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IT Healthcare Project Manager - MMIS

DP Professionals

Columbia, SC

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JOB DETAILS
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, Contract Management, Documentation, Electronic Data Interchange (EDI), Health Information Technology, Healthcare, Help Desk, Incident Management, 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
2 days ago
DPP is seeking a IT Healthcare Project Manager - MMIS for an opportunity in Columbia, SC.
 
Work location: Hybrid – Columbia, SC
Duration: 12 months, with the possibility of extension
Work Schedule: 3 days in office, 2 days remote
Term: W2 position
Candidate location: Candidates must a SC resident or be willing to relocate to SC prior to their start date
 
Position description:
  • The IT Healthcare Project Manager will focus on the MMIS systems, including replacement systems to be implemented.
  • The work is very fast-paced, and the Project Manager will frequently be required to work outside of normal business hours to support the releases and unplanned incidents.
  • The role will be the lead for MMIS Medicaid Systems Operational Management.
  • The Project Manager will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions.
  • Schedule notes: Onsite for 30-90 days. The schedule will turn to hybrid at the manager's discretion. 
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.
  • 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.
  • 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 working 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.
  • 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:
  • 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
 
Interested? Learn more:
Click the apply button or contact Loren at Loren.Graham@dppit.com to learn more about this position (#26-00824).

Authorized US Worker - US Citizens and those authorized to work in the US are encouraged to apply. We are unable to sponsor at this time. EOE/AA/V/D

DPP offers a range of compensation and benefits packages to our employees and their eligible dependents. Call today to learn more about working with DPP.

About the Company

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