Note: The job is a remote job and is open to candidates in USA. NTT DATA North America is a global IT and business services company providing cloud, data, applications, consulting, and systems integration services. The Technical Project Manager will lead the delivery of AI and Agentic AI initiatives for healthcare payer operations, coordinating technical teams, stakeholders, vendors, governance, compliance, and cloud-native deployments. The role focuses on transforming claims, care, member, provider, and contact center functions through secure and scalable AI solutions.
Responsibilities
- Lead end-to-end delivery of AI and Agentic AI initiatives across healthcare payer operations
- Define project scope, roadmap, milestones, risks, dependencies, and success metrics
- Manage multiple concurrent projects using Agile, Scrum, SAFe, or hybrid methodologies
- Develop project plans, resource forecasts, budget tracking, and executive dashboards
- Ensure projects are delivered on time, within budget, and meet business objectives
- Lead implementation of AI Agents, GenAI solutions, Intelligent Virtual Assistants, and workflow automation platforms
- Coordinate development and deployment of autonomous and semi-autonomous AI agents supporting:
- Claims Operations
- Prior Authorization
- Utilization Management
- Care Management
- Provider Services
- Member Services
- Appeals & Grievances
- Fraud, Waste & Abuse Detection
- Drive integration of LLM-powered solutions with enterprise applications and healthcare platforms
- Define AI governance, monitoring, model evaluation, and operationalization processes
- Collaborate with Solution Architects, Data Scientists, AI Engineers, and Product Owners
- Oversee system architecture reviews, AI platform integrations, and deployment planning
- Ensure scalability, reliability, observability, and security of AI solutions
- Facilitate technical decision-making and architecture governance discussions
- Support cloud-native AI deployments across Azure, AWS, or GCP
- Partner with business stakeholders to identify AI use cases across payer operations
- Translate healthcare business requirements into technical delivery plans
- Manage projects involving:
- Claims Processing
- Enrollment & Membership
- Benefits Administration
- Provider Network Management
- Utilization Management
- Prior Authorization
- Care Management
- Risk Adjustment
- HEDIS Quality Programs
- Value-Based Care Initiatives
- Ensure solutions align with CMS, HIPAA, NCQA, and healthcare regulatory requirements
- Ensure compliance with healthcare privacy, security, and AI governance policies
- Work with data governance teams to support responsible AI initiatives
- Mitigate risks related to PHI, PII, AI bias, explainability, and model drift
- Implement monitoring frameworks for AI effectiveness and regulatory compliance
- Engage executive leadership, business sponsors, technology teams, and external vendors
- Facilitate steering committee meetings and leadership reviews
- Communicate project status, risks, and mitigation strategies
- Drive organizational change management and user adoption initiatives
Skills
- • Bachelor's degree in Computer Science, Information Systems, Engineering, Healthcare Informatics, or related discipline
- • 8+ years of IT Project Management experience
- • 5+ years of Healthcare Payer experience
- • 3+ years managing AI, Machine Learning, GenAI, Conversational AI, or Intelligent Automation programs
- • Strong understanding of SDLC, Agile delivery, and enterprise architecture principles
- • 5+ years experience managing distributed and cross-functional teams
- • Healthcare domain exposure
- • FHIR / HL7 familiarity
- • AWS, Azure,GCP experience
- • Knowledge of model governance and explainability
Benefits
- Company benefits may include 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, and additional voluntary or legally required benefits.
Company Overview
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