Healthcare Business Systems Analyst/Program Manager (MMIS) - ONSITE (SC Resident/MUST Relocate to SC) - W2 ONLY

Job Description:

***Only W2 resumes are accepted

Work Location: Fully Onsite for 30-90 days - schedule will turn to hybrid at the managers discretion.
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense. 

SCDHHS 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 and encounter processing and payment and other support functions.

DAILY DUTIES / RESPONSIBILITIES:

·       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.

·       Conduct vendor management including monitoring service level agreements.

·       Design and develop desk aides and process flows for new and existing service lines.

·       Train team members to use desk aides, process flows, and ticketing system to perform operational support.

·       Maintains 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 user acceptance testing.

·       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.

·       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 Skills

·       Bachelor’s degree in a technical, business, or healthcare field. 5 years of equivalent experience in business/systems analysis and/or computer systems development/modification may be substituted.

·       3 years of prior experience managing system operations and or administrative program functions in healthcare environment.

·       5 years of experience in project/program 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 & duties: 

·       Excellent communication skills with staff ranging from frontline to executive management

·       Ability to manage work and provide guidance

·       Experience assigning/overseeing team workload

·       Knowledge of system development lifecycle

·       Strong documentation and process management ability

·       Excellent communication skills with staff ranging from frontline to executive management