NTT DATA North America · 4 weeks ago
Delivery Senior Manager
Kansas City, MO
Full-time
Hybrid
Senior Level, Lead/Staff
$100K/yr - $100K/yr
8+ years expNTT DATA is a trusted global innovator of business and technology services, and they are seeking a Delivery Senior Manager to lead service delivery engagements in Medicare Appeals. The role involves improving end-to-end delivery of services, collaborating with various stakeholders, and ensuring compliance with Medicare regulations.
ConsultingDigital MarketingInformation ServicesInformation TechnologyIT Management
Responsibilities
Develop and implement strategies to improve workstream efficiency and quality
Collaborate with internal and external leadership on overall service delivery design and requirements for successful performance
Stay updated on Medicare appeals regulations and guidelines from CMS collaborating with customers that all appeals are handled in accordance with federal and state laws
Identify potential compliance risks and implement corrective actions
Collaborate with health plans, clinical teams, utilization management, and other departments to address complex cases and identify trends
Establish communication plans with various levels of customer organizations regarding performance, metrics, and processes
Track appeal metrics, including case volumes, resolution times, and denial rates
Analyze processes to identify and recommend improvements, especially related to clarity of written recommendations and interpretations of records
Prepare reports for senior management on appeal trends and compliance status
Qualification
Required
Requires Bachelor's degree
8 years of health plan appeals experience, specifically in clinical appeals
Deep understanding of Medicare policies, coverage guidelines, and appeals process
Strong clinical knowledge and ability to interpret medical records, documenting recommendations to uphold or overturn denials
Excellent analytical and problem-solving skills
Strong communication and presentation to interact with diverse stakeholders at various organization levels
Leadership experience in managing a team and achieving results
Experience with healthcare regulations and compliance requirements
Ready to Travel upto 25%
New hires must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process
Must Pass Drug screen
Must Pass a background check with Education check and employment verification check
Employees are responsible for the care and security of all equipment provided
Individuals must provide their own high speed internet access with speeds at or above 50 Mbps
A hard-wired ethernet connection is required
Remote work demands a high degree of professionalism, self-discipline, and accountability
Employees must have a dedicated, professional workspace conducive to servicing Customer Service customers with the same quality as an onsite environment
The workspace must be a permanent, unencumbered location used daily for work
Employees must work with minimal distractions that do not interfere with business operations or service delivery
Employees must work from the same location consistently unless prior approval is obtained
Preferred
Presentation and communication experience, creating decks to convey topics including status, value, processes
Advanced organizing and planning skills to oversee project deliverables
Advanced priority setting and delegation skills
Advanced analytical, problem solving, negotiation and communication skills
Benefits
Medical, dental, and vision insurance with an employer contribution
Flexible spending or health savings account
Life and AD&D insurance
Short- and long-term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally required benefits
Company
NTT DATA North America
NTT DATA, Inc. is a trusted global innovator of business and technology services.
10001+ employees
H1B Sponsorship
NTT DATA North America has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (144)
2024 (182)
2023 (257)
2022 (871)
2021 (809)
2020 (1266)
Funding
Current Stage
Late StageLeadership Team
John Barr
Vice President - Insurance Strategy
Recent News
2025-12-05
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