Implementation Project Lead

1 week ago


Annapolis, Maryland, United States Evolent Health Full time

Evolent Health is seeking a highly skilled Implementation Project Lead to spearhead the requirements management for implementation projects across our client and Evolent organizations.

This individual will play a pivotal role in delivering our value-based strategy with partners and contribute to dynamic initiatives that propel the growth of our department and team.

The expected base salary for this position is $100,000 - $125,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors.

Key Responsibilities:

  • Clearly define requirements, process flows, use cases, and acceptance criteria for CMS and Commercial programs.
  • Facilitate communication between business/IT teams, developers, and external stakeholders.
  • Identify, document, and analyze discrepancies and anomalies within automated data reconciliation and disputed data.
  • Document business and system requirements standards when new system enhancements or engineering changes are required.
  • Develop a deep understanding of end user outputs, platform development & configuration, multisystem functional requirements, business rules, and leverage that knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives.

Required Skills and Qualifications:

  • Bachelor's degree or equivalent experience.
  • Able to own and write the Business Requirement Document (BRD) independently for any given domain function with minimal assistance.
  • 5-8+ years of IT and/or business experience in an HMO/PPO Claims, Medicaid, Medicare, and/or managed care healthcare environment.
  • Knowledge of the Affordable Care Act, HMO and managed care principles including Medicaid and Medicare regulation.
  • Extensive experience with the System Design Life Cycle (SDLC).
  • Experience with EDI X12 structure and syntax rules; chiefly with 834 files.
  • Superior root cause analysis skills, including corrective action planning and ability to provide documentation to support analysis.

Benefits:

We offer comprehensive benefits, including health insurance benefits, to qualifying employees. As part of our total compensation package, Evolent is proud to offer competitive salaries and bonuses to selected individuals based on their skills and experience.



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