Senior Project Manager

Job Title

Responsibilities:

• Lead end-to-end project planning, execution, monitoring, and closure for assigned DMS Division initiatives.
• Develop and maintain project schedules, risk logs, mitigation plans, and performance dashboards.
• Ensure all projects meet Medicaid regulatory requirements, quality standards, and delivery timelines.
• Coordinate cross-functional project teams, including internal staff, vendors, and consultants.
• Facilitate project governance meetings, decision-making processes, and issue escalation.
• Oversee the assigned division’s full portfolio of programs, initiatives, and operational commitments.
• Lead requirements gathering, business process analysis, and workflow documentation for assigned Division initiatives.
• Translate business needs into functional requirements for IT, vendors, and operational teams.
• Conduct impact assessments, gap analyses, and readiness evaluations.
• Serve as the primary liaison between Division leadership and Department leadership.
• Prepare and deliver executive reports, briefings, presentations, and decision memos.
• Facilitate stakeholder meetings, workshops, and cross-agency coordination sessions.

Education and Experience:

• Bachelor’s degree in Public Health, Healthcare Administration, Business Administration, Information Systems, or related field (preferred).
• 7+ years of professional experience managing Medicaid projects and programs or healthcare portfolio as a Project Manager.
• 5+ years of direct in-depth Medicaid experience, including familiarity with eligibility, benefits, program operations, managed care or fee-for-service models, provider enrollment, claims, 1115 waivers, State Plan Amendments, or 1915(c) waivers, and federal compliance.
• 2+ years of experience analyzing Medicaid data using business analytic tools (e.g., Excel, Power BI, Tableau, SQL, or other Data Analytic tools) to provide Medicaid Leadership with high-level trending summaries to support operational decision making.
• Demonstrated ability to manage multiple complex projects and cross-functional teams.
• Strong organizational and communication skills.
• Experience preparing executive-level reports, presentations, and briefings.
• Experience managing vendors or consultants through contract performance protocols.

Preferred Relevant Certifications:

• Project Management Professional (PMP).
• Program Management Professional (PgMP)
• Portfolio Management Professional (PfMP).
• Certified Scrum Master (CSM) or SAFe Agilist.
• Lean Six Sigma Certification (Green Belt or higher).

Working Conditions:

• Hybrid work environment with mandatory in-office days for key project meetings.
• Occasional travel to stakeholder meetings, training sessions, or program sites, as requested.

Project Management (30%):

• Strong command of project management methodologies (Waterfall, Agile, Hybrid) and ability to manage multiple complex projects simultaneously.
• Lead end-to-end project planning, execution, monitoring, and closure for assigned DMS Division initiatives.
• Develop and maintain project schedules, risk logs, mitigation plans, and performance dashboards.
• Ensure all projects meet Medicaid regulatory requirements, quality standards, and delivery timelines.
• Coordinate cross-functional project teams, including internal staff, vendors, and consultants.
• Facilitate project governance meetings, decision-making processes, and issue escalation.

Division Portfolio Administration (30%):

• Comprehensive understanding of Medicaid program design, implementation, and evaluation including knowledge of federal programs (e.g., 1115, 1915(c), SPA, MCOs, FFS). Portfolio management expertise, including prioritization frameworks and resource allocation.
• Oversee the assigned Division’s full portfolio of programs, initiatives, and operational commitments.
• Lead portfolio governance processes, ensuring alignment with Medicaid strategic priorities.
• Monitor assigned Division performance metrics, compliance indicators, and regulatory deadlines.
• Manage vendor and consulting performance through contract monitoring protocols.
• Drive conflict resolution, alignment of priorities, and escalation of portfolio outcomes to the Medicaid Portfolio Manager.

Requirements and Business Analytics (20%):

• Ability to convert complex policy and operational needs into actionable requirements. Proficient with data tools (Excel, Power BI, Tableau, SQL, etc.).
• Lead requirements gathering, business process analysis, and workflow documentation for assigned Division initiatives.
• Translate business needs into functional requirements for IT, vendors, and operational teams.
• Conduct impact assessments, gap analyses, and readiness evaluations.
• Validate solution designs and ensure alignment with Medicaid program rules and compliance standards.
• Support data-driven decision-making through analysis of program performance, trends, and risks.

Communication and Stakeholder Engagement (20%):

• Excellent written and verbal communication skills, including the ability to tailor messaging for executives, technical, and operational audiences.
• Serve as the primary liaison between Division leadership, Department leadership, and Cabinet-level executives.
• Prepare and deliver executive reports, briefings, presentations, and decision memos.
• Facilitate stakeholder meetings, workshops, and cross-agency coordination sessions.
• Ensure transparent communication of project and portfolio status, risks, and decisions.
• Build strong relationships with internal teams, external partners, and regulatory bodies.