Overview
Skills
Job Details
A Project Manager (PM) is needed to manage the Provider Enrollment and Management System (PEMS) Plus Credentialing project. PEMS is HHSC s system for enrolling providers into the Medicaid program. Providers must be enrolled to deliver services to Medicaid clients and receive payment from HHSC or the Medicaid Managed Care Organizations (MCO) and/or the Dental Maintenance Organizations (DMO). In addition to Medicaid enrollment, providers must also be credentialed by the MCOs and DMOs that they contract with. The credentialing process ensures providers have appropriate qualifications to provide the services they are contracting for. For example, a physician s license would be verified through the credentialing process. This project will ensure the credentialing process is fully integrated into the PEMS application to streamline provider enrollment and reduce the number of steps providers must take to get enrolled and credentialed.
Experience |
Experience in management of large-scale IT projects, including system integration, resource management, procurement transition and vendor management. |
Experience with Medicaid Enterprise Systems, including Medicaid Management Information Systems (MMIS). |
Ability to identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to prepare reports. |
Demonstrated ability to meet tight deadlines. |
Experience with Medicaid business operations. |
Experience overseeing the planning and execution of major projects, including facilitation and documentation of high-level critical path dependencies across multiple projects. |
Experience successfully leading meetings and facilitating discussions between multiple stakeholder groups, including vendors. |
Expertise using Microsoft Office products: Teams, Word, Excel, PowerPoint, Project, Outlook. |
Ability to establish project goals and objectives that support the state and HHS strategic plans as well as federal directives. |
Proven ability to work successfully with technical and non-technical groups and manage multiple responsibilities. |
Excellent analytical, problem-solving, and coordination skills. |
Experience and judgment to plan and accomplish goals and independently perform a variety of complicated tasks; a wide degree of creativity and latitude is expected. |
Oral and written communication skills. |
Required certification in Project Management by a recognized project management organization. |
Knowledge of Texas Medicaid programs. |
Experience with Texas Health and Human Services programs. |
Experience with provider enrollment systems. |
Scrum Master certification preferred. |