Medicaid Project Manager

Position: IT Healthcare Consultant – Project Manager – Advanced

Location: Columbia, SC (Remote with occasional onsite as needed)

Agency: South Carolina Department of Health & Human Services (SCDHHS)

Duration: 12 M Contract (with potential extensions)

Public Sector/Government Experience Required: Yes

Pre-Employment Checks: Criminal, Credit, and E-Verify

Company / Department Culture

The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Medicaid Management Information System (MMIS) Replacement and Member Management Replacement Systems projects are the largest IT modernization initiatives in the agency's history. Candidates who thrive in complex, high-visibility, change-oriented environments will find this role both challenging and rewarding.

Scope of the Project

SCDHHS is seeking an IT Healthcare Consultant – Project Manager – Advanced to lead and support implementation of changes and projects related to the MMIS and associated subsystems. The consultant will evaluate agency needs, current and future business processes, and technical designs to recommend effective IT and non-IT solutions.

This position serves in a lead role, coordinating business analysts and collaborating with multiple stakeholders, including executive management, business users, IT teams, vendors, and state/federal partners.

Key Responsibilities

• Lead a team of business analysts, ensuring proper documentation of business processes, rules, and requirements.
• Coordinate standard operating procedures for system change management.
• Support requirements development, analysis, specification, and validation.
• Translate business needs into functional IT specifications and manage updates to those specifications.
• Serve as a liaison between business units and IT, ensuring alignment on solutions.
• Document and analyze data requirements, workflows, and relationships.
• Facilitate buy vs. build decisions and provide recommendations.
• Guide requirements interpretation for technical and testing teams.
• Identify, document, and escalate risks, issues, and dependencies.
• Support business process redesign and improvement initiatives.
• Communicate effectively with executive leadership, line management, and project stakeholders.
• Maintain business rules and models in a repository.
• Perform other related project duties as needed.

Required Skills (Ranked by Importance)

• 5 years' experience in government IT projects as a business analyst or similar role
• 5 years' experience eliciting, documenting, and analyzing business rules/processes
• 5 years' Medicaid experience
• Strong written and verbal communication skills, including requirements and Use Case development
• Experience conducting interviews and mining laws, regulations, and policy documents for business requirements
• Knowledge of formal business process documentation techniques
• Familiarity with business modeling techniques (e.g., process flow diagrams)
• Ability to effectively communicate across executive management, project teams, and external stakeholders

Preferred Skills

• Subject Matter Expertise (SME) in Medicaid or healthcare insurance
• Experience with MMIS (operations or project)
• Proficiency with Microsoft Project/Project Server

Education

• Bachelor's degree in Technical, Business, or Healthcare-related field (or equivalent experience – year for year substitution).

Certifications

• None required.