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Healthcare Project Manager # 26-17236

US Tech Solutions, Inc.

Columbia, SC

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JOB DETAILS
SALARY
$73.33–$75.86 Per Hour
SKILLS
Amazon Web Services (AWS), Business Analysis, Business Operations, Business Solutions, Business Support, Centers for Medicare and Medicaid Services (CMS), Change Management, Claims Processing, Cloud Computing, Communication Skills, Computer Systems, Consulting, Contract Management, Documentation, Electronic Data Interchange (EDI), Enterprise Architecture, Healthcare, Help Desk, Incident Management, Internet Security, Maintain Compliance, Managed Care, Medicaid, On Call, Operational Support, Operations Management, Payment Processing, People Management, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Process Management, Production Support, Project/Program Management, Release Management/Engineering, Reporting Skills, Security Compliance, Service Level Agreement (SLA), Social Security Administration, Software Development Lifecycle (SDLC), Staff Motivation, Standard Operating Procedures (SOP), System Operations, Systems Administration/Management, Systems Analysis, Team Lead/Manager, Time Management, Vendor/Supplier Management
LOCATION
Columbia, SC
POSTED
1 day ago
Location: Columbia, SC (3 days onsite, 2 days remote)
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.

Scope:
This consultant 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.
  • 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
  • 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.
  • Works with contract monitor to ensure SLAs are set and monitored.
  • Responds promptly to inquiries.
  • 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.
  • 5+ years of prior experience managing system operations and or administrative program functions for claims and/or encounter processing in healthcare environment.
  • 5+ years of experience in project management managing system implementations or enhancements.
  • 3+ years of experience manage external vendors who provide system development.
  • Ability to provide incident management on call and after hours
  • AWS Cloud Certifications
Required Education:
  • 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.

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.

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

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.

About the Company

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US Tech Solutions, Inc.

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