Project Manager - Healthcare

Job :IT Healthcare Consultant - Project Manager

Location: 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 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.
• 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

• 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 (RANK IN ORDER OF

IMPORTANCE):

• 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 (RANK IN ORDER OF

IMPORTANCE):

• 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