MMIS Consultant

URGENT REQUIREMENT

Role : MMIS IV&V Specialist

Location : 12+ months contract

Location : Remote

• A bachelor s degree in business administration (finance or accounting), computer information systems, economics, health policy and administration, public policy, public health, social service administration, or similar focus
• 7 10 years of experience supporting large-scale healthcare IT programs, including at least 3+ years supporting Medicaid MMIS implementations.
• Strong understanding of Medicaid system components, including eligibility, claims processing, provider enrollment, member management, prior authorization, and other modular functions.
• Familiarity with Medicaid regulations, CMS guidelines, and state compliance requirements.
• Demonstrated ability to critically assess system documentation and implementation approaches with minimal supervision.
• Strong analytical and writing skills, including experience developing and delivering client-ready technical assessments and findings.
• Ability to travel to meet client needs (10-30%) as required

What Would Be Nice to Have:

• Experience performing IV&V on Medicaid systems
• Direct experience working with or reviewing the work of system integrators such as Gainwell, or other MMIS vendors.
• Knowledge of state health agencies and healthcare reform, e.g., Medicaid, public health, health insurance, and health reform organizations (legislative, executive, governor s office)
• A master s degree in an IT, business, or health-related field
• Superior written and oral communication skills
• A strategic problem solver
• Demonstrated ability to self-manage task execution and manage discrete task / project / initiative functions.
• The ability to work overtime as necessary
• Assure high-quality client-ready work product

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