IT Project Manager

Job Description

Job Description

Seeking an IT Project Manager with experience supporting Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented. This a long term contract (12 month minimum) with a possibility of extension. Candidate must be a resident of South Carolina and commutable distance to Columbia, SC as this is a hybrid position - 3x a week in office.
What You Will Do In The Role:

• Consultant will be the lead for MMIS Medicaid Systems Operational Management.
• Lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
• 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.
• Maintain 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 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.
• Works with contract monitor to ensure SLAs are set and monitored.
• 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 Experience:

• 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in 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.

Preferred Experience:

• Prior experience managing operations of Medicaid Enterprise systems.
• Knowledge of system development lifecycle.
• Knowledge of Medicaid eligibility, enrollment, and MMIS domain concepts.
• Experience with ticketing software.
• Experience with writing standard operating procedures for new system implementations.

Required Education:

• Bachelor’s degree in a technical, business, or healthcare field.

Certifications:

• AWS Cloud Certifications (Preferred)