Medicaid Fee-For-Services Systems Manager

Role Description

Using the industry’s best practices for project management along with a solid working knowledge of the system development life cycle and IT Infrastructure deployment, the GPS Technical Project Manager III plans, directs, and coordinates Information Technology projects and programs related to Government Programs products and services to ensure that project goals are accomplished within prescribed time frames. The position is responsible for ensuring project goals and requirements are met on schedule, within budget and are successfully completed.

The Technical Project Manager III adheres and adapts to current processes. Identifies and recommends improvements to current practices. Manages escalated issues and demonstrates appropriate escalation of issues as needed. Leads the efforts of a multi-disciplinary project team through various stages of the project lifecycle, including:

• Vision and scope
• Requirements analysis
• Solution design
• Development
• Implementation

Requires close partnership with internal/external client counterparts, Information Technology (IT), Government Programs and Services, the Enterprise and GPS Project Management Offices, Operations, Health Services, and other departments as needed throughout the duration of the project.

The position works in partnership with the centralized GPS Department as well as with enterprise-wide functional leaders, stakeholders and project team members to manage complex Information Technology projects across multiple programs, including:

• Medicaid programs (State FFS program)
• Medicare/Medicaid Program (MMP)
• Medicaid Managed Care (MMCO)
• Children’s Health Insurance Plan (CHIP)
• Other public federally-facilitated or state-based programs

Qualifications

• BS/BA and 8+ years’ experience or equivalent combination of education and experience, and 4 years of SME in respective areas
• Proficient with Microsoft Office (Word/Excel/PowerPoint), MS Outlook and MS Project
• Must be proficient with Project Scheduling Software
• Familiarity with MedImpact developed applications helpful (MedAccess, MedResponse, etc.)
• PMP certification is highly desired
• Experience in all phases of software development lifecycle and IT infrastructure deployments preferred
• Prior experience in PBM, pharmaceutical, or managed healthcare industry is a plus
• Good negotiation skills, well-developed facilitation and collaboration skills
• Proven leader and team player
• Strong client management skills
• Ability to work in a matrix management organization
• Driven and committed to overcome obstacles and deliver the project on time

Requirements

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume
• Ability to read, analyze, and interpret the most complex documents
• Ability to respond effectively to the most sensitive inquiries or complaints

Benefits

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

Company Description

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.