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
