Medicaid Practice Group Manager – Medicaid Enterprise Systems

Role Overview

• Support the maturation and standardization of PgMO and project management processes across American Samoa’s Medicaid Enterprise Systems.
• Lead and contribute to the development of key MES deliverables and artifacts, including: MES IT road-maps/strategic plans MES governance frameworks Program and project metrics and reporting tools
• Communicate project status, risks, and recommendations clearly and effectively to client leadership, BerryDunn team members, and other stakeholders, including facilitating and leading client meetings.
• Provide oversight, facilitation, tracking, and management of select MES module implementations, with a primary focus on Eligibility and Enrollment and related system dependencies.
• Serve as a subject matter expert in member eligibility and enrollment, advising on the impacts of: Federal Medicaid regulations State Plan Amendments (SPAs) Territorial policies and waivers Operational changes and process improvement strategies on proposed or upcoming system changes.
• Provide systems and implementation expertise, including a strong understanding of the Medicaid vendor marketplace and systems procurement and implementation life-cycles.
• Deliver subject matter expertise in system integration, with a focus on interfacing with federal data hubs and supporting interoperability across key Medicaid Enterprise Systems, including MMIS and connections to related human services programs (e.g., SNAP, TANF, where applicable).
• Collaborate closely with client staff, BerryDunn colleagues, and vendor partners to ensure alignment, clear communication, and shared project goals.
• Lead and project manage Medicaid systems initiatives, including developing high-quality client deliverables such as: Complex analysis and strategy reports Ongoing status and executive reports Data, technical, and systems strategy plans Client-facing presentations and briefings

Requirements

• Bachelor’s degree required (four years of applicable experience may be substituted in lieu of a degree).
• Minimum of 6 years of experience supporting systems implementation projects in a PgMO or project management capacity.
• Minimum of 4 years of experience supporting a State or Territorial Medicaid Enterprise System (MES) in a PgMO or project management role.
• Project Management certification (PMP or CAPM) preferred.
• Experience working within a Program and/or Project Management Office supporting a Medicaid agency.
• Demonstrated ability to design and implement program and project management governance structures.
• Strong knowledge of and experience with: Medicaid Management Information Systems (MMIS) Eligibility and Enrollment systems Other applicable HHS or Medicaid-related solutions
• Proven ability to adapt to shifting priorities and evolving client needs in a fast-paced environment.
• A collaborative, team-oriented approach and the ability to work effectively with cross-functional stakeholders and vendor partners.
• Strong active listening skills, with the ability to understand client and team needs, respond with empathy, and incorporate feedback constructively.
• Ability to manage multiple concurrent workstreams, often with limited notice, while maintaining high-quality standards and meeting critical deadlines.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft desktop applications and document repositories such as MS SharePoint.

Tech Stack

• PMP

Benefits

• Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being.