Wave Lead - Insurance

Capgemini • Chicago, IL

4d • $116,137 - $138,000

About The Position

Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you’d like, where you’ll be supported and inspired by a collaborative community of colleagues around the world, and where you’ll be able to reimagine what’s possible. Join us and help the world’s leading organizations unlock the value of technology and build a more sustainable, more inclusive world.Location:Location: Atlanta, GA / Chicago, IL / New YorkOverview:The Wave Activation Lead is responsible for designing and executing the wave‑based activation strategy for Group Dental and Vision migrations. This role defines group selection criteria, wave sequencing, and optimal volumes using capacity and performance models. The Lead conducts cross‑domain impact analysis across claims, enrollment, producers, providers, operations, contact centers, digital portals, and customer communications. Partnering with business and technology leaders, the role minimizes operational risk and protects customer experience during migrations. Responsibilities include delivery governance, readiness reviews, and executive reporting. The role leads data migration testing, dry runs, cutover planning, and stabilization. Strong expertise in group benefits operations, EDI transactions, and HIPAA/PHI compliance is required.

Requirements

• 10+ years of experience in Group Health, Dental, or Vision operations or technology, with end‑to-end migration or activation leadership
• Proven delivery of wave-based migrations for group insurance or payer platforms, including legacy‑to-target core administration or claims systems
• Deep knowledge of group benefits EDI transactions, including:
• 834 – Enrollment
• 820 – Premium payment
• 837D – Dental claims
• 837P – Vision / professional claims
• 270/271 – Eligibility and benefits
• 276/277 – Claim status
• Strong expertise in:
• Claims adjudication
• Eligibility and billing
• Producer and commission hierarchies
• Provider credentialing and contracting
• Member digital and portal experiences
• Demonstrated ability to build capacity and performance models and define safe wave volumes
• Strong governance and leadership skills, including SteerCo facilitation and executive stakeholder alignment
• HIPAA / PHI compliance literacy and secure data handling practices

Responsibilities

• Designing and executing the wave‑based activation strategy for Group Dental and Vision migrations.
• Defining group selection criteria, wave sequencing, and optimal volumes using capacity and performance models.
• Conducting cross‑domain impact analysis across claims, enrollment, producers, providers, operations, contact centers, digital portals, and customer communications.
• Partnering with business and technology leaders, the role minimizes operational risk and protects customer experience during migrations.
• Delivery governance, readiness reviews, and executive reporting.
• Leads data migration testing, dry runs, cutover planning, and stabilization.

Benefits

• Paid time off based on employee grade (A-F), defined by policy: Vacation: 12-25 days, depending on grade, Company paid holidays, Personal Days, Sick Leave
• Medical, dental, and vision coverage (or provincial healthcare coordination in Canada)
• Retirement savings plans (e.g., 401(k) in the U.S., RRSP in Canada)
• Life and disability insurance
• Employee assistance programs
• Other benefits as provided by local policy and eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed