Project Manager - Consultant

Roles/Responsibilities:

• Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems. To include communication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, etc.
• Maintains an effective organizational team and motivates diverse staff to accomplish mission critical operations and objectives. These teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring and
• Oversee 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 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 team when practice differs from SOP.
• Oversees release management activities stakeholder communication, pre- implementation planning, readiness checks, and post-implementation monitoring.
• Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.

Mandatory Skill:

1. Bachelor's degree in a technical, business, or healthcare field. 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
2. 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
3. 5+ years of experience in project management managing system implementations or enhancements.
4. 3+ years of experience managing external vendors who provide system development.
5. Ability to provide incident management on call and after hours
6. AWS Cloud Certifications
7. Excellent communication skills with staff ranging from frontline to executive management
8. Ability to manage work and provide guidance
9. Experience assigning/overseeing team workload
10. Knowledge of system development lifecycle
11. Strong documentation and process management ability
12. Excellent communication skills with staff ranging from frontline to executive management

Desirable Skills:

1. Prior experience managing operations of Medicaid Enterprise systems.
2. Knowledge of system development lifecycle
3. Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
4. Experience with writing standard operating procedures for new system implementations.
5. Experience with ticketing software