Project Manager

I. DESCRIPTION OF SERVICES

Texas Health and Human Services Commission requires the services of 1 Project Manager 2.
Level Description
3- 7 years of experience in the field or in a related area. Familiar with standard concepts, practices,
and procedures within a particular field. Relies on limited experience and judgment to plan and
accomplish goals. A certain degree of creativity and latitude is required. Works under limited
supervision with considerable latitude for the use of initiative and independent judgment. Minimum of
three (3) years of progressive broad-based information systems, system integration and project
delivery experience. Experience working with external vendors and/or Quality Assurance efforts a
plus.
Job Description
Project managers are the people in charge of a specific project or projects within a company. As the
project manager, your job is to plan, budget, oversee and document all aspects of the specific project
you are working on. Project managers might work by themselves or be in charge of a team to get the
job done. Project Management Professional (PMP) certification is required and should be noted on the
resume. Proof of certification may be requested.
Additional job details and special considerations
The Provider Services unit (formerly Operations Management Claims Administration) supports
Medicaid and CHIP Services (MCS) providers with Fee-for-Service (FFS) claims management,
support, and administrative appeals for both long-term care, and acute care; provider enrollment;
and Electronic Visit Verification (EVV).
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.
The worker will serve as a Project Manager for the PEMS Plus Credentialing project and support
activities as needed. The worker will manage and lead the project of integrating the credentialing
application used by MCOs/DMOs into PEMS. The worker will report to governance committees on the
activities of the project. The worker will identify, record, and ensure trading partners are aware of
critical path dependencies, integration points and oversee testing plans. The worker will work closely
with the Director of Provider Services, and the Deputy Associate Commissioner for MCS Operations
Management. This Project Manager will oversee and lead the work of other project staff to ensure
tasks are assigned, tracked and completed timely and accurately.
The worker will be responsible for delivering quality products that meet the state's desired
operational and technical requirements. The worker will have considerable latitude to use their
experience and judgement to ensure successful completion of their assigned tasks. The worker will
be required to multi-task, analyze priorities, communicate clearly, and set expectations for the

phases of the project. The worker will be responsible for communicating with multiple internal and
external stakeholders including program and technical staff, and other contracted and vendor
resources. The worker will participate in meetings, track deliverables and schedules, and alert
management of any issues that may impact providers.
The services to be provided include, but are not limited to the following:
- Coordinating duties and responsibilities with PEMS Sprint Teams and Provider Services.
- Development, maintenance, and monitoring of integrated project timelines in coordination with
PEMS project timelines.
- Ensuring that the project plan maintains tasks, schedules, and status updates as well as
disseminating information to team members.
- Oversight and reporting of critical path dependencies between PEMS projects.
- Communicating project status, issues, and risks to department management, HHSC vendors,
Provider Services and PEMS sprint teams. Developing mitigation plans as necessary.
- Communicating status of program initiatives to department management and other impacted
stakeholders.
- Planning and managing efficient project meetings and documenting key decisions.
- Designing strategies to mitigate or avoid identified project risks and difficulties.
Required certification in Project Management by a recognized project management
organization. Scrum Master a plus.
Resumes will not be accepted from applicants outside of Texas.

II. CANDIDATE SKILLS AND QUALIFICATIONS
Minimum Requirements:
Candidates that do not meet or exceed the minimum stated requirements
(skills/experience) will be displayed to customers but may not be chosen for this
opportunity.
Years Required/Preferred Experience
7 Required

Experience in management of large-scale IT projects,
including system integration, resource management,
procurement transition and vendor management.
7 Required Experience with Medicaid Enterprise Systems, including
Medicaid Management Information Systems (MMIS).

7 Required

Ability to identify problems, evaluate alternatives, and
implement effective solutions; to develop and evaluate
policies and procedures; to prepare reports.
7 Required Demonstrated ability to meet tight deadlines.

7 Required Experience with Medicaid business operations.

7 Required

Experience overseeing the planning and execution of major
projects, including facilitation and documentation of high-level
critical path dependencies across multiple projects.

7 Required

Experience successfully leading meetings and facilitating
discussions between multiple stakeholder groups, including
vendors.

7 Required Expertise using Microsoft Office products: Teams, Word,

Excel, PowerPoint, Project, Outlook.

7 Required

Ability to establish project goals and objectives that support
the state and HHS strategic plans as well as federal
directives.

7 Required Proven ability to work successfully with technical and non-
technical groups and manage multiple responsibilities.
7 Required Excellent analytical, problem-solving, and coordination skills.
7 Required

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.
7 Required Oral and written communication skills.
4 Required Required certification in Project Management by a
recognized project management organization.
3 Preferred Knowledge of Texas Medicaid programs.
2 Preferred Experience with Texas Health and Human Services

programs.

2 Preferred Experience with provider enrollment systems.
1 Preferred Scrum Master certification preferred.