Medicaid MMIS Transformation Lead | AI & Automation
International Business Machines Corporation
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Job summary
IBM Consulting in California seeks a Business Transformation Consultant specializing in Application Automation to drive automation for Medicaid portfolios. You will analyze client applications, apply AI/GenAI and RPA approaches, and design modernization roadmaps aligned with CMS, HIPAA, and CAMMIS guidelines.
You will collaborate with DHCS stakeholders to translate complex policies into technical specs and guide cross-functional teams through modernization and cloud initiatives, including AWS
Qualifications
- Experience in Medicaid/healthcare IT environments and policy understanding.
- Strong ability to translate business requirements into technical specifications.
- Proven track record in stakeholder engagement across clinical, operational, and technical teams.
- Experience with AI/GenAI initiatives and automation in large-scale programs.
Responsibilities
- Medicaid Domain Leadership & Strategy: Lead CA Medicaid policies, MMIS apps and CMS requirements.
- Business Requirements Analysis & Translation: Convert stakeholder needs into technical specs and roadmaps.
- Stakeholder Engagement & Client Management: Build relationships across DHCS and CA Medicaid teams.
- Innovation Initiative Assessment & Planning: Evaluate AI/automation initiatives for compliance and feasibility.
- Technical Guidance & Advisory Support: Advise on Medicaid data requirements and policy impacts.
- Program Governance & Recommendations: Contribute to CAMMIS governance and prioritization.
- Cloud Migration & Modernization Support: Advise on AWS cloud transformation and modernization.
Skills
Tools
Job description
IBM Consulting in California seeks a Business Transformation Consultant specializing in Application Automation to drive automation for Medicaid portfolios. You will analyze client applications, apply AI/GenAI and RPA approaches, and design modernization roadmaps aligned with CMS, HIPAA, and CAMMIS guidelines.
You will collaborate with DHCS stakeholders to translate complex policies into technical specs and guide cross-functional teams through modernization and cloud initiatives, including AWS
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