We are looking for Healthcare Consultant - Project Manager - Consultant (Min 5+yrs Exp) ONSITE (Web Cam Interview)
POSITION DESCRIPTION
DIRECT CLIENT Position
Number of positions: 1
Length: 12Months +
Work Address: Columbia, SC 29210
Immediate Interviews Web Cam Interview
looking for an IT Healthcare Consultant - Project Manager - Consultant
Work Location: Fully Onsite for 30-90 days - schedule will turn to hybrid at the managers discretion.
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
Scope of the project:
looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management. This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
Position: IT Healthcare Consultant - Project Manager -Consultant
Daily Duties / Responsibilities
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Oversee, coordinate, and perform operations and support activities for MMIS,vEncounter Processing System, and other supporting systems. To includevcommunication and coordination with vendors, Office of Cyber Security, Enterprise Architecture, etc.
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Conduct vendor management including monitoring service level agreements.
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Design and develop desk aides and process flows for new and existing service lines.
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Train team members to use desk aides, process flows, and ticketing system to perform operational support.
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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 stakeholdermonitoring and user acceptance testing.
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Oversee incident and issue management. Ensures documentation, tracking, escalation and resolution for all ticket types. Ensures timely resolution of production issues.
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Identifies and mitigates operational issues and ensures decisions and actions are well-documented.
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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.
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Ensures compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion.
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Promotes workforce engagement and a safe, professional, and productive work environment for all team members
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Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP.
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Oversees release management activities stakeholder communication, pre- implementation planning, readiness checks, and post-implementation monitoring.
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Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.
Required Skills (rank in order of Importance):
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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.
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3+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
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5+ years of experience in project management managing system implementations or enhancements.
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Ability to provide incident management on call and after hours
Preferred Skills (rank in order of Importance):
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Prior experience managing operations of Medicaid Enterprise systems.
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Ability to make presentations and prepare reports.
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Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
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Experience with ticketing software
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Experience with writing standard operating procedures for new system implementations.
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AWS Cloud Certifications
ADDITIONAL SKILLS/DUTIES:
-Excellent communication skills with staff ranging from frontline to executive management
- Ability to manage work and provide guidance
-Experience assigning/overseeing team workload
- Knowledge of system development lifecycle
-Strong documentation and process management ability
-Excellent communication skills with staff ranging from frontline to executive management
Required/Desired Skills
Candidates must have ALL the "Required" skills in order to be considered for the position. "Desired" or "Highly Desired" skills are a PLUS but may NOT be required.
Skill Matrix
| Experience with Business workflow processes | Required / Desired | Amount of Experience | Years of Expe Years rience |
| 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. | Required | 5 | Years |
| 3+ years of prior experience managing system operations and or administrative program functions in healthcare environment, | Required | 3 | Years |
| 5+ years of experience in project management managing system implementations or enhancements. | Required | 5 | Years |
| Ability to provide incident management on call and after hours | Required | | |
| Prior experience managing operations of Medicaid Enterprise systems. | Preferred | | |
| Ability to make presentations and prepare reports. | | | |
| Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts | Preferred | | |
| Experience with ticketing software | Preferred | | |
| Experience with writing standard operating procedures for new system implementations. | Preferred | | |
| AWS Cloud Certifications. | Preferred | | |
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