Claims Database Product Manager

3 weeks ago


Atlanta, United States Crescens Full time
Job Title: Claims Database Product Manager
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

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