Diverse Lynx
Architect and optimize FIDE systems including claims, eligibility, provider management, and reporting. Ensure compliance with CMS and state regulations across dual-eligible member workflows. Manage system enhancements for rate updates, retroactive claims, and encounter submissions. Collaborate with business, IT, and compliance teams to improve processes and technology. Maintain architecture documentation, data flows, and integration specs. Support new market implementations and continuous improvements. Bachelor's degree in Computer Science, Information Systems, or related field (Master's preferred). 7+ years in healthcare IT; 1+ year experience with Medicaid/Medicare duals or FIDE programs. Strong expertise in claims, eligibility, provider, compliance systems, integration, and regulatory reporting #J-18808-Ljbffr