Deloitte Systems Engineering- Health Plans-Manager in Costa Mesa, California
Systems Engineering Health Plans -Manager
Are you a talented professional that focuses on the planning, execution, and monitoring of project initiatives? Are you a resourceful problem solver that thrives in the identification and definition of creative, effective technology solutions? As a Manager, you help clients set-up, manage, and operate their most complex projects, define functional requirements for technology solutions, and design and derive transformative approaches for technology systems.
Work you ll do
As a Manager you will bring considerable solutions to clients.
Manage day to day interactions with executive clients and sponsors
Manage and deliver components of client engagements that identify, design, and implement technology and creative business solutions for large companies.
Responsibilities include, among others, managing teams in the identification of business requirements, functional design, process design (including scenario design, flow mapping), prototyping, architecture, development, testing, training, defining support procedures.
Develop and maintain contact with top decision makers at key clients; participate and lead aspects of the proposal development process; contribute to the development of proposal pricing strategies
Our Systems Engineering team delivers large-scale software applications and integrated systems, and assists clients with architecture design, assessment and optimization, and definition. We develop service-oriented architecture (SOA) and other integration solutions to enable information sharing and management between business partners and disparate processes and systems, and we deliver technology enablement to support CIO services transformation.
Systems Engineering professionals focus on key client issues that impact the core business by maximizing operational value, driving down the cost of quality, and enhancing technology innovation. Our teams deliver a wide range of services, including application architecture design and optimization, application modernization, business process management and solution integration, custom application design and development, and large-scale technology delivery program efforts.
Managers in the HealthPlans practice are required to have:
4years of experience in the design, development or implementation phases(business or technical) for Health Plan/Payer applications.Experience in one of the following Core Administrativeand/or Pharmacy Benefit Management functional domains is preferred:
Claims intake / pre-processing
Claims pricing and benefits processing
Clinical / medical management
Provider and Network
Analytics and Business Intelligence - downstream
Candidates should have strong Health planoperational,functional and systems knowledge
8years of relevant consulting or industry experience
8years of business process analysis, mapping, and design
8years of experience in requirements analysis and performing current statesystem analysis
8years of performing conceptual and technical designs, including the use ofobject-oriented analysis and design techniques
4year of experience with Agile, Scrum, Waterfall orRUP Methodologies
8years of experience in translating requirements into optimized designs, andidentifying design alternatives and implications on functionality, effort,performance and operations
Awillingness to travel 80 - 100% of the time
Bachelor sDegree or equivalent experience
In addition, successful Managers will have the following preferred background:
Familiarity with Health Plan/Payer policies and mandates
Experience with MVC patterns
Experience with common OO design patterns
Testing, including all phases: System, Integration, and Performance Testing and ensuring traceability
Exposure to TOGAF, NEIM (or other architecture framework)
Experience with Middleware and/or SOA based implementations.
Experience planning, tracking and delivering projects using Microsoft Project and documenting processes in Microsoft Visio
Strong presentation and facilitation skills including development and delivery of Microsoft PowerPoint presentations
Strong problem solving and troubleshooting skills with the ability to exercise mature judgment
Experience with cloud solutions on Amazon Web Services (AWS), Microsoft Azure, and/or Google Cloud Platform
Experience working in a collaborative environment
Experience leading work planning, monitoring, and reporting
Experience conducting interviews and documenting requirements
Experience leading design sessions and defining future state processes
Ability to work independently and manage multiple assignments
Strong oral and written communication skills
How you ll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center. at https://zoomforth.com/s/deloitte/du#home
At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. at http://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html
Deloitte s culture
Our positive and supportive culture encourages our people to do their best work every day. We celebrate individuals by recognizing their uniqueness and offering them the flexibility to make daily choices that can help them to be healthy, centered, confident, and aware. We offer well-being programs and are continuously looking for new ways to maintain a culture where our people excel and lead healthy, happy lives. Learn more about Life at Deloitte.
Deloitte is led by a purpose: to make an impact that matters. This purpose defines who we are and extends to relationships with our clients, our people and our communities. We believe that business has the power to inspire and transform. We focus on education, giving, skill-based volunteerism, and leadership to help drive positive social impact in our communities. Learn more about Deloitte s impact on the world. at http://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-corporate-citizenship.html
We want job seekers exploring opportunities at Deloitte to feel prepared and confident. To help you with your interview, we suggest that you do your research: know some background about the organization and the business area you re applying to. Check out recruiting tips from Deloitte professionals. at http://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html
Category: Management Consulting
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