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Medicare/DSNP ITS Implementation Analyst Consultant (HSP Configuration)

  2025-07-23     HJSRLLC     all cities,CA  
Description:

HJ Staffing is actively seeking an experienced Implementation Analyst Consultant to support the technical readiness of Conduent's HSP Core Claims Administration System for Medicare and Dual Special Needs Plans (D-SNP). This consultant will lead efforts to ensure regulatory alignment, seamless integration, and accurate system configuration for the 2026 Medicare/DSNP program launch in California.

This role is ideal for professionals with deep experience in HSP Configuration, California DSNP implementations, and managing the end-to-end lifecycle from requirements to adoption.

Key Responsibilities:

  • Translate published policy guides and regulatory requirements into technical and functional specifications.

  • Lead HSP system configuration to align with Medicare and DSNP operations and CMS rules.

  • Collaborate with subject matter experts, implementation vendors, QA teams, and UAT users to ensure seamless execution of DSNP operations.

  • Maintain and manage a Traceability Matrix to connect business requirements to testing and deployment.

  • Support full-cycle implementation, including integration with CRM, customer service, enrollment, provider management, member experience, and reporting systems.

  • Ensure security and compliance with Medicare/DSNP data throughout all IT systems.

  • Lead documentation and training support for user adoption and reporting readiness.

  • Facilitate migration of legacy or new software systems and validate post-launch configurations.

You'll Be Successful If You:

  • Are highly analytical with a strong attention to detail and traceability.

  • Excel at cross-functional collaboration in complex IT projects.

  • Understand healthcare compliance, IT security, and CMS standards.

  • Can manage vendor relationships while supporting both agile and stage-gate implementations.

Requirements:

  • 5+ years of IT implementation or healthcare system configuration experience.

  • Hands-on experience with HSP Configuration is highly preferred.

  • Strong knowledge of Medicare, Medicaid, and DSNP regulations.

  • Experience with California DSNP implementations is required.

  • Background in UAT coordination, system testing, and healthcare compliance.

  • Bachelor's degree preferred; Requirements Management certification is a plus.

Preferred Expertise:

  • Experience in Medi-Cal, enrollment, provider systems, and healthcare analytics.

  • Familiarity with data migrations, EHR systems, and provider payment solutions.

  • Strong understanding of DSNP Model of Care and CMS reporting requirements.

Why HJ Staffing?

As a trusted partner in specialized healthcare staffing, HJ Staffing delivers excellence by aligning experienced consultants with high-impact projects. Join us and be part of a team shaping the future of Medicare/DSNP operations.

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