Medicaid MMIS Transformation & AI Automation Lead

International Business Machines Corporation; Boston (MA); Sur place; USD 151 000 - 281 000; Plein temps

Avantages offerts par ce poste

Healthcare benefits

401(k) plan

Pension plan

Stock Purchase Plan

Paid time off

Résumé du poste

IBM Consulting invites applications for a Business Transformation Consultant focused on Application Automation and Medicaid modernization. You will analyze Medicaid portfolios, identify automation opportunities, and guide AI/GenAI-enabled solutions.

Emphasis on governance, regulatory compliance, and stakeholder alignment to deliver value. You will collaborate with DHCS stakeholders to translate policy into technical roadmaps, ensuring HIPAA and CMS compliance while advancing modernization

Qualifications

• Experience in Medicaid MMIS, healthcare IT systems, and managed care environments.
• Deep expertise in Medicaid policies, compliance requirements, and program portfolio operations.
• Knowledge of CMS regulatory requirements and federal healthcare policy mandates.
• Experience translating policies into system and operational changes.
• Understanding of HIPAA compliance, data governance, and security in Medicaid environments.

Responsabilités

• Drive automation transformation for clients and analyze Medicaid application portfolios.
• Leverage AI/GenAI, RPA products, and process mining tools to propose automated solutions.
• Lead Medicaid domain guidance, strategy, and modernization initiatives.
• Translate complex Medicaid business requirements into technical specifications and roadmaps.
• Engage stakeholders across clinical, operational, and technical teams to align priorities.

Connaissances

Medicaid MMIS

Healthcare IT

CMS rules

HIPAA compliance

Stakeholder management

Analytical consulting

Change management

AI/GenAI familiarity

Formation

Bachelor's Degree

Outils

RPA tools

AI/GenAI tooling

Description du poste

IBM Consulting invites applications for a Business Transformation Consultant focused on Application Automation and Medicaid modernization. You will analyze Medicaid portfolios, identify automation opportunities, and guide AI/GenAI-enabled solutions.

Emphasis on governance, regulatory compliance, and stakeholder alignment to deliver value. You will collaborate with DHCS stakeholders to translate policy into technical roadmaps, ensuring HIPAA and CMS compliance while advancing modernization