Note: The job is a remote job and is open to candidates in USA. NTT DATA is a global IT and business services company providing cloud, data, applications, consulting, and managed infrastructure services. The Technical Project Manager will lead end-to-end AI and Agentic AI programs for healthcare payer operations, coordinating technical teams, business stakeholders, vendors, and compliance functions to deliver secure, scalable, and compliant 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
- 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 Overview
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