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Healthcare Project Manager (Medicaid/MMIS) - Hybrid in South Carolina

RICEFW Technologies Inc

Columbia, SC

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JOB DETAILS
SALARY
$80
SKILLS
Amazon Web Services (AWS), Business Analysis, Business Solutions, Centers for Medicare and Medicaid Services (CMS), Change Management, Claims Processing, Cloud Computing, Communication Skills, Computer Systems, Contract Management, Documentation, Electronic Data Interchange (EDI), Enterprise Architecture, Healthcare, Help Desk, Incident Management, Internet Security, Maintain Compliance, Medicaid, On Call, Operational Support, Operations Management, 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, Time Management, Vendor/Supplier Management
LOCATION
Columbia, SC
POSTED
4 days ago

Why is this position open: New position - This position is located within the Bureau of Medicaid Systems, and this position will focus on the MMIS systems, including replacement systems to be implemented
Interview Process: 1 round, Virtual/Online
Duration of the Contract: 12 months

Possibility for Extension: Yes
Work Location: Hybrid (3 days in office, 2 days remote). 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.

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

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 the Company

R

RICEFW Technologies Inc

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