Project Manager

Seeking an IT Healthcare Consultant – Project
Manager who will lead MMIS Medicaid Systems operational management. This
position will lead teams that support business-critical operations for MCO
enrollment, claims, and encounter processing, payment, and other support
functions.

• Oversee, coordinate, and perform
  operations and support activities for MMIS, Encounter Processing System,
  and other supporting systems. Includes communication and coordination with
  vendors, the Office of Cyber Security, Enterprise Architecture, etc.
  
• Maintain an effective organizational team
  and motivate diverse staff to accomplish mission-critical operations and
  objectives. These teams provide production support, helpdesk,
  interface/EDI support, and stakeholder monitoring.
  
• Oversees incident and issue management.
  Ensures documentation, tracking, escalation, and resolution for all ticket
  types. Ensures timely resolution of production issues.
  
• Identifies and mitigates operational
  issues and ensures decisions and actions are well-documented.
  
• Handles internal and external escalations
  and requests and ensures they are satisfactorily resolved, communicating
  issues and outcomes to appropriate personnel. Ensures work is assigned
  appropriately and escalations are resolved in a timely and effective
  manner.
  
• Ensures compliance with security (CMS,
  SSA, etc.) and monitors all findings and recommendations to completion.
  
• Works with the contract monitor to ensure
  SLAs are set and monitored.
  
• Responds promptly to inquiries.
  
• Promotes workforce engagement and a safe,
  professional, and productive work environment for all team members
  
• Implements, monitors, and follows
  Standard Operating Procedures and alerts the team when practice differs
  from SOP.
  
• Oversees release management activities,
  stakeholder communication, pre-implementation planning, readiness checks,
  and post-implementation monitoring.
  

Requirements

Education and Certifications:

• Bachelor's degree in a technical,
  business, or healthcare field. Five+ years of equivalent experience in
  business/systems analysis and/or computer systems development/modification
  may be substituted.
  

Required Skills:

• 3+ years of prior experience managing
  system operations and/or administrative program functions for claims
  and/or encounter processing in a healthcare environment.
  
• 5+ years of experience in project
  management, managing system implementations or enhancements.
  
• Ability to provide incident management
  on-call and after hours.
  

Preferred Skills:

• Prior experience managing operations of
  Medicaid Enterprise systems.
  
• Ability to make presentations and prepare
  reports.
  
• Knowledge of Medicaid eligibility,
  enrollment, and MMIS domain concepts
  
• Experience with ticketing software
  
• Experience with writing standard
  operating procedures for new system implementations.
  
• AWS Cloud Certifications
  

Additional Skills:

• Excellent communication
  skills with staff ranging from the frontline to
  executive management 
  
• Ability to manage work and
  provide guidance 
  
• Experience assigning/overseeing team
  workload 
  
• Knowledge of the system development lifecycle 
  
• Strong documentation
  and process management ability 
  
• Excellent communication skills with
  staff ranging from the frontline to executive management 
  

Benefits