Product Director Payer

You have a job opportunity where you will be responsible for utilizing your excellent communication skills to effectively manage client stakeholders. Additionally, you will be required to have experience in creating business solutions and participating in consulting presales activities. Your role will also involve executing consulting assessment programs and gathering, analyzing, and documenting business and technical requirements for healthcare programs. Key Responsibilities: - Knowledge of CMS rating standards (STAR) and quality measures reporting - Ability to interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations - Conducting gap analysis, impact analysis, and facilitating design walkthroughs with business and technical teams - Coordinating across cross-functional teams (product, ops, compliance, providers) to ensure integration requirements are met Qualifications Required: - Excellent communication skills - Experience in creating business solutions and consulting presales activities - Experience in executing consulting assessment programs - Knowledge of CMS rating standards and quality measures reporting - Ability to interpret and map HIPAA X12 EDI transaction sets to system data models and ITX transformations - Ability to conduct gap analysis, impact analysis, and facilitate design walkthroughs with cross-functional teams If there are any additional details about the company in the job description, please provide them.,