-gate implementation models.This TPM consultant will work to ensure that the implementation outcomes support requirements and meet targets for quality and UAT, training and user adoption, and for reporting and compliance, particularly in relation to Medicare/DSNP services in California.Key Responsibilities:

• Provide project and program oversight for the implementation, deployment, and adoption for new technology that supports new Medicare/DSNP line of business.
• Engage with vendor-provided solutions and their implementation teams to bridge open questions, resolve key decisions, ensure quality delivery, meet dates, manage change requests and associated project cost management.
• Develop end-to-end program implementation plan and manage key deliverables through the project duration.
• Focus on integration and interface management to ensure new solutions successfully integrate with existing ITS systems.
• Understand business models and technical architecture strategy and work to align implementations with the future state Medicare/DSNP plan.
• Collaborate with implementation partners, ITS development and QA teams, business leaders and end-user to meet the operational, compliance, and quality goals of the end-to-end implementation plan.
• Adhere to best practices for the security and compliance of Medicare/DSNP data across all IT systems.
• Foster an environment of continuous improvement and innovation to ensure successful launch of new DSNP line of business for CCAH.Qualifications:
  • Minimum of 5 years of experience in IT system implementation and project management, with a focus on healthcare and Medicaid and Medicare systems.
  • Bachelor's degree preferred.
  • Experience working on both agile and waterfall project management methodologies across multiple projects to support a single program.
  • Experience with both cloud-based solutions and large-scale systems.
  • Clear understanding of change management to ensure user adoption and quality solution deployment.
  • Strong understanding of Medicaid/Medicare/DSNP regulations and the healthcare industry's technology needs.
  • DSNP system experience in California preferred.
  • Vendor management experience preferred.
  • Direct experience with IT project audits, independent verification and validation (IV&V), and project governance preferred.
  • Project management certification preferred (PMO, Agile, or other).
  • Experience with Project Management Information Systems and IT tracking (e.g., Wrike, Azure DevOps, PlanView).
  • Proven technical and analytical skills.
  • Excellent communication and interpersonal skills.
  • Experience with business and technical solutions in Medicaid and/or Medicare systems, claims, enrollment, provider payments, healthcare analytics, EHR systems, and data management.
  • Knowledge of IT security best practices and healthcare compliance regulations.Working Conditions:
    • Remote work arrangements with occasional onsite travel (e.g., quarterly).
      #J-18808-Ljbffr

Keywords: Nexient LLC, New York , TEMP Strategic Consulting Senior Manager, Executive , New York, New York