CMS EDGE Server Product Manager / Principal / Architect
Chicago, Illinois, United States · Remote OK
Senior
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling o…
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC an…
Built on service. Powered by people. Impact exists because a small group of industry leaders believed companies in our space were doing it wrong. Many prioritized margins while the people doing the work and the clients r…
Skills: Microsoft Purview, Microsoft Entra ID, Microsoft Defender, Data Loss Prevention, Zero Trust Architecture
Saint Clair County, Illinois, United States · On-site
Mid level
The Opportunity • Own the day-to-day security authorization posture of assigned DoD information systems • Work within a well-resourced team with dedicated engineering, operations, and architecture support • Develop exper…
Saint Clair County, Illinois, United States · On-site
Senior
The Opportunity: Are you ready to revolutionize financial auditability and transportation logistics? We're seeking successful, experienced Data Analytics/Reporting SME to join our team in implementing a cutting-edge soft…
Saint Clair County, Illinois, United States · On-site
Mid level
The Opportunity • Apply hands-on security engineering skills across a complex mix of on-premise and cloud DoD systems • Work alongside dedicated GRC, operations, and architecture teams to implement real security controls…
The User Experience Lead (UX Lead) will oversee and drive the product vision and strategy across a suite of products and platforms, ensuring they align with both user needs and business goals. This role requires a strate…
Skills: UX Strategy, User Research, Wireframing, Prototyping, Visual Design
Principal Product Manager (Loyalty & Subscriptions)
Chicago, Illinois, United States · Hybrid
Senior$284M raised
About Grubhub At Grubhub, we believe food is more than just a meal: It’s a source of discovery, connection, and pure enjoyment. There’s a time and place for every type of dish, from hidden neighborhood gems to tried-and-…
About Halter At Halter, we’re on a mission to enable farmers and graziers to run the most productive and sustainable operations. Our customers are using Halter to break free from the time-intensive constraints of convent…
About the Role: As a Sales Strategy Manager supporting CP&ESG, you'll independently execute specialized tasks that enhance the efficiency and quality of our revenue operations. Your expertise will drive the optimization …
Skills: Project Management, Advanced Data Analytics, Sales Compensation Design, Process Improvement, Technical Expertise
JOB SUMMARY The Cybersecurity Engineer is a hands-on individual contributor role responsible for executing and improving the organization’s cybersecurity program across identity, cloud, endpoint, and infrastructure…
Skills: Active Directory, Entra ID, Microsoft 365 Security, Azure Security, Identity and Access Management
Rolling Meadows, Illinois, United States · On-site
$99k–$148k/yr
Senior
RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE REQUIRED FOR START: Yes CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the TimeDescription At Northrop Grumman, our employees have incredible opportunit…
Skills: Windows Server Administration, Active Directory, Group Policy, Network Security, System Imaging
Denture Digital Designer Trainee- Remote At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training…
Skills: CAD Software, 3D Virtual Environments, Microsoft 365, Digital Denture Design, 3Shape Ecosystem
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues …
About Us Catalyst Consulting Group is Government Technology Services Vendor, headquartered in Chicago that has been serving public sector clients for 35 years. We are unique because of the diverse skill sets which our co…
Skills: CAD Administration, Mobile X Administration, System Configuration, Troubleshooting, Public Safety Operations
Lead Business Analyst Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront…
Skills: Agile Methodology, Business Analysis, Business Reporting, Capital Markets, Change Management
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
This is a remote role within the United States. US work authorization is required. About VIATechnik: VIATechnik is the global leader in Virtual Design and Construction. We have over 400 digital experts around the globe. …
Skills: Workflow Optimization, Operations Management, BIM Delivery, Team Leadership, Process Standardization
Job Description: Building trusted markets — powered by our people At Cboe Global Markets, we inspire our people to solve complex challenges together because what we do matters. We provide the financial infrastructure tha…
*****THIS POSITION IS NOT ELIGIBLE FOR VISA SPONSORSHIP***** To be considered for this position, applications and resumes are accepted only through our careers site by directly applying to the posted job. We do not accep…
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Contract
Medical Insurance, Dental Insurance, Vision Insurance, 401(k) Plan, Employer Match, Employee Stock Purchase Plan
Posted 34d ago
~40 hrs/week
Remote in Chicago, Illinois, United States
Responsibilities
Serve as a subject matter expert for CMS EDGE Server, ACA Risk Adjustment, and Reinsurance programs to support healthcare payer clients. Lead implementations and ensure compliant submission of membership, claims, and encounter data to CMS.
