Medicaid MMIS: AI-Driven Transformation Consultant
International Business Machines Corporation
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Job summary
IBM Consulting is hiring a Business Transformation Consultant focused on Application Automation for Medicaid and health IT modernization in California. You will drive automation opportunities, analyze Medicaid portfolios, and propose AI-driven improvements.
Expertise in MMIS, HIPAA, CMS rules, and cloud migration will shape strategic modernization and governance for state programs. You will collaborate with stakeholders across DHCS and clinical, operational, and technical teams to implement
Qualifications
- Experience with Medicaid Management Information Systems (MMIS) and health IT operations.
- Deep knowledge of CMS requirements and federal healthcare policy mandates.
- Ability to translate policy into system and operational changes.
- Proven skills in AI/GenAI risk assessment, data governance, and HIPAA compliance.
Responsibilities
- Drive automation transformation for clients and assess application portfolios.
- Lead Medicaid policy alignment with modernization and digital initiatives.
- Engage DHCS stakeholders to define requirements and roadmaps.
- Provide technical guidance on data needs, governance, and regulatory constraints.
- Support cloud migration and modernization efforts for MMIS environments.
Skills
Tools
Job description
IBM Consulting is hiring a Business Transformation Consultant focused on Application Automation for Medicaid and health IT modernization in California. You will drive automation opportunities, analyze Medicaid portfolios, and propose AI-driven improvements.
Expertise in MMIS, HIPAA, CMS rules, and cloud migration will shape strategic modernization and governance for state programs. You will collaborate with stakeholders across DHCS and clinical, operational, and technical teams to implement
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