Consultant

Consultant (Columbia, SC) Client 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, 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, including communication with vendors, Office of Cyber Security, Enterprise Architecture, etc. Maintain an effective organizational team and motivate diverse staff to accomplish mission‑critical operations and objectives. Teams provide production support, help desk, interface/EDI support, stakeholder monitoring. Oversee incident and issue management, ensuring documentation, tracking, escalation and resolution for all ticket types, and timely resolution of production issues. Identify and mitigate operational issues, ensuring decisions and actions are well‑documented. Handle internal and external escalations and requests, ensuring satisfactory resolution and effective communication of issues and outcomes to appropriate personnel. Ensure compliance with security (CMS, SSA, etc.) and monitor all findings and recommendations to completion. Work with contract monitor to ensure SLAs are set and monitored. Respond promptly to inquiries. Promote workforce engagement and a safe, professional, productive work environment for all team members. Implement, monitor and follow Standard Operating Procedures, alerting the team when practice differs from SOP. Oversee release management activities, including 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 Bachelor’s degree in a technical, business, or healthcare field, or 5+ years of equivalent experience in business/systems analysis and/or computer systems development/modification. 5+ years of prior experience managing system operations and/or administrative program functions for claims and/or encounter processing in a healthcare environment. 5+ years of experience in project management, managing system implementations or enhancements. 3+ years of experience managing external vendors who provide system development. Ability to provide incident management on call and after hours. AWS Cloud Certifications. 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 systems. EOE Protected Veterans/Disability #J-18808-Ljbffr