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IT Healthcare Consultant - Project Manager - Consultant

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Job Description - IT Healthcare Consultant - Project Manager - Consultant




Candidates with significant experience with Operations and Maintenance or DDI of



Cúram’s HCR and CGIS products is mandatory. Vendors, please do not submit



candidates without Operations and Maintenance or DDI experience in Cúram’s HCR and



CGIS products. This position will utilize technical expertise to provide guidance to



support the Operations and Maintenance of Cúram Global Income Support (CGIS) and



Cúram’s Health Care Reform (HCR) modules as part of the Eligibility and Enrollment



Member Management Project, a large project whose team brings significant experience



along with an “entrepreneurial” or “startup” attitude and approach. The team is a mixture



of state personnel, industry focused information technology professionals and



experienced consultants. We are seeking individuals who are highly productive, very



flexible, and can work effectively in an environment where ambiguity is common. Team



members are expected to contribute with minimal supervision and be self-motivated. The



project demands for individuals who are strong collaborators, who want to make a



positive contribution to the State of South Carolina, can understand top-level goals and



objectives, and drive toward them.



This position could carry over to other projects as directed by the PMO director or



Member Management Replacement Project Director.



Candidates who enjoy working on complex, change-oriented projects with motivated



team members will find this position attractive.











SCOPE OF THE PROJECT:



The Eligibility and Enrollment Member Management Project is one of the largest IT



projects for the State of South Carolina. It is a multi-year effort to replace the State’s



aging Medicaid Eligibility Determination System and other member management



applications with a multi-tier application environment that requires modern technologies,



technical practices and substantial collaboration with a variety of stakeholders. This



system will utilize Cúram’s social program management platform and will be



configured/implemented by the State in partnership with designated vendors. SC uses the



social program management platform from Cúram in the provision of services. This



software combines the advantages of commercial off-the-shelf software, an enterprise



platform and service-oriented architecture with the business and technical flexibility



required to implement solutions to meet agency objectives.















The Senior Cúram Operations Consultant will serve as the on-sight technical resource for the



Member Management Replacement Project leadership and team. The Senior Cúram



Operations Consultant is responsible for providing guidance to SCDHHS and MMRP vendors



related to Operations and Maintenance of the IBM Cúram software including requirements,



designs and development activities/deliverables. The consultant will work with the team’s



business analysts, subject matter experts, system integrator and designated vendors, as well as



Enterprise Services team to meet the project goals.



Duties include:



• Serves as a technical resource, providing technical/analytical guidance to project team



and vendors; provide advice on best practices for utilizing IBM Cúram software for



meeting stated business needs



• Identifies, reviews, approves approaches/proposed solutions to meeting business



requirements utilizing IBM Cúram software; communicates risks and concerns related to



proposed solutions and offers alternative solutions as appropriate.



• Conducts demonstrations and develops proofs of concept utilizing IBM Cúram software,



as appropriate, to verify the feasibility of proposed IT approaches/solutions



• Conducts and coordinates data mapping and gap analysis to determine if the IBM Cúram



software meets business needs



• Ensures transition from DDI implementation to Operations is successful and knowledge



is transferred to the Operations team.



• Uses knowledge of IBM Cúram framework to consult with development leads in



resolving issues and meeting business requirements



• Assists in managing work between IBM, System Integrator team, other vendors and



Legacy Systems team to ensure a smooth transition between Medicaid Eligibility



Determination System (MEDS) and Cúram while ensuring that the legacy Medicaid



Management Information System (MMIS) continues to provide the appropriate



information



• Collaborates with project leadership, business analysts, subject matter experts, technical



managers and development leads on business requirements, functional and non-functional



specifications, technical design specifications and integration component requirements



• Works with the Analysis and Testing Manager, Production Manager and vendors to



ensure that all deliverables are completed timely and meet quality standards



• Reports on project status and strategies orally and in writing; communicates any known



issues or risks to MMRP leadership and appropriate team members in a timely manner



• Collaborates with SCDHHS agency staff and vendors on implementation requirements



• Interprets, translates, and communicates highly technical concepts to both business and



technical MMRP team members and stakeholders



• Assists with technical analysis of the IBM Cúram releases



• Other duties as assigned



REQUIRED SKILLS (RANK IN ORDER OF



IMPORTANCE):



PREFERRED SKILLS (RANK IN ORDER OF



IMPORTANCE):



• Vendor Management experience











Bachelor's degree in Computer



Science, Engineering, Technical



Science or equivalent industry



experience



• Minimum of three (3) years of



technical experience with IBM Cúram



framework; must have experience



HCR and CGIS



• Cúram Certification



• Experience delivering in waterfall,



scrum, agile, and other methodologies



• Experience profiling and



troubleshooting IBM Cúram Out of the



Box and custom code



• Excellent written and verbal



communication skills and strong



cognitive ability especially with



respect to understanding, documenting,



and describing complex technical



subjects to both technical and non-



technical business users



• Excellent problem solving skills



• Demonstrated teamwork and



collaboration in a professional setting



• Knowledge of healthcare insurance



principles and processes



• Medicaid operations experience



• Public sector and/or academic



environment experience is a plus



• Medicaid Management Information



System (MMIS) experience



REQUIRED EDUCATION:



Bachelor’s degree in a technical or related



field











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