Curam Consultant

Job ID: SC-7502

Hybrid/Local Curam Consultant (Curam certification must) with HCR, CGIS, Medicaid/MMIS/MEDS, Vendor Management, agile/scrum/waterfall healthcare/insurance experience

Location: Columbia, SC (SCDHHS)
Duration: 12 Months
Hybrid (3 days onsite, 2 days remote) & Candidate must be a CURRENT SC resident. No relocation allowed.

Required Skills (rank in order of Importance):
Bachelor s degree in Computer Science, Engineering, Technical Science or equivalent industry experience
Minimum of three (3) years of technical experience with IBM Cram framework; must have experience HCR and CGIS
Cram Certification
Experience delivering in waterfall, scrum, agile, and other methodologies
Experience profiling and troubleshooting IBM Cram Out of the Box and custom code
Excellent written and verbal communication skills and strong cognitive ability especially with respect to understanding, documenting, and describing complex technical subjects to both technical and non-technical business users
Excellent problem solving skills
Demonstrated teamwork and collaboration in a professional setting Preferred Skills (rank in order of Importance):
Vendor Management experience
Knowledge of healthcare insurance principles and processes
Medicaid operations experience
Public sector and/or academic environment experience is a plus
Medicaid Management Information System (MMIS) experience

Scope of the project:
The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It is a multi-year effort to replace the State s aging Medicaid Eligibility Determination System and other member management applications with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders. This system will utilize Cram s social program management platform and will be configured/implemented by the State in partnership with designated vendors. SC uses the social program management platform from Cram in the provision of services. This software combines the advantages of commercial off-the-shelf software, an enterprise platform and service-oriented architecture with the business and technical flexibility required to implement solutions to meet agency objectives.

Daily Duties / Responsibilities:

The Senior Cram Operations Consultant will serve as the on-site technical resource for the Member Management Replacement Project leadership and team. The Senior Cram Operations Consultant is responsible for providing guidance to SCDHHS and MMRP vendors related to Operations and Maintenance of the IBM Cram software including requirements, designs and development activities/deliverables. The consultant will work with the team s business analysts, subject matter experts, system integrator and designated vendors, as well as the Enterprise Services team to meet the project goals.

Duties include:
Serves as a technical resource, providing technical/analytical guidance to project team and vendors; provide advice on best practices for utilizing IBM Cram software for meeting stated business needs
Identifies, reviews, approves approaches/proposed solutions to meeting business requirements utilizing IBM Cram software; communicates risks and concerns related to proposed solutions and offers alternative solutions as appropriate.
Conducts demonstrations and develops proofs of concept utilizing IBM Cram software, as appropriate, to verify the feasibility of proposed IT approaches/solutions
Conducts and coordinates data mapping and gap analysis to determine if the IBM Cram software meets business needs
Ensures transition from DDI implementation to Operations is successful and knowledge is transferred to the Operations team.
Uses knowledge of IBM Cram framework to consult with development leads in resolving issues and meeting business requirements
Assists in managing work between IBM, System Integrator team, other vendors and Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cram while ensuring that the legacy Medicaid Management Information System (MMIS) continues to provide the appropriate information
Collaborates with project leadership, business analysts, subject matter experts, technical managers and development leads on business requirements, functional and non-functional specifications, technical design specifications and integration component requirements
Works with the Analysis and Testing Manager, Production Manager and vendors to ensure that all deliverables are completed timely and meet quality standards
Reports on project status and strategies orally and in writing; communicates any known issues or risks to MMRP leadership and appropriate team members in a timely manner
Collaborates with SCDHHS agency staff and vendors on implementation requirements
Interprets, translates, and communicates highly technical concepts to both business and technical MMRP team members and stakeholders
Assists with technical analysis of the IBM Cram releases
Other duties as assigned