TDM MMIS (Medicaid Management Information System)
Job: TDM MMIS Location: Atlanta or Remote with 25% travel whenever required Duration: 6+ months contract to Hire Skills: MMIS, Medicaid, Claims Required:
- 10+ years of overall IT experience
- 5+ years of managerial experience
- Deep functional knowledge of Healthcare processes specially Medicaid Business
- Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs.
- Candidate should have hands-on experience on claims processing and Adjudication processes.
- Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.
- Candidate should have hands-on experience and strong knowledge on processing payouts, Account receivables and Receipts creation.
- Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
- Aware of the Cloud native architecture along with understanding of associated technologies
- Demonstrated understanding of Project Management processes, strategies and methods
- Experience mentoring, coaching and developing rising talent in the technology department
- Excellent time management and organizational skills and experience establishing guidelines in these areas for others
- Strong sense of personal accountability regarding decision-making and supervising department teams
- Experience working in a high-level collaborative environment and promoting a teamwork mentality
- Managerial experience applying analytical thinking and problem-solving skills
- Ability to predict challenges and seek to proactively head-off obstacles
- Exposure to Enterprise architecture/development.
- NoSQL, Microservices, Cloud knowledge