CMS EDGE Server Product Manager – Principal – Architect

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🌽 Illinois – Remote

🌽 Illinois – Remote

⏰ Full Time

🔴 Lead

✅ Product Manager

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Huron

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2002

🤝 B2B

🏢 Enterprise

💸 Finance

B2B • Enterprise • Finance

Huron Consulting Group is a global consultancy that provides a wide range of services including strategy, operations, advisory, digital, technology, and analytics solutions to various sectors such as healthcare, education, energy, and financial services. Huron helps organizations navigate complex challenges and drive growth through tailored solutions and innovative strategies. The company employs a team of experts dedicated to delivering high-impact solutions that address the unique needs of each client, focusing on areas such as managed services, outsourcing, and leadership development.

📋 Description

• 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

🎯 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