Job Id: SC-12761
Hybrid/Local Healthcare PM (AWS must/15+) with claims/encounter processing, vendor/incident management, MES, Medicaid eligibility/enrollment/MMIS, EDI experience
Location: Columbia, SC (SCDHHS)
Duration: 12 Months
Work Location: Hybrid (3 days in office, 2 days remote). 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.
Skills:
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
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.
5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
5+ years of experience in project management managing system implementations or enhancements.
3+ years of experience manage external vendors who provide system development.
Ability to provide incident management on call and after hours
AWS Cloud Certifications
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
Prior experience managing operations of Medicaid Enterprise systems.
Ability to make presentations and prepare reports.
Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts
Experience with ticketing software
Experience with writing standard operating procedures for new system implementations.
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
Job Description:
DAILY DUTIES / 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
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