ICD-10, Payer/Health Plans, Technology Manager Job in Philadelphia 19103, Pennsylvania US
- Application Management Services
- Information Management
- Oracle Package Technologies
- SAP Package Technologies
- Emerging Solutions Technologies
- Systems Integration
- Technology Strategy Architecture
Systems Integration: Provide Technology Solution Development and Integration across the SDLC including requirements, functional specs, design, custom development, integration, testing, and deployment. Deloitte's SI Capability maintains a strong focus on structuring, managing, and implementing complex technical solutions requiring deep business expertise, process optimization, and business operations knowledge to achieve significant and measurable business value
Health Plans
Health Plans face a number of unique environmental pressures that affect the way they will conduct business today and in the future – among them a need for increased privacy and security, an intense focus on risk management, access to capital, efforts to consolidate and streamline IT functions, the launch of new consumer–driven business models, managing chronic diseases through medical management practices, maximizing e–business–driven platforms, implementing health plan–specific customer relationship management tools and complying with increasing financial and transactional legislation. Our healthcare professionals can help clients address these and other challenges in today's complex health care environment.
ICD–10
In 2013, per the Department of Health and Human Services (HHS) Final Rule CMS–0013–F, the United States will move from the ICD–9 system of disease classification to ICD–10, a much more complex system that reflects recent advances in disease detection and treatment via biomedical informatics, genetic research and international data–sharing. ICD–10 has the potential to create value for health care providers and the industry as a whole. If adoption is successful, the promise of a richer body of diagnosis and procedure data would allow better trending, a more detailed understanding of costs and benefits, and an ability to more precisely understand the effectiveness of managing care across the continuum. Deloitte has developed an ICD–10 methodology and a three–pronged assessment approach that results in an understanding of the provider's current state, identifies specific gaps in operational and technical capabilities, and provides a roadmap for remediating those gaps.
Essential functions of a Manager at Deloitte Consulting:
A Manager at Deloitte is expected to contribute to the firm's growth and development in a variety of ways, including:
- Client Management: Manage day to day interactions with executive clients and sponsors
- Delivery: 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, testing, training, defining support procedures.
- Business Development: Develop and maintain contact with top decision makers at key clients; organize and lead pursuit teams; participate and lead aspects of the proposal development process; contribute to the development of proposal pricing strategies
- People Development: Perform role of counselor and coach; provide input and guidance into the staffing process; actively participate in staff recruitment and retention activities; provide leadership and support for delivery teams and staff in local offices
Managers in the Systems Integration practice are required to have:
- 8 years of relevant consulting or industry experience
- A minimum of 4 full life cycle implementations
- 2+ years of experience participating in large–scale, full–life cycle Enterprise Application Integration (EAI) implementations. This effort can be within a management consulting or industry environment.
- At least 4 years of experience in managing at least one large Business Integration effort and project team through all phases of the project lifecycle from scoping and planning, requirements gathering, design, development, testing,
- Must have 4 + years of hands–on technical experience with at least one the following tools: MQ Series, SeeBeyond, Tibco, Vitria, WebMethods, IBM WebSphere, BEA Weblogic or Crossworlds, Oracle Fusion, SAP Netweaver XI
- Must have at least 1 year experience in Service Oriented Architecture (SOA) architecture and Concepts
- Conversant in one or more EAI areas (Message Brokers, Messaging Middleware, Workflow, Business Process Management)
- A willingness to travel 80 – 100% of the time
In addition, successful Managers will have the following preferred background:
· Previous exposure assessing the technology and vendor impact of ICD–10, including roadmap and planning involvement.
- Detailed experience working within a Health Plan organization in a consultative or an advisory role to the business.
- Experience with Business Process Modeling (BPM) tools, Business rules integration
- Strong methodology understanding, and have assisted in the design, development or testing of a technology integration project
- Ability to work independently and manage multiple task assignments
- Strong oral and written communication skills, including presentation skills (MS Visio, MS PowerPoint)
- Strong problem solving and troubleshooting skills with the ability to exercise mature judgment
- Eagerness to mentor junior staff
- A Bachelor's Degree
Deloitte is one of the leading professional services organizations in the United States, specializing in audit, tax, consulting and financial advisory services with clients in more than 20 industries. We provide powerful business solutions to some of the world’s most well-known and respected companies, including more than 75 percent of the Fortune 100.
At Deloitte, you can have a rewarding career on every level. In addition to challenging and meaningful work, you’ll have the chance to give back to your community, make a positive impact on the environment, participate in a range of diversity and inclusion initiatives, and find the support, coaching, and training it takes to advance your career. Our commitment to individual choice lets you customize aspects of your career path, your educational opportunities and your benefits. And our culture of innovation means your ideas on how to improve our business and your clients’ will be heard.
Visit www.deloitte.com/us/careers to learn more about our culture, benefits and opportunities.
About Deloitte
As used in this document, “Deloitte” means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Deloitte LLP and its subsidiaries are equal opportunity employers.
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About Deloitte
Deloitte is one of the leading professional services organizations in the U.S. specializing in audit, tax, consulting, and financial advisory services. We have clients in more than 20 industries, and we provide powerful business solutions to some of the world's most well-known and respected companies, including more than 75 percent of the Fortune 100. More
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