Position: Project Manager
Duration: 1 year
Location: Columbia, SC (Onsite from day 1)
Position ID: 13411
Agency: DHHS
Interview Mode: 1 round, Virtual/Online
Special Requirement:
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.
Work Location: Fully 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.
Job Description:
SCDHHS is looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management. This position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
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.
- Conduct vendor management including monitoring service level agreements.
- Design and develop desk aides and process flows for new and existing service lines.
- Train team members to use desk aides, process flows, and ticketing system to perform operational support.
- 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 user acceptance testing.
- 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.
- 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 /Desired Skills:
- 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.
- 3+ years of prior experience managing system operations and or administrative program functions in healthcare environment.
- 5+ years of experience in project/program management – managing system implementations or enhancements.
- Ability to provide incident management on call and after hours
Preferred Skills
- 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.
- AWS Cloud Certifications
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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