Summary: The DSNP Implementation Analyst Consultant at NTT DATA will focus on ensuring the technical readiness of the HSP Core Claims Administration solution for D-SNP by gathering and translating business and regulatory requirements into technical specifications. This role involves configuring systems to support Medicare and D-SNP operations, validating system configurations, and collaborating with various teams to meet operational and compliance standards. The position is remote and requires a strong background in healthcare IT systems and project management.

Key Responsibilities:

• Translate requirements from published policy guides, specifications, and business requirements into technical specifications, functional requirements, and models that support integration, traceability, quality assurance and testing, and training needs for the new DSNP launch.
• Work with in-house tech writers to understand and update business models and the technical architecture artifacts that define the future state for end-to-end integration.
• Map requirements to features of selected vendor solutions to document the future state and provide recommendations that support goals and compliance.
• Identify and resolve configuration issues or inconsistencies during the project.
• Manage the Traceability Matrix and interface management process to ensure new solutions successfully integrate with existing ITS systems.
• Support 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.
• 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.
• Work with teams to design and implement efficient operational processes that streamline HSP configuration and operations in alignment with the business requirements for Medicare and D-SNP lines of business.
• Assist in migrating data from new software solutions and/or legacy systems to ensure clean data transfers and accurate system setup for Medicare and D-SNP lines of business.
• Provide post-implementation support for system configurations, conversions, troubleshooting, and resolve issues as they are identified.

Key Skills:

• Minimum of 5 years of experience in IT system implementation and project management, with a focus on healthcare and Medicaid and Medicare systems.
• Minimum of 2 years of deep understanding of Medicaid/Medicare/DSNP regulations and the healthcare industry's business and technology needs.
• Minimum of High School Diploma or GED.
• Bachelor's degree preferred.
• HSP Configuration.
• Clinical or care management experience a plus.
• Experience managing requirements and UAT for Medicare and Medicaid managed care organization.
• DSNP system experience in California preferred.
• Requirements management certification a plus.
• Proven analytical and data management skills.
• Excellent communication and interpersonal skills.
• Experience with business and technical solutions in Medicaid and/or Medicare systems, claims, enrollment, healthcare analytics, EHR systems, and data management.
• Knowledge of IT security best practices and healthcare compliance regulations.

Salary (Rate): 65.00

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: IT