DSNP Implementation Analyst

Company: NTT DATA
Location: Merced
Posted on: September 26, 2024

Job Description:

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA Services currently seeks a DSNP Implementation Analystto join our team.

Job Title: Medicare/DSNP ITS - DSNP Implementation Analyst Consultant
Department: Information Technology Services (ITS)
Reports To: Program Director: ITS DSNP Implementation (Consultant)
FLSA Status: Consultant
Job Summary: The Medicare/DSNP ITS - 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 1/1/2026 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 our 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 California.
Key Responsibilities:

• 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 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.
  Qualifications:
  
  • 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.
    
  • Clinical or care management experience a plus.
    
  • 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.
    
  • Requirements management certification a plus.
    
  • Proven analytical and data management skills.
    
  • Excellent communication and interpersonal skills.
    
  • Experience with business and technical solutions in Medicaid and/or Medicare systems, claims, enrollment, healthcare analytics, EHR systems, and data management.
    
  • Knowledge of IT security best practices and healthcare compliance regulations.
    Working Conditions:
    
    • Remote work arrangements with occasional onsite travel (e.g., quarterly).
      
      #INDHRS
      About NTT DATA
      NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com .
      
      NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Keywords: NTT DATA, Merced , DSNP Implementation Analyst, Professions , Merced, California