Requirements
Requires over 7 years of healthcare payer experience with deep expertise in CMS EDGE Server and ACA Risk Adjustment. Candidates must have proven implementation experience and strong knowledge of regulatory reporting requirements.
Full job description
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Huron helps healthcare organizations drive growth, enhance performance, and sustain leadership in an increasingly complex healthcare environment. Within our HDTx Payer Services practice, we partner with health plans to modernize operations, optimize regulatory reporting, improve data quality, and enable data-driven decision making.
We are seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to serve as a strategic advisor and subject matter expert supporting healthcare payer clients. This individual will bring deep expertise in CMS EDGE Server operations, risk adjustment, reinsurance reporting, and payer platforms to help clients ensure accurate and compliant submission of membership, claims, and encounter data to CMS. The ideal candidate combines strong business knowledge of ACA, Medicare, and Medicaid regulatory programs with hands-on implementation and product leadership experience.
W2 Hourly (No H1B) Start: August 2026 Duration: 6 mths, with possible extension
Key Responsibilities
Serve as SME for CMS EDGE Server, ACA Risk Adjustment, and Reinsurance programs.
Lead CMS EDGE Server implementations, enhancements, and operational support initiatives.
Ensure accurate and compliant submission of membership, claims, encounter, and supplemental data to CMS.
Drive data validation, reconciliation, and reporting quality improvements.
Partner with business, operational, compliance, and technical teams to resolve data and reporting issues.
Translate business requirements into product, process, and technical solutions.
Provide strategic advisory support to health plan clients on CMS reporting best practices.
Required Qualifications
7+ years of healthcare payer experience.
Deep expertise with CMS EDGE Server and ACA Risk Adjustment.
Strong understanding of Reinsurance, Risk Adjustment, and regulatory reporting requirements.
Experience with health plan membership, claims, and encounter data.
Proven implementation and client-facing consulting experience.
Strong knowledge of payer operations and data quality processes.
Excellent communication and stakeholder management skills.
Preferred Qualifications
Experience with Facets (TriZetto).
Medicare and Medicaid experience.
Experience with Cognizant CMS EDGE Server and ClaimSphere.
Knowledge of HEDIS, CMS STARs, and quality reporting programs.
SQL, analytics, or healthcare data management experience.
#LI-DT1
#LI-Remote
Position Level
Consultant
Country
United States of America
Related keywords
CMS EDGE ServerACARisk AdjustmentReinsurancePayer PlatformsFacetsTriZettoMedicareMedicaidCognizantClaimSphereHEDISCMS STARsSQLHealthcare Data ManagementRegulatory Reporting
Huron is a global professional services firm that collaborates with organizations to solve complex challenges and achieve ambitious goals. We help clients improve performance, accelerate transformation, and unlock new opportunities for growth through deep industry expertise, innovative thinking, and practical execution. By embracing diverse perspectives, encouraging new ideas, and challenging the status quo, we create sustainable results that empower organizations and their people to own the future.
Learn more at huronconsultinggroup.com.
Offices: 550 W. Van Buren Street, Chicago, IL 60607, US · 225 Franklin St, Suite 2010, Boston, Massachusetts 02110, US · 265 Franklin St, Suite 402, Boston, Massachusetts 02110, US · 3950 River Ridge Dr NE, Suite A, Cedar Rapids, Iowa 52402, US · 375 N Front St, Suite 125, Columbus, Ohio 43215, US
Business OperationsCare TransformationConsumer TransformationDigitalTechnology & AnalyticsOrganizational TransformationResearch EnterpriseStrategy & InnovationConsultingAdvisory
Based on 4213 listings with disclosed salaries, most technology jobs in Illinois pay between $85k–$200k per year. Individual offers vary with seniority, company size, and specialization.
How many Technology jobs are open in Illinois right now?
There are currently 5,549 open technology positions in Illinois listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Technology roles in Illinois?
Companies currently hiring include Allergan, Caterpillar Inc., Northrop Grumman, Abra, Northrop Grumman Mission Systems, Inc., among others. Browse the listings above to see every active employer.
Are there remote or hybrid Technology jobs in Illinois?
Yes — 2948 of the 5549 open technology positions offer remote or hybrid work (1015 remote, 1933 hybrid).
How do I apply for Technology jobs in Illinois?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.