Enterprise Architect with Medicare Medicaid Duals experience

Enterprise Architect with Medicare Medicaid Duals experience Join to apply for the Enterprise Architect with Medicare Medicaid Duals experience role at Tata Consultancy Services Enterprise Architect with Medicare Medicaid Duals experience 1 day ago Be among the first 25 applicants Join to apply for the Enterprise Architect with Medicare Medicaid Duals experience role at Tata Consultancy Services Get AI-powered advice on this job and more exclusive features. Lead the architecture and integration of FIDE plan systems, including claims processing, eligibility, provider management, and reporting platforms. Comprehend end-to-end workflows for dual-eligible member journeys, ensuring compliance with CMS and state requirements. Oversee system enhancements for rate updates, retroactive claims, and encounter data submissions. Collaborate with cross-functional teams to identify pain points and recommend process and technology improvements. Ensure auditability, data integrity, and regulatory compliance across all FIDE-related systems. Develop and maintain architecture documentation, data flow diagrams, and integration specifications. Support implementation of new markets and retrofit best practices into existing FIDE programs. Lead the architecture and integration of FIDE plan systems, including claims processing, eligibility, provider management, and reporting platforms. Comprehend end-to-end workflows for dual-eligible member journeys, ensuring compliance with CMS and state requirements. Oversee system enhancements for rate updates, retroactive claims, and encounter data submissions. Collaborate with cross-functional teams to identify pain points and recommend process and technology improvements. Ensure auditability, data integrity, and regulatory compliance across all FIDE-related systems. Develop and maintain architecture documentation, data flow diagrams, and integration specifications. Support implementation of new markets and retrofit best practices into existing FIDE programs. Must Have Technical/Functional Skills Lead the architecture and integration of FIDE plan systems, including claims processing, eligibility, provider management, and reporting platforms. Comprehend end-to-end workflows for dual-eligible member journeys, ensuring compliance with CMS and state requirements. Oversee system enhancements for rate updates, retroactive claims, and encounter data submissions. Collaborate with cross-functional teams to identify pain points and recommend process and technology improvements. Ensure auditability, data integrity, and regulatory compliance across all FIDE-related systems. Develop and maintain architecture documentation, data flow diagrams, and integration specifications. Support implementation of new markets and retrofit best practices into existing FIDE programs. Roles & Responsibilities Lead the architecture and integration of FIDE plan systems, including claims processing, eligibility, provider management, and reporting platforms. Comprehend end-to-end workflows for dual-eligible member journeys, ensuring compliance with CMS and state requirements. Oversee system enhancements for rate updates, retroactive claims, and encounter data submissions. Collaborate with cross-functional teams to identify pain points and recommend process and technology improvements. Ensure auditability, data integrity, and regulatory compliance across all FIDE-related systems. Develop and maintain architecture documentation, data flow diagrams, and integration specifications. Support implementation of new markets and retrofit best practices into existing FIDE programs. Qualifications Bachelor’s degree in Computer Science, Information Systems, or related field (Master’s preferred). 8+ years of experience in healthcare IT, with at least 1 year in Medicaid/Medicare duals or FIDE programs. Strong knowledge of claims, eligibility, provider, and compliance systems. Experience with system integration, data management, and regulatory reporting. Generic Managerial Skills, If any Collaborate with Project stakeholders and Drive the team to complete the deliverables Proven success working in large Medicare FDE programs Expertise in solving complex business functional issues, and manage the stakeholders. Team management Salary Range: $120,000 - $160,000 a Year TCS Employee Benefits Summary Discretionary Annual Incentive. Comprehensive Medical Coverage: Medica l & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. Family Support: Maternal & Parental Leaves. Insurance Options: Auto & Home Insurance, Identity Theft Protection. Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement. Time Off: Vacation, Time Off, Sick Leave & Holidays. Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Information Technology Industries IT Services and IT Consulting Referrals increase your chances of interviewing at Tata Consultancy Services by 2x Sign in to set job alerts for “Enterprise Architect” roles. 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