Implementation Analyst

TITLE: Implementation Analyst

DURATION:18+ Month Contract

Job Summary: The Medicare/DSNP ITS – Implementation Analyst Consultant will ensure that partner vendors, implementation teams, UAT end-users, and quality management teams work from clearly defined business requirements. This role will also manage traceability that aligns with a defined quality management plan for successfully testing and deploying new technology solutions and integrating with existing systems in compliance with published policy guides and standards for Medi-Cal, Medicare, and D-SNP to support the 1/1/2026 launch of new CCAH Medicare/DSNP line of business.

The new solutions support 2026 Medicare and DSNP requirements for managing prospects and brokers, CRM and customer service, enrollment, provider management, member experience, DSNP model of care and benefit coordination, risk adjustment, and reporting and data analytics. These products will integrate with CCAH’s mature Medi-Cal solutions and business processes with an end-to-end deployment strategy that involves both agile and stage-gate implementation models.

This Implementation Analyst consultant will work with a team of analysts, vendor partners, developers, and test leads to map requirements to implementation to testing to adoption by updating the Traceability Matrix and managing documentation that ensures successful launch, including training and user adoption, and for reporting and compliance, particularly in relation to Medicare/DSNP services in California.

Key Responsibilities:

• Translate requirements from published policy guides, specifications, and business requirements into technical specifications, functional requirements, and models that support integration, traceability, quality assurance and testing, and training needs for the new DSNP launch.
• Understand and update business models and the technical architecture artifacts that define the future state for end-to-end integration.
• Map requirements to features of selected vendor solutions to document the future state and provide recommendations that support CCAH goals and compliance.
• Manage the Traceability Matrix and interface management process to ensure new solutions successfully integrate with existing ITS systems.
• Support implementation, deployment, and adoption for new technology that supports new Medicare/DSNP line of business.
• Engage with vendor-provided solutions and their implementation teams to bridge open questions, resolve key decisions, ensure quality delivery.
• Collaborate with implementation partners, ITS development and QA teams, business leaders and end-user to meet the operational, compliance, and quality goals of the end-to-end implementation plan.
• Adhere to best practices for the security and compliance of Medicare/DSNP data across all IT systems.
• Foster an environment of continuous improvement and innovation to ensure successful launch of new DSNP line of business for CCAH.

Qualifications:

• Minimum of 5 years of experience in IT system implementation and project management, with a focus on healthcare and Medicaid and Medicare systems.
• Bachelor’s degree preferred.
• Clinical or care management experience a plus.
• Experience managing requirements and UAT for Medicare and Medicaid managed care organization.
• Deep understanding of Medicaid/Medicare/DSNP regulations and the healthcare industry’s business and technology needs.
• DSNP system experience in California preferred.
• Requirements management certification a plus.
• Proven analytical and data management skills.
• Excellent communication and interpersonal skills.
• Experience with business and technical solutions in Medicaid and/or Medicare systems, claims, enrollment, healthcare analytics, EHR systems, and data management.
• Knowledge of IT security best practices and healthcare compliance regulations.

Working Conditions:

• Remote work arrangements with occasional onsite travel (e.g., quarterly).