Huron

CMS EDGE Server Architect

Chicago - 550 Van Buren · Principal

No sponsorshipDetected 1 day ago

SQLStakeholder ManagementLeadershipCommunication

About the role

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care.
This individual will bring deep expertise in CMS EDGE Server operations, risk adjustment, reinsurance reporting, and payer platforms to help clients ensure accurate and compliant submission of membership, claims, and encounter data to CMS.

Lead CMS EDGE Server implementations, enhancements, and operational support initiatives.
Drive data validation, reconciliation, and reporting quality improvements.
Partner with business, operational, compliance, and technical teams to resolve data and reporting issues.
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve.
Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change.
Join our team as the expert you are now and create your future.

Deep expertise with CMS EDGE Server and ACA Risk Adjustment.
Strong understanding of Reinsurance, Risk Adjustment, and regulatory reporting requirements.
Proven implementation and client-facing consulting experience.
Strong knowledge of payer operations and data quality processes.
The ideal candidate combines strong business knowledge of ACA, Medicare, and Medicaid regulatory programs with hands-on implementation and product leadership experience.

We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it.
To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Huron helps healthcare organizations drive growth, enhance performance, and sustain leadership in an increasingly complex healthcare environment.
Within our HDTx Payer Services practice, we partner with health plans to modernize operations, optimize regulatory reporting, improve data quality, and enable data-driven decision making.
We are seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to serve as a strategic advisor and subject matter expert supporting healthcare payer clients.
Provide strategic advisory support to health plan clients on CMS reporting best practices.

This listing is sourced directly from Huron's careers page and normalized into a canonical job model.