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CMS EDGE Server Product Manager – Principal – Architect

Product ManagerProduct ManagerFull TimeRemoteLeadTeam 5,001-10,000Since 2002H1B SponsorCompany SiteLinkedIn

Location

Illinois

Posted

9 days ago

Salary

0

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

CMS EDGE Server Product Manager – Principal – Architect

Huron

• Serve as SME for CMS EDGE Server, ACA Risk Adjustment, and Reinsurance programs • Lead CMS EDGE Server implementations, enhancements, and operational support initiatives • Ensure accurate and compliant submission of membership, claims, encounter, and supplemental data to CMS • Drive data validation, reconciliation, and reporting quality improvements • Partner with business, operational, compliance, and technical teams to resolve data and reporting issues • Translate business requirements into product, process, and technical solutions • Provide strategic advisory support to health plan clients on CMS reporting best practices

Job Requirements

  • 7+ years of healthcare payer experience
  • Deep expertise with CMS EDGE Server and ACA Risk Adjustment
  • Strong understanding of Reinsurance, Risk Adjustment, and regulatory reporting requirements
  • Experience with health plan membership, claims, and encounter data
  • Proven implementation and client-facing consulting experience
  • Strong knowledge of payer operations and data quality processes
  • Excellent communication and stakeholder management skills

Benefits

  • medical, dental, and vision coverage to employees and dependents
  • a 401(k) plan with a generous employer match
  • an employee stock purchase plan
  • a generous Paid Time Off policy
  • paid parental leave and adoption assistance
  • Wellness Program supporting employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of employees throughout the year

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