Medicaid IT Project Manager

Qualifications and Experience Experience in management of large-scale IT projects , including system integration, resource management, procurement transition and vendor management . Experience with Medicaid Enterprise Systems , including Medicaid Management Information Systems (MMIS). Ability to identify problems, evaluate alternatives and implement effective solutions ; to develop and evaluate policies and procedures ; to prepare reports . Demonstrated ability to meet tight deadlines. Experience with Medicaid business operations. Experience overseeing the planning and execution of major projects, including facilitation and documentation of high-level critical path dependencies across multiple projects . Experience successfully leading meetings and facilitating discussions between multiple stakeholder groups, including vendors. Ability to establish project goals and objectives that support the state and HHS strategic plans as well as federal directives. Proven ability to work successfully with technical and non-technical groups and manage multiple responsibilities. Excellent analytical, problem-solving and coordination skills. Experience and judgment to plan and accomplish goals and independently perform a variety of complicated tasks; a wide creative latitude is expected. Oral and written communication skills. Required certification in Project Management by a recognized project management organization. Knowledge of Texas Medicaid programs – preferred. Experience with Texas Health and Human Services programs – preferred. Experience with provider enrollment systems – preferred. 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 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. Services to be Provided 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. Equal Opportunity Employer Cloud Hybrid is an equal opportunity employer inclusive of female, minority, disability and veterans, (M/F/D/V). Hiring, promotion, transfer, compensation, benefits, discipline, termination and all other employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, age, disability, national origin, citizenship/immigration status, veteran status or any other protected status. Cloud Hybrid will not make any posting or employment decision that does not comply with applicable laws relating to labor and employment, equal opportunity, employment eligibility requirements or related matters. Nor will Cloud Hybrid require in a posting or otherwise U.S. citizenship or lawful permanent residency in the U.S. as a condition of employment except as necessary to comply with law, regulation, executive order, or federal, state, or local government contract. #J-18808-Ljbffr Cloud Hybrid Technologies, LLC