Healthcare State Medicaid Program Manager

Healthcare State Medicaid Program Manager (MES/MMIS Modernization)

Primary Skills:
Medicaid Enterprise Systems (MES), Medicaid Management Information Systems (MMIS), Program Management, PMP, Texas Medicaid, Vendor Management, Advanced Planning Documents (APD)

Secondary Skills:
Healthcare IT, System Integration, Governance Committees, Executive Reporting, Project Portfolio Management, Critical Path Analysis, Medicaid Modernization

Total Required Experience in Years:15%2B Years

Mode of Work:Hybrid (3 Days Onsite / 2 Days Remote)

Job Description:

The selected candidate will act as the primary liaison between Medicaid/CHIP Program leadership, IT organizations, current MMIS vendors, MES service providers, and executive governance committees. This role will ensure successful coordination, execution, and delivery of modernization initiatives while maintaining compliance with Texas Medicaid policies and federal directives.

Key Responsibilities:

• Develop and maintain integrated Medicaid Enterprise Systems (MES) modernization program timelines.

• Coordinate multiple transition and modernization projects across MES platforms.

• Identify, document, and manage critical path dependencies across modernization initiatives.

• Serve as the IT system integrator for Medicaid Enterprise Systems.

• Ensure seamless coordination among Claims Administration, Business Operations, Applications Maintenance, and implementation vendors.

• Monitor overall program health and provide executive-level status reporting.

• Present program status updates to governance boards and Executive Steering Committees.

• Coordinate testing strategies, integration activities, and deployment planning.

• Facilitate communication among Medicaid Program leadership, IT teams, vendors, and stakeholders.

• Oversee project schedules, risks, issues, dependencies, and mitigation plans.

• Support MES modernization governance processes and decision-making activities.

• Ensure alignment with HHSC strategic objectives and federal compliance requirements.

• Collaborate with Medicaid/CHIP leadership, Project Portfolio Managers, and executive stakeholders.

• Manage procurement-related activities and vendor performance.

• Support Federal funding documentation and Advanced Planning Documents (APD).

Required Skills:

• Medicaid Enterprise Systems (MES)

• Medicaid Management Information Systems (MMIS)

• Program Management

• PMP Certification

• Healthcare IT Modernization

• Vendor Management

• System Integration

• Project Governance

• Executive Reporting

• Critical Path Analysis

• Risk Management

• Stakeholder Management

• Project Portfolio Management

• Medicaid Operations

• Texas Medicaid Policies

• Advanced Planning Documents (APD)

Required Experience:

• 15%2B years of Program Management experience.

• 7%2B years of experience with Medicaid Enterprise Systems (MES).

• 7%2B years of experience with Medicaid Management Information Systems (MMIS).

• 5%2B years of experience with Texas Medicaid processes and policies.

• Experience managing large-scale IT modernization programs.

• Experience with procurement and vendor management.

• Experience overseeing complex healthcare system implementations.

• Experience facilitating communication among multiple vendors and stakeholders.

• Experience managing executive-level governance reporting.

• Experience leading system integration and modernization initiatives.

• Experience developing and maintaining integrated project plans and schedules.

• Experience coordinating enterprise-wide testing and deployment efforts.

• Experience supporting healthcare technology transformation programs.

Preferred Skills:

• Texas HHSC Experience

• Medicaid Modernization Programs

• Healthcare Claims Systems

• Program Governance

• Enterprise Architecture

• Healthcare Data Exchange

• Executive Steering Committees

• State Government IT Programs

• Federal Compliance Initiatives

Qualifications:

• Active Project Management Professional (PMP) Certification (Mandatory).

• Strong understanding of Medicaid Enterprise Systems architecture.

• Deep knowledge of MMIS modernization initiatives.

• Strong leadership and stakeholder management skills.

• Excellent written and verbal communication skills.

• Ability to manage multiple vendors and competing priorities.

• Proven success leading large-scale healthcare technology programs.

Education:

• Bachelors Degree in Information Technology, Computer Science, Business Administration, Healthcare Administration, or related field.

• Masters Degree preferred.

Certifications:

• Project Management Professional (PMP) Required

Must Have Requirements:

• Active PMP Certification.

• Minimum 15%2B Years of IT Experience.

• Minimum 7%2B Years of Medicaid Enterprise Systems (MES/MMIS) Experience.

• Minimum 5%2B Years of Texas Medicaid Processes and Policies Experience.

• Experience with State Agency Medicaid Projects.

• Familiarity with Federal Funding Requests (Advanced Planning Documents - APD).

• Experience managing large-scale healthcare modernization initiatives.

Deliverables:

• Integrated MES Program Plans

• Executive Status Reports

• Governance Committee Presentations

• Critical Path Dependency Documentation

• Risk and Issue Registers

• Vendor Coordination Plans

• Integration and Testing Oversight Reports

• APD Support Documentation

• Medicaid Modernization Program Reporting

Location: Austin, Texas

Interview: Face-to-Face (Mandatory)

Start Date: Tentatively 07/08/2026

Local Candidates Only: Within 50 Miles of Austin, TX

Domain Requirement: Texas Medicaid / Healthcare State Agency Experience Mandatory.