Medicaid Business Solutions Leader (Remote)

Job Details
Job Location
Remote U.S.-REMOTE - Remote, VA
Remote Type
Fully Remote
Position Type
Full Time
Travel Percentage
None
Description
CNSI is empowering the delivery of public sector healthcare in claims and encounter processing platforms, provider support solutions, and promoting consumer engagement and interoperability. Our technology-enabled products and solutions connect consumers, payers, and providers to improve health outcomes for one in five Americans.
As a Medicaid Business Solution leader, you will play a key role in leading, solutioning and interfacing with clients on large complex MMIS deals within the government healthcare market. You will provide expert Medicaid fiscal agent business operations leadership and direction to the Business Development, Operations and Technology teams across CNSI
Position will work remotely. Central or Eastern Time zones preferred
Press Release
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Job Responsibilities

• Identifies areas for process improvement to improve quality and optimize cost
• Develops project scoping planning and basis of estimates for CNSI engagements
• Define customizations and configuration to standard products and solutions to meet specific client requirements
• Develops business case justifications, estimations and cost/benefit analyses for business operations spending and initiatives, providing support to the budget process as needed
• Works on highly complex projects that require expert knowledge across all specialized business operations domains
• Partners with customers and internal/external stakeholders to develop long-term strategies and solutions
• Ensures that the business operations team identifies risks and issues, escalates them to senior management, and assists in developing mitigation strategies
• Manage the technical development and content for Requests for Proposal (RFP), evaluates solutions, defines governance, and supports technology delivery management process
• Lead client demos and presentations as needed
• Advise and drive emerging trends and industry practices in the Medicaid services and business operations field

Qualifications
Experience/Preferred Skills Required:

• 6+ years Medicaid industry experience with focus on the MMIS market
• Possesses recognized expertise in the Medicaid fiscal agent services business operations field, including emerging trends and industry practices
• Proven ability as a hands-on leader to build and develop action-oriented teams to achieve common goals
• 8+ years of experience in solution or operation leadership role, preferably in large complex organizations leading matrixed teams

Preferred Experience/Skills

• Keeps abreast of new business policies, technology, and market developments (including federal regulations) and suggests adoption of new technologies and tools to improve quality of business solutioning and related deliverables
• Provides industry insights, market trends, and best practices to influence continuous improvement initiatives, working closely with senior management

CNSI is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status, or any other status protected by applicable federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.