Sr Manager over Medicaid / MMIS and Pharmacy (PBM) Data and Analytics

Remote • Posted 1 hour ago • Updated 1 hour ago
Full Time
No Travel Required
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Medicaid
  • MMIS
  • Pharmacy Benefits Management
  • PBM
  • leading DDI or system implementation projects
  • Data Analytics
  • MITA
  • Claims
  • Payer
  • Drug Rebate
  • SQL
  • data visualization
  • reporting automation
  • client facing skills
  • healthcare data
  • Provider
  • Enterprise Data Warehouse
  • Databricks
  • PowerBI

Summary

We are seeking to hire a Senior Manager for Medicaid / MMIS and Pharmacy (PBM) Data & Analytics, to join our teams working on a new multi-year awards we have within several State Gov’t clients, modernizing their Medicare/Medicaid systems.  These roles are 100% remote.

 

Being a US Cit is required for working on this program.

 

This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holidays, and a matching 401k).

 

An option for working on an hourly rate is also available for those not needing a full benefits package.

 

 

Position Title: Medicaid/MMIS and PBM Data & Analytics Senior Manager

Reporting To: Director, Service Delivery

Location: Remote

Department: Service Delivery, Implementation Practice.

 

Position Overview

The Medicaid Pharmacy / PBM Implementation Senior Manager will lead the delivery of Medicaid pharmacy and Pharmacy Benefit Management (PBM) implementation initiatives across public sector clients. This role is responsible for leading complex Design, Development, and Implementation (DDI) engagements and coordinating business, configuration, data, interface, testing, and operational-readiness activities required to successfully implement pharmacy solutions.

The Senior Manager will provide leadership across the full implementation lifecycle, working closely with state clients, pharmacy business teams, solution and technical teams, vendors, and other MMIS workstreams. The role requires strong Medicaid and PBM domain expertise combined with implementation leadership, technical acumen, stakeholder management, and the ability to translate business requirements into successful production outcomes.

 

Key Responsibilities

•       Lead and manage the MMIS, Pharmacy Benefit Management (PBM) Data & Analytics team, including Data Analysts, Configuration Analysts, and other professionals.

•       Oversee Design, Development, and Implementation (DDI) projects for Data & Analytics Solutions across public sector clients.

•       Demonstrate breadth of Medicaid and PBM domain knowledge, including MITA areas, MMIS Reporting including Member Eligibility, Claims, Encounters, Payer, Formulary, Drug Rebate, Drug Utilization Review and Financial Reports.

•       Collaborate with other Sr Managers and deputies to drive integrated reporting and data initiatives.

•       Guide a team of data analysts and developers to deliver client-desired outcomes by understanding the business and technical landscape.

•       Partner with technical leads and business analysts to define requirements, prioritize projects, and resolve issues.

•       Mentor and develop team members, fostering a culture of continuous improvement and professional growth.

•       Ensure compliance with all relevant data governance, privacy, and security standards.

•       Represent the MMIS Reporting function in leadership meetings and cross- departmental initiatives.

•       Manage scope, change requests, pricing, and estimation activities for reporting engagements.

 

Qualifications

•       Bachelor’s degree in Business, Information Systems, Data Analytics, or related field.

•       10+ years of experience in healthcare technology, Medicaid/MMIS, pharmacy/PBM, management consulting, or large-scale system implementation.

•       At least 3 years of experience in a leadership or delivery-management role.

•       Demonstrated experience leading complex DDI or system implementation projects from requirements and design through testing, cutover, and go-live.

•       Strong understanding of Medicaid Pharmacy, PBM, MMIS, or healthcare payer business processes.

•       Proven experience managing teams in a complex, matrixed organization.

•       Strong knowledge of enterprise reporting tools, data warehousing, and business intelligence platforms.

•       Strong technical acumen, ability to translate business needs into technical specifications, and work with development team to implement measurable business outcomes

•       Advanced skills in SQL, data visualization, and reporting automation.

•       Excellent communication, stakeholder management, and project leadership skills.

•       Experience working with cross-functional teams, in a matrixed environment

•       Client facing experience

 

Preferred Skills

•       Experience in healthcare, insurance, or regulated industries.

•       Familiarity with Provider, Enterprise Data Warehouse, and related reporting domains.

•       Experience working with offshore/onsite resource pools is a plus.

•       Experience working on Databricks and Power BI is a plus.

 

 

If qualified and interested, please send an updated resume along with rate/salary requirement and we will follow up quickly to discuss further details and move forward with your interview process.

 

 

ec3 Federal Services is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind.  ec3 Federal Services is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at ec3 are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. ec3 Federal Services will not tolerate discrimination or harassment based on any of these characteristics.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91126707
  • Position Id: 9139829
  • Posted 1 hour ago
Contact the job poster
Chris Adams

Chris Adams

Recruiter @ ec3 Federal Services

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