Team Lead CCA jobs in United States
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NTT DATA North America · 1 week ago

Team Lead CCA

NTT DATA North America is a recognized leader in IT and business services, and they are seeking a Team Lead CCA to manage the CCA module for Utilization Management and Care Management. The role involves engaging a vendor to enhance integrated care management functions, improve automation, and develop reporting capabilities within the CCA platform.

ConsultingDigital MarketingInformation ServicesInformation TechnologyIT Management
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H1B Sponsor Likelynote

Responsibilities

Engage a vendor to support its integrated care management, disease management and utilization management functions within the CCA platform
Create and maintain care models that match the required plans to support the related processes for assessments, care planning, member education, and documentation and tracking
Create and maintain clinical criteria along with integrations with external clinical criteria vendors for consolidated clinical reviews
Update and automate the care flows required to include counters, notifications, advancing functional care plans
Create and maintain advanced operational reporting and dashboards to be used for identifying gaps in service and overall performance
Support required integrations with Samaritan Health System EMR's, provider portals, etc

Qualification

Utilization ManagementCare ManagementCCA platform expertiseAutomation implementationTeam leadershipCommunication skills

Required

Expertise in Utilization Management (UM) and Care Management (CM)
Experience in configuration, maintenance, and reporting of the CCA platform
Ability to inject automation to create functional care plans with fewer touches
Experience in creating and maintaining care models that match required plans
Experience in creating and maintaining clinical criteria and integrating with external clinical criteria vendors
Experience in updating and automating care workflows including counters and notifications
Experience in creating and maintaining advanced operational reporting and dashboards
Experience in supporting integrations with EMR systems and provider portals
Ability to propose alternate UM/CM platforms and provide total costs for alternatives

Benefits

Medical, dental, and vision insurance
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

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NTT DATA, Inc. is a trusted global innovator of business and technology services.

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 Stage

Leadership Team

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John Barr
Vice President - Insurance Strategy
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Company data provided by crunchbase