Provider Enrollment Specialist

Our Deloitte AI & Engineering team to transform technology platforms, drive innovation, and help make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and reengineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation.

Work You'll Do

As a Delivery Manager, Software Engineering Solutions on the team, you will:

• Serve as the Product Specialist and subject matter expert (SME) for Medicaid Provider Enrollment operations, including enrollment, revalidation, provider screenings, sanction checks, and disenrollment processes.
• Lead end-to-end requirements management by facilitating stakeholder workshops, eliciting business needs, developing BRDs and functional specifications, and translating CMS regulations into actionable product requirements.
• Partner with state agency clients, engineering, QA, architecture, and PMO teams to define product roadmaps, prioritize features, refine user stories, and ensure successful delivery across the full Software Development Lifecycle (SDLC).
• Drive Agile delivery by facilitating sprint ceremonies, supporting UAT and deployment activities, managing hypercare support, and presenting project status, risks, and recommendations to executive stakeholders.

A successful candidate would possess these skills:

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to provide clear guidance to others

The Team

Deloitte's Government & Public Services (GPS) practice - our people, ideas, technology and outcomes - is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Industry Solutions clients seek verticalized solutions that transform how they sell products, deliver services, generate growth, and fulfill mission-critical operations. The Industry Solutions offering delivers integrated business expertise with repeatable scaled technology solutions that are specifically engineered for each sector's IndustryAdvantageTM.

This opportunity sits within our Deloitte US Delivery Center model, which is dedicated to driving impactful business services. It leverages Deloitte's scale and talent, as well as a center delivery model to provide high-quality, cost-effective service with standardized processes and procedures to service businesses across Deloitte.

The Deloitte US Delivery Center has a small-business feel with a big-business impact. With the resources of Deloitte and a community feel, the delivery center model provides high-quality services to our clients. USDC professionals work out of one of our specific delivery center locations, and each location presents dynamic career opportunities for professionals to focus on their work with nominal travel requirements.

Qualifications

Required:

• Bachelor's degree
• Limited immigration sponsorship may be available
• 5 years of experience supporting Medicaid MMIS programs, government healthcare IT initiatives, or provider enrollment platforms, with direct knowledge of provider onboarding, revalidation, screenings, and disenrollment workflows.
• 5 years of business analysis and requirements management experience, including development of BRDs, FRDs, use cases, user stories, process flows, data flow diagrams, and acceptance criteria.
• 3 years of experience interpreting and applying CMS Provider Enrollment regulations (42 CFR Part 455/457), HIPAA requirements, and healthcare compliance standards within technology solutions.
• 3 years of experience working in Agile/Scrum environments, collaborating with cross-functional teams to deliver configurable, multi-state or multi-tenant provider enrollment solutions using tools such as Jira and Confluence.
• Delivery Center Location & Travel Requirements:
  
  • Hybrid Work Model: Operate under a hybrid system requiring residence within a commutable distance to one of the US Delivery Center locations (Gilbert, Lake Mary, or Mechanicsburg)
  • Co-location Expectation: Spend up to 30% of working time co-located at an assigned office for orchestrated opportunities, including projects, practice sessions, training, and Moments That Matter at a Deloitte Delivery Center location, Geo-Hub location, approved site, or project location
  • Travel Requirement: Maximum of 10% overnight travel for client or project purposes
  • Relocation Requirement: If relocation is necessary, complete the move within 12 weeks from the start date to reside within a commutable distance