Project Manager

Seeking an IT Healthcare Consultant – Project Manager who will lead MMIS Medicaid Systems operational management. This position will lead teams that support business-critical operations for MCO enrollment, claims, and encounter processing, payment, and other support functions.

• Oversee, coordinate, and perform operations and support activities for MMIS, Encounter Processing System, and other supporting systems. Includes communication and coordination with vendors, the Office of Cyber Security, Enterprise Architecture, etc.
  
• Maintain an effective organizational team and motivate diverse staff to accomplish mission-critical operations and objectives. These teams provide production support, helpdesk, interface/EDI support, and stakeholder monitoring.
  
• Oversees 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 the contract monitor to ensure SLAs are set and monitored.
  
• Responds promptly to inquiries.
  
• Promotes workforce engagement and a safe, professional, and productive work environment for all team members
  
• Implements, monitors, and follows Standard Operating Procedures and alerts the team when practice differs from SOP.
  
• Oversees release management activities, stakeholder communication, pre-implementation planning, readiness checks, and post-implementation monitoring.
  

Requirements

Education and Certifications:

• Bachelor's degree in a technical, business, or healthcare field. Five+ years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.
  

Required Skills:

• 3+ 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.
  
• Ability to provide incident management on-call and after hours.
  

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 software
  
• Experience with writing standard operating procedures for new system implementations.
  
• AWS Cloud Certifications
  

Additional Skills:

• Excellent communication skills with staff ranging from the frontline to executive management
  
• Ability to manage work and provide guidance
  
• Experience assigning/overseeing team workload
  
• Knowledge of the system development lifecycle
  
• Strong documentation and process management ability
  
• Excellent communication skills with staff ranging from the frontline to executive management
  

Benefits