Job Description
This is a Scrum Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing purpose built capabilities for our NextGen platform. This role is responsible for leading a team of configuration resources and for delivering configuration for various enrollment, billing, reconciliation, correspondence and reporting Stories within an Agile framework.
Fundamental Components
• Serves as a member of the team to deliver purpose built configuration for the Medicare Enrollment Operations Team on the Next Generation Platform.
• Independently designs and / or configures efficient, cost effective application program solutions for the Enrollment Operations Team on the Next Generation Platform Program for the Medicare organization, including products for Medicare Advantage (MA), Medicare Advantage with Prescription Drug Coverage (MAPD) and stand-alone Prescription Drug Plans (PDP) and potentially Medicaid.
• Develops new and / or reuses existing configuration through the use of program development software and / or integrates purchased solutions.
• With limited direction, translates business requirements to technical specifications.
• Creates technical designs for a new application or enhancements, including integration of purchased solutions.
• Performs ongoing system maintenance, research, problem resolution and on-call support, according to defined plans or documentation for existing systems.
• Is fully familiar with the prescribed methodology and is in strict compliance with all required artifacts.
• Independently performs unit testing. May perform or assist with integration and system testing, according to detailed test plans to ensure high-quality systems. May assist business partners with User Acceptance Testing.
• Independently supports processes related to the implementation of systems into production, including integration of purchased solutions. Independently works on multiple projects and/or SRs and actively participates as a member of each project team supporting an application or set of applications.
• Independently works on small and large moderately complex projects that require increased skill in multiple technical environments and disciplines, that have system wide impact and that may integrate across the organization.
• Supports reviews and signs off on all design documents prior to configuration.
• Supports reviews of all configuration built by other Business Consultants.
• Supports Leads with coaching / mentoring for other Business Consultants performing configuration within the system.
Background Experience
The following is a list of preferred skill/experiences candidate will possess:
• Technical - Development Languages/Oracle PL/SQL/4-6 Years/Power User
• Information Technology/Application development/4-6 Years;
• Information Technology/Release & resource management/4-6 Years;
• Medical Management/Medical Management - Government Administration/4-6 Years;
• Administration / Operations/FE Correspondence / Reports/4-6 Years;
• Management/Management - Plan Sponsor Services/4-6 Years
• Leadership/Creating Accountability/ADVANCED;
• Leadership/Developing and Executing Strategy/ADVANCED;
• Leadership/Driving a Culture of Compliance/FOUNDATION
• General Business/Consulting for Solutions/ADVANCED;
• Leadership/Anticipating and Innovating/ADVANCED;
• Technology/Justifying the Business Case/ADVANCED
• Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.
• Demonstrated experience successfully implementing change in complex organizations.
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simult aneously.
Additional Job Information
This is a fantastic opportunity for a senior level developer / configuration / business analyst with more than six years of experience to transition into a position on the Medicare Next Generation Platform Team. We currently have an opening within our Medicare / Medicaid Next Generation Program team for a dynamic, self-starting, experienced analyst. The role will create new learning opportunities from both a technology perspective and a business process perspective in relation to Medicare and Medicaid Enrollment Operations.
Education
Bachelor's degree or equivalent experience
Percent of Travel Required
0 - 10%
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. Senior Level Employment Type: OTHER