Why is this position open: New position - This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented
Interview Process: 1 round, Virtual/Online
Duration of the Contract: 12 months
Possibility for Extension: Yes
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.
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 compliance with security (CMS, SSA, etc.) and monitors all findings and recommendations to completion.
- Works with contract monitor to ensure SLAs are set and monitored.
- Responds promptly to inquiries.
- Promotes workforce engagement and a safe, professional, and productive work environment for all team members
- Implements, monitors and follows Standard Operating Procedures and alerts team when practice differs from SOP.
- Oversees release management activities stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
- Provide support to change management by performing and coordinating backlog grooming and maintenance and ensuring compliance with appropriate approval gates.
| 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.
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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
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