Medicaid Enterprise Systems Program Manager

Program Manager

As a Manager, you will have an initial focus supporting our client(s) as a Medicaid Enterprise Systems (MES) Project Manager in their efforts to manage MES projects. As part of our consulting team focused on State Medicaid Agency (SMA) clients, you'll leverage your healthcare expertise and experience in project management to help Medicaid agencies improve the health and wellbeing of their communities. We are seeking an experienced Program Manager, preferably with experience in state government, health IT, and the Health and Human Services (HHS) industry. This individual will serve as the primary point of contact; manage the activities of the team; develop and update the project plan; manage project constraints; facilitate meetings; participate in deliverable walkthroughs; help ensure the team adheres to performance standards; and deliver project status updates. The Program Manager will be responsible for the management, reporting, and achievement of project objectives, management of their team, and management of the project areas' activities, schedule, quality, and resources. The ideal candidate will have a demonstrated state HHS IT project management background with experience in Medicaid provider enrollment, claims processing, member eligibility and enrollment, and/or financial management. This position can be remotely-based or in office. You will report to and partner with senior management in our Medicaid team both for client work, career development, and development of your coworkers. With a growth mindset, you will drive your development with the support of a learning and development culture. You will report to senior leaders in the MPG, and will help clients nationally with your initial focus being on our clients in New England. Travel Expectations: Up to 50% travel to client sites is anticipated to support projects.

Responsibilities:

• Use knowledge and experience to manage project manager and the supporting PMO to help achieve client objectives
• Build and maintain relationships with project team members including client contacts, stakeholders, and vendor contacts.
• Communicate project and delivery status to our clients, team members, and other stakeholders.
• Provide and maintain awareness of high priority engagement risks or issues to the engagement leadership
• Use your knowledge and experience to lead, manage, and support the development of the team
• Perform quality reviews and provide subject matter expertise for client deliverables and artifacts.
• Be primarily accountable for maintaining a positive client relationship.
• Serve as the client's secondary chief point of contact for escalation of project issues and/or risks.
• Serve as an escalation point for project management team
• Participate in team and client discussions.
• Help ensure staffing needs are met across the engagement.
• Be an active contributor to the development and facilitation of activities that encourage team cohesion, professional development, and engagement success.
• Maintain awareness of existing contract expiration dates, and actively engage in discussions with firm leadership, client, and other points of contact to help ensure continuity of services within engagement and/or elsewhere.
• Help ensure targeted revenue goals are met for existing engagement as well as larger Medicaid Practice Group
• Develop your own career plan and mentor team members.
• Participate in marketing and business development activities, such as writing blog posts, attending conferences, participating in industry groups, leading/participating in prospective client business development meetings, reviewing Requests for Proposals (RFPs), assisting with go/no-go decision-making, and developing responses to RFPs—in collaboration with Business Development team.

Requirements:

• Bachelor's Degree (BA/BS).
• Eight (8) years of demonstrated project management experience.
• Five (5) years of demonstrated experience project managing Medicaid systems implementation projects for Medicaid provider enrollment, claims processing, member eligibility and enrollment, and/or financial management.
• Five (8) years of demonstrated experience managing performance and development of team members
• Three (3) years of demonstrated experience interacting with engagement leadership teams and client executives
• Experience working with Medicaid vendors on system implementations.
• Knowledge and/or experience interfacing with federal partners or the Centers for Medicare & Medicaid Services (CMS).
• Demonstrated experience working with Medicaid Information Technology Architecture (MITA), Outcome-Based Certification (OBC), Streamlined-Medicaid Certification (SMC), and/or State Medicaid Agency System Modernization efforts.
• Experience balancing multiple assignments and achieving quality results in a timely manner.
• Ability to create and sustain positive working relationships with staff and diverse constituencies, and work independently as well as collaboratively.
• Strong written and verbal communication including tactful communications with difficult messages.
• Superior critical thinking, analytical, and problem-solving skills.
• Tolerance for working in ambiguous, uncertain environments
• Commitment to personal and professional growth.
• Knowledgeable in quality assurance and control procedures and demonstrated proactive problem resolution management skills.
• Strong experience with Microsoft applications.
• Written and verbal fluency in English.
• Project Management Certification ® (PMP ® ) or equivalent experience.