Medicaid PM

Job ID: TX-529601535

Onsite/Local TX Govt Medicaid PM (PMP/12+) with MMIS, Claims, Managed Care, MES, vendor management, MS Project/Visio, EVV and HHSC experience

Location: Austin, TX (HHSC)
Duration: 12 Months

Position is ONSITE at the location listed above (NO REMOTE WORK). Program will only accept LOCAL ONLY candidates for this position.

Skills:
8 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.

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. The worker will be required to travel as needed to the primary work location in the Austin office. Remote work may be considered in accordance with HHSC Telework Policies, which includes in-office attendance.