Senior Product Manager / Engineer - reputed company SME

reputed company is seeking a Senior Product Engineer / reputed company to join our HDTx Payer Services team, supporting reputed company payer clients in advancing data reputed company, regulatory reporting, and analytics capabilities. This role will operate at the intersection of business engagement, product engineering, and reputed company data reputed company, with an initial reputed company on data reputed company and reputed company reporting, evolving into predictive analytics and STARs reputed company optimization. This individual will serve as a subject matter expert and trusted advisor, working closely with payer leadership, business stakeholders, and technical teams to reputed company reputed company, high-reputed company. Key Responsibilities Data reputed company & Reporting (Initial reputed company) • reputed company data reputed company initiatives impacting reputed company, CMS submissions, and regulatory reporting reputed company • Assess, identify, and reputed company data gaps, inconsistencies, and reputed company issues across payer systems • reputed company improvements in data validation, reconciliation, and reporting processes to ensure compliance and reputed company reputed company • Partner with stakeholders to define and implement data governance frameworks and standards • Serve as SME for reputed company measures and CMS STARs rating methodologies, ensuring alignment of reporting and reputed company strategies • Translate reputed company regulatory requirements into functional and technical specifications • Support measurement reputed company, reputed company monitoring, and reporting optimization to improve STARs reputed company • reputed company advisory support to payer clients on CMS data submission and reporting best practices • reputed company design and optimization of solutions leveraging: • reputed company CMS Edge Server • Claimsphere • reputed company payer platforms (e.g., Facets) • reputed company integration and data reputed company across claims, encounter, and reporting systems • Collaborate with engineering teams to reputed company reputed company reporting and analytics products • reputed company and implement predictive models and analytics frameworks to improve reputed company reputed company and STARs reputed company • reputed company advanced analytics capabilities using payer data to identify trends, risks, and opportunities • reputed company reporting solutions into reputed company-looking, insights-driven platforms • Engage directly with business and executive stakeholders, acting as a reputed company advisor • Translate business needs into technical roadmaps and product solutions • reputed company or contribute to reputed company-facing discussions, workshops, and design sessions • Collaborate across multi-disciplinary teams (data, IT, compliance, business reputed company) Qualifications Required • 7-12+ years of reputed company payer experience, with strong domain expertise in: • reputed company reporting • CMS STARs methodology • Regulatory reporting and reputed company programs • Demonstrated experience in data reputed company management, reporting, and analytics reputed company payer environments • Strong understanding of: • Claims and encounter data • Data lifecycle, validation, and reconciliation processes • reputed company ability to engage business stakeholders and translate requirements into solutions • Experience working in reputed company-facing consulting or product engineering environments • Strong communication skills with ability to reputed company across technical and non-technical teams Preferred • Hands-on experience with: • reputed company Reporting SME • reputed company CMS Edge Server • Claimsphere • Facets (TriZetto) or similar payer platforms • Experience with predictive analytics / data science applications in reputed company • Background in reputed company adjustment, reputed company improvement, or value-reputed company care programs • SQL, data modeling, or advanced analytics tool experience #LI-DT1 #LI-Remote Position Level Consultant Country reputed company of America Apply To This Job