Job Description

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Claims Systems Lead

Project Manager I

Who we are:

Born digital, UST transforms lives through the power of technology. We walk alongside our clients and partners, embedding innovation and agility into everything they do. We help them create transformative experiences and human-centered solutions for a better world.

UST is a mission-driven group of over 29,000+ practical problem solvers and creative thinkers in over 30+ countries. Our entrepreneurial teams are empowered to innovate, act nimbly, and create a lasting and sustainable impact for our clients, their customers, and the communities in which we live.

With us, you'll create a boundless impact that transforms your career-and the lives of people across the world.

Visit us at .

You Are:

UST is looking for a Claims Systems Lead to manage a team of SA's, to build end to end business solutions and to work with one of the leading healthcare providers in US. The candidate must possess excellent written and verbal communication skills with the ability and collaborate effectively with domain and technical experts in the team.

The Opportunity:

• Perform end-to-end management of a single project up to TCV of 500K with time and effort based or deliverable based model; by delivering the agreed scope, within the agreed timeline and cost. Ensure the success and acceptance criteria of the project are met, enhancing customer satisfaction.
• Identify key stakeholders ensuring establishment and maintaining positive business relationships among stakeholders (internal or external)
• Maintain regular communication with customer; addressing needs through empathy with their environment
• Define activities, responsibilities, critical milestones, resources, skills needs, interfaces and budget. Optimize costs and time utilisation, minimize waste and deliver projects on time, on budget as per the contract and agreed scope, with a high quality result.
• Anticipate all possible risk manage them by applying the suitable risk management strategy; while developing contingency plans.
• Implement the governance model defined for similar projects
• Track and reports project KPIs and analyze project health
• Effective implementation of software delivery methodologies to improve project KPIs
• Provide individual and team mentoring; ensuring high levels of team engagement, and developing capabilities within team
• Adopt and build software engineering best practices which can be leveraged by other teams
• Manage/Lead a team of SA's
• Provide leadership and direction to the teams; business partners and management; and empower the teams to self-organize.
• Work with the support teams to understand needs and collect details from various stakeholders and team members to ensure that a smooth application support and migrations.
• Follow technology trends and guide teams Fine tune engagement processes to deliver successfully within the corporate culture.
• Single point of contact for overall functional domain, status and resources
• Analyzes complex end user needs to determine optimal means of meeting those needs.
• Work with all stakeholders being impacted by business system and/or business process changes; where applicable; to ensure all changes are managed back into the business in a way that minimizes impact to the customer.
• Determines specific business application software requirements to address complex business needs.
• Understand current system and work with business on laying out requirements
• Participates in developing and/or modifying requirements, business design specifications, analyze the mainframe code and document the programming logic.
• Research and documents business issues.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Acts as a resource to users of the software to address questions/issues.
• May provide direction and guidance to team members and serves as an expert for the team.

What you need:

• Requires a BA/BS and minimum of 5 years in mainframe programming and system analysis experience; or any combination of education and experience which would provide an equivalent background.
• Experience in JIRA, Confluence o Healthcare industry experience with Claims, Provider and Pricing Knowledge
• Experience with Agile or Business Process and Analysis methodologies.
• Excellent in writing effective documentation including but not limited to requirements, process flow maps, and use cases.
• Ability to work independently as well as within a goal-oriented team.
• MS Excel and MS Word proficiency.
• Experience in medium to large scale enterprise applications. Ability to establish and maintain effective working relationships with co-workers, managers and internal and/or external customers.
• Should be able to create user stories, extracting all the information from the desired features/epics.
• Should be able to work with different teams, cross domain and detail the features.
• Prior work experience with WGS claims system as an SA coordinating with business and IT stakeholders along with leading resources is mandatory.

What we believe:

We're proud to embrace the same values that have shaped UST since the beginning. Since day one, we've been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

Equal Employment Opportunity Statement

UST is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.