Medicare/D-SNP Implementation Consultant (HSP Configuration)

Impresiv Health; California (MO); Remote; USD 70,000 - 120,000; Full time

Job summary

Impresiv Health seeks an Implementation Analyst Consultant to support Medicare/DSNP systems' technical readiness. You will work on configuration, integration, and compliance to deliver effective solutions in a complex healthcare landscape, ensuring business requirements align with CMS regulations. Experience in IT implementations, particularly in healthcare, is essential for success in this contract role.

Qualifications

• 5+ years IT system implementation and project management experience.
• Deep understanding of Medicaid/Medicare regulations.
• HSP Configuration Experience highly preferred.

Responsibilities

• Translate requirements into technical specifications for the new DSNP launch.
• Manage the Traceability Matrix for system integration.
• Support implementation and post-implementation for the new Medicare/DSNP line of business.

Skills

Analytical skills

Data management

Communication

Interpersonal skills

Education

Bachelor's degree

Job description

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Job Title: Medicare/DSNP ITS – Implementation Analyst Consultant (HSP Configuration)

Location: Remote, must work PST hours

Job Type: Contract

Duration: Through 1/31/26

Job Summary:

The Medicare/DSNP ITS – Implementation Analyst Consultant (HSP Configuration) will support work to ensure technical readiness of Conduent's HSP comprehensive Core Claims Administration solution for D-SNP.

This includes work with business teams and subject matter experts to gather detailed system and operational requirements for Medicare and D-SNP programs and to translate business and regulatory requirements into technical specifications and system configurations.

This role will work with the configuring the systems and platforms to support Medicare and D-SNP operations. This includes ensuring accurate setup and alignment of system configurations with business rules and CMS regulatory requirements. This will be accomplished by identifying and addressing gaps between the business needs and system configurations.

This role will also validate system configurations and ensure that the system is configured to meet the operational, business and compliance standards needed for day-to-day operations.

Implementation Analyst Consultant will ensure that partner vendors, implementation teams, UAT end-users, and quality management teams work from clearly defined business requirements. This role will also manage traceability that aligns with a defined quality management plan for successfully testing and deploying new technology solutions and integrating with existing systems in compliance with published policy guides and standards for Medi-Cal, Medicare, and D-SNP to support the 2026 launch of new Medicare/DSNP line of business.

The new solutions support 2026 Medicare and DSNP requirements for managing prospects and brokers, CRM and customer service, enrollment, provider management, member experience, DSNP model of care and benefit coordination, risk adjustment, and reporting and data analytics. These products will integrate with the client's mature Medi-Cal solutions and business processes with an end-to-end deployment strategy that involves both agile and stage-gate implementation models.

This Implementation Analyst consultant will work with a team of analysts, vendor partners, developers, and test leads to map requirements to implementation to testing to adoption by updating the Traceability Matrix and managing documentation that ensures successful launch, including training and user adoption, and for reporting and compliance, particularly in relation to Medicare/DSNP services in the state.

What You Will Do:

• 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.
• 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 the client goals and compliance.
• 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.

You Will Be Successful If:

• Proven analytical and data management skills.
• Excellent communication and interpersonal skills.
• Knowledge of IT security best practices and healthcare compliance regulations.

What You Will Bring:

• Minimum of 5 years of experience in IT system implementation and project management, with a focus on healthcare and Medicaid and Medicare systems.
• Bachelor's degree preferred.
• HSP Configuration Experience highly preferred.
• Experience managing requirements and UAT for Medicare and Medicaid managed care organization.
• Deep understanding of Medicaid/Medicare/DSNP regulations and the healthcare industry's business and technology needs.
• DSNP system experience in California preferred.
• Experience with business and technical solutions in Medicaid and/or Medicare systems, claims, enrollment, provider payments, healthcare analytics, EHR systems, and data management.

About Impresiv Health:

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate About Impresiv Health value, at a rate that cannot be beaten. Your success matters, and we know it.

That's

Impresiv!

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Contract

Job function

• Job function

  Consulting, Information Technology, and Other

• Industries

  IT Services and IT Consulting, Hospitals and Health Care, and Insurance

